The Promoting Interoperability initiative has moved the programs beyond the existing requirements of Meaningful Use to a new phase of EHR measurement with an increased focus on interoperability and improving patient access to health information. The initiative’s goal is to improve electronic reporting to public health, and ultimately improve patient care. Benefits include:
For fiscal year 2022, the Medicare Promoting Interoperability Program for eligible hospitals and Critical Access Hospitals (CAHs) requires reporting “yes” on four of the existing Public Health and Clinical Data Exchange Objective measures or requesting applicable exclusion(s).
The Rhode Island Department of Health (RIDOH) is actively working with eligible professionals (EPs) and eligible hospitals (EHs) to help them meet 2022 Medicare Promoting Interoperability Program requirements.
We currently do not have the capacity to accept data from Eligible Professionals. Eligible Hospitals send us data about emergency room admissions in HL7 format as they occur. Eligible Hospitals wishing to attest to data submission need to register their intent at the beginning of their reporting period if:
We currently do not have the capacity to accept syndromic surveillance data from Eligible Professionals.
Electronic Case Reporting (eCR) is the automated generation and transmission of case reports from electronic health records (EHRs) to public health agencies (PHAs) for review and action. eCR reduces burden to public health and improves the timeliness and completeness of case reports at the local, state, and national levels.
RIDOH uses the HL7 electronic initial case report (eICR) standards (R1.1 and R3) for electronic case reporting (eCR), and to support CMS Promoting Interoperability standards for eCR. We will require the use of the Association of Public Health Laboratories’ Informatics Messaging System (AIMS) and the Reportable Condition Knowledge Management System (RCKMS) for reporting.
We accept electronic case reporting (eCR) from Eligible Professionals (EPs), Eligible Hospitals (EHs) and Critical Access Hospitals (CAHs). The eCR will conform to HL7 CDA® R2 Implementation Guide: Public Health Case Report, Release 2 - US Realm - the Electronic Initial Case Report (eICR).
Visit RIDOH's eCR webpage to learn more about the process and details.
Electronic Laboratory Reporting is a secure, automated mechanism for the reporting of laboratory and patient information by hospitals and commercial laboratories ELR allows us to avoid these time-consuming manual processes; thus, it is the required reporting mechanism for laboratory providers.
As of February 17, 2014, the Division of Preparedness, Response, Infectious Disease and Epidemiology (PRIDE) will accept electronic laboratory results (ELR) data related to reportable diseases from both Eligible Hospitals (in HL7 2.5.1 format) and clinical laboratories (in HL7 2.3.1 or 2.5.1 format). Eligible Hospitals wishing to attest to data submission need to register their intent at the beginning of their reporting period using this form if:
The Rhode Island Birth Defects Program is ready to accept data as a specialized registry (Stage III Meaningful Use, Measure 3) from hospitals and providers and use the data to improve birth defects outcomes. The Rhode Island Birth Defects Program will:
We currently do not have the capacity to accept cancer registry data in HL7 format from Eligible Professionals or Eligible Hospitals.