To successfully meet a MU Public Health Reporting Measure the Eligible Provider must be actively engaged with the public health agency (PHA). Please see Public Health FAQ #1.1 for details on active engagement.

*CMS released CMS FAQ#14397 which describes the alternate exclusion available in 2016 for the Public Health Reporting Measures. If eligible providers require the acquisition of additional technologies that they did not previously have or if they did not previously intend to include the measure(s) in their activities for MU, then they may claim the alternate exclusion.

Public Health Reporting Measures

The available Public Health Reporting Measures are below, along with the maximum times the measure can be counted towards the Public Health Reporting Objective.

+Measure 1 – Immunization Registry Reporting

The EP, EH, or CAH is in active engagement with a public health agency to submit immunization data.

Available Registries

• Citywide Immunization Registry (CIR)
  • Available to EPs and EHs inside the five boroughs of NYC only
• NYS Immunization Information System (NYSIIS)
  • Available to EPs and EHs outside the five boroughs of NYC only

Exclusions

Any EP or EH that meets one or more of the following criteria may be excluded from this measure:

• the EP or EH does not administer any immunizations to any of the populations for which data is collected by their jurisdiction´s immunization registry or immunization information system during the EHR Reporting Period;
• the EP or EH operates in a jurisdiction for which no immunization registry or immunization information system is capable of accepting the specific standards required to meet the CEHRT definition at the start of their EHR Reporting Period; or
• the EP or EH operates in a jurisdiction where no immunization registry or immunization information system has declared readiness to receive immunization data from the EP at the start of their EHR reporting period.

+Measure 2 – Syndromic Surveillance Reporting

The EP, EH, or CAH is in active engagement with a public health agency to submit electronic syndromic surveillance data.

Available Registries

• NYC Department of Health and Mental Hygiene (NYC DOHMH)
  • Available to EPs and EHs inside the five boroughs of NYC only
• NYS Department of Health (NYSDOH)
  • Available to EHs outside the five boroughs of NYC only

Exclusions

Any EP or EH that meets one or more of the following criteria may be excluded from this measure:

• the EP or EH is not in a category of providers from which ambulatory syndromic surveillance data is collected by their jurisdiction´s syndromic surveillance system;
• the EP or EH operates in a jurisdiction for which no public health agency is capable of receiving electronic syndromic surveillance data in the specific standards required to meet the CEHRT definition at the start of their EHR Reporting Period; or
• the EP or EH operates in a jurisdiction where no public health agency has declared readiness to receive syndromic data at the start of their EHR Reporting Period.

+Measure 3 – Specialized Registry Reporting

The EP or EH is in active engagement to submit data to a specialized registry.

Available Registries

• New York State Cancer Registry (NYSCR)
  • Available to EPs inside and outside the five boroughs of NYC only
• Provider Notifiable Conditions (PNC)
  • Available to EPs inside the five boroughs of NYC only
• Population Health Registry
  • Available to EPs inside the five boroughs of NYC only

Exclusions

Any EP or EH that meets one or more of the following criteria may be excluded from this measure:

• the EP or EH does not diagnose or treat any disease or condition associated with or collect relevant data that is required by a specialized registry in their jurisdiction during the EHR Reporting Period;
• the EP or EH operates in a jurisdiction for which no specialized registry is capable of accepting electronic registry transactions in the specific standards required to meet the CEHRT definition at the start of their EHR Reporting Period; or
• the EP or EH operates in a jurisdiction where no specialized registry for which the EP or EH is eligible has declared readiness to receive electronic registry transactions at the start of their EHR Reporting Period.

+Measure 4 – Electronic Reportable Laboratory Result Reporting

The EH or CAH is in active engagement with a public health agency to submit electronic reportable laboratory (ELR) results.

Available Registries

• Electronic Clinical Laboratory Reporting System (ECLRS)
  • Available to EHs inside and outside the five boroughs of NYC only

Exclusions

Any EH or CAH that meets one or more of the following criteria may be excluded from this measure:

• the EH does not perform or order laboratory tests that are reportable in their jurisdiction during the EHR Reporting Period;
• the EH operates in a jurisdiction for which no public health agency is capable of accepting the specific ELR standards required to meet the CEHRT definition at the start of their EHR Reporting Period; or
• the EH operates in a jurisdiction where no public health agency has declared readiness to receive electronic reportable laboratory results at the start of their EHR Reporting Period.

All Eligible Providers demonstrating MU: Any continuous 90–day period in the calendar year

At least 2014 Edition CEHRT is required, but an Eligible Provider may utilize 2015 Edition CEHRT to meet the 2016 Public Health Reporting Objective.

Note: 2015 Edition CEHRT will not be required until 2018

Please see the ONC 2014 Edition Final Rule and 2014 Edition Release 2 Final Rule for additional details on the CEHRT requirements.

Eligible Providers must formally register their intent to submit data to Public Health for a given Public Health Reporting Measure, using the Meaningful Use Registration for Public Health (MURPH) System.

Eligible Providers must register their intent to submit data before or within 60 days of the start of their EHR Reporting Period.

Meaningful Use Registration for Public Health (MURPH) System

MURPH is a statewide system hosted on the Health Commerce System (HCS) that accepts Eligible Providers´ registration and is used by the public health registries and the EHR Incentive Program to manage onboarding and program compliance.

Quick Access to MURPH:

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

*If you need an HCS account click here for instructions. Account sign-up can also be initiated from the HCS Login screen.

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