EPs must register their intent to submit data for a given Public Health Reporting measure, before or within 60 days of the start of their EHR Reporting Period, using the Meaningful Use Registration for Public Health (MURPH) System. MURPH is the statewide system hosted on the Health Commerce System (HCS) that accepts registrations, is used by the registries, and used by the EHR Incentive Program to manage onboarding and program compliance. A registration must be completed for each EP. When an EP formally submit a registration, an e–mail confirmation will be sent to the Registration Contact´s e–mail from the MURPH System. Please see Public Health FAQ #4.1 regarding keeping the Registration Confirmations for post–payment audit purposes.

Please be aware that only one registration is needed if the EP is choosing to achieve multiple Public Health Reporting measures in the same Public Health jurisdiction. If the provider spans both jurisdictions, inside the 5 boroughs of NYC and outside the 5 boroughs of NYC, then a separate registration is needed for each jurisdiction.

How to Access the MURPH Registration System:

1. Log into HCS: https://commerce.health.state.ny.us*
2. Click on the "My Content" on the top navigation bar
3. Click on "All Application" in the drop down
4. Click on the letter "M"
5. Click on "Meaningful Use Registration for Public Health"

*An HCS account is required to submit a registration on the MURPH system. Account sign–up can be initiated from the HCS Login screen.

Note: Please see the Eligible Professional MURPH Registration Guide for additional details.

Step 1 Status

An EP who has submitted a registration through the MURPH System within 60 days of the start of their EHR Reporting Period has achieved Active Engagement Option 1 – Completed Registration to Submit Data and may attest ´Yes´ to the Public Health Reporting measure in an EHR Incentive Program attestation.

Once a registration is received, the Public Health Agencies (PHAs) will triage new registrants and prioritize EPs based on staff/resource availability, volume of data, practice size, reporting periods, and other criteria. If the registry chooses not to onboard the EP immediately following registration, the EP´s status will be recorded as Active Engagement Option 1 – Completed Registration to Submit Data. When the PHA staff is ready to work with the EP, an e–mail invitation will be sent to the registration and alternate contacts listed in the MURPH registration. At this time, the registry staff will change the EP´s status to ´´Invited to Test.´´ As soon as a timely response is received from the EP, PHA staff will change the status to Active Engagement Option 2 – Testing and Validation.

The measure may not be met if an EP fails to participate in the onboarding process as demonstrated by failure to respond to the PHA´s written request for action within 30 days on two separate occasions. Written requests to take action include invitations to begin testing, any requests for corrective action related to testing and validation, and any requests for corrective action while in production. Therefore, if an EP fails to respond to two requests for action before each 30–day time limit expires, the EP may be deemed "Non–Responsive" and not a meaningful user of CEHRT.

Step 2 Status

An EP that has achieved Active Engagement Option 2 – Testing and Validation may attest ´Yes´ to the Public Health Reporting measure in an EHR Incentive Program attestation.

Now that a PHA has invited the EP to begin testing, the PHA will dedicate a representative to work closely with the EP to initiate the exchange and testing of data. The PHA will verify submitted test data for valid structure, content, and completeness. If any issues arise, the PHA may request EHR vendor/IT attention for troubleshooting, implementation of corrections, and continued testing.

The measure may not be met if an EP fails to participate in the onboarding process as demonstrated by failure to respond to the PHA´s written request for action within 30 days on two separate occasions. Written requests to take action include invitations to begin testing, any requests for corrective action related to testing and validation, and any requests for corrective action while in production. Therefore, if an EP fails to respond to two requests for action before each 30–day time limit expires, the EP may be deemed "Non–Responsive" and not a meaningful user of CEHRT. See Public Health FAQ #4.3 for additional information.

The Population Health Specialized Registry currently accepts the following reporting options and transmission standards:

Influenza–like–Illness (ILI) Surveillance

ILI reporting will be accepted in accordance to the Population Health HL7 Message Requirements for ILI Reporting and must be transmitted using UPHN Lite. Only aggregate count data will be accepted.

Reporting Through UPHN Lite

• If your practice or EHR vendor does not already have a UPHN Lite installation, please send a request to NYC_UPHN@health.nyc.gov for a secure link.
• You are required to have an NYCMED account before you send ILI surveillance data to the NYC DOHMH. If you have not already created your account, please go to http://www.nyc.gov/nycmed and click "New Users Register Here."
• Once your NYCMED registration is complete, please send an email to the NYC DOHMH at NYC_UPHN@health.nyc.gov. In the body of your message, include the following:
  • NYCMED User ID
  • Practice name
  • Indicate you are an EP wishing to transmit ILI surveillance data for Meaningful Use

NYC Macroscope / Hub Population Health Network

EPs using eClinicalWorks EHR can join the NYC Macroscope/Hub Population Health Network for no cost. Membership includes feedback on performance of key health conditions. This option is not available for EPs using other EHR vendors.

Step 3 Status

An EP that has achieved Active Engagement Option 2 – Testing and Validation may attest "Yes" to the Public Health Reporting measure in an EHR Incentive Program attestation.

The NY Medicaid EHR Incentive Program defines submission of production data as an EP who continually and successfully submits structured, production–level data from a Certified EHR Technology to the appropriate PHA when the data is made available by the Certified EHR Technology and according to the timing and frequency determined by Public Health Law or registry policies. See Public Health FAQ #4.5 for additional information.

Submission of production data is initially achieved when the EP completes testing and validation and the PHA staff determines the EP´s live data is being received by the PHA and is correct in structure and content. When submission of production data is achieved, the EP´s status will be changed from Active Engagement Option 2 – Testing and Validation to Active Engagement, to Option 3 – Production. E–mail communications between the PHA and the EP indicating that submission of production data has been achieved is considered the EP´s acknowledgment of this status and should be saved for EHR Incentive Program audit purposes.

For additional information on audits please see Post–Payment Audit Guidance.

Step 4 Status

An EP that has achieved Active Engagement Option 3 – Production may attest ´Yes´ to the Public Health Reporting measure in an EHR Incentive Program attestation.