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Don’t click here…ask Xerox
Don’t click here…ask Xerox
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https://www.nmhit.org/Registration/
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On-Boarding Status Attach NM DOH
https://www.nmhit.org/
screenshot OR DOH email dated within 60 days prior to start of EHR Reporting Period
Menu Objective 1 – Syndromic Surveillance Data Submission
Definition:
Public Health Agency – An entity under the jurisdiction of the U.S. Department of Health and Human Services, tribal organization, State level and/or city/county level administration that serves a public health function.
Objective: Capability to submit electronic syndromic surveillance data to public health agencies except where prohibited, and in accordance with applicable law and practice.
Measure: Successful ongoing submission of electronic syndromic surveillance data from CEHRT to a public health agency for the entire EHR reporting period.
Exclusion:
Any EP that meets one or more of the following criteria may be excluded from this objective:
(1) the EP is not in a category of providers that collect ambulatory syndromic surveillance information on their patients during the EHR reporting period;
(2) the EP operates in a jurisdiction for which no public health agency is capable of receiving electronic syndromic surveillance data in the specific standards required by CEHRT at the start of their EHR reporting period;
(3) the EP operates in a jurisdiction where no public health agency provides information timely on capability to receive syndromic surveillance data; or
(4) the EP operates in a jurisdiction for which no public health agency that is capable of accepting the specific standards required by CEHRT at the start of their EHR
reporting period can enroll additional EPs.
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Menu Objective 2 – Electronic Notes
Definition:
Electronic Notes – Defined as electronic progress notes. CMS will rely on providers own determinations and guidelines defining when progress notes are necessary to communicate individual patient circumstances and for coordination with previous documentation of patient observations, treatments and/or results in the electronic health record.
Objective:
Record electronic notes in patient records.
Measure:.
Enter at least one electronic progress note created, edited and signed by an EP for more than 30 percent of unique patients with at least one office visit during the EHR reporting period. The text of the electronic note must be text searchable and may contain drawings and other content
Exclusion:
Any EP who has no office visits during the EHR reporting period.
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Menu Objective 3 – Imaging Results
Definition:
Imaging – The description of radiology services from the Stage 2 CPOE objective is the minimum
description of imaging. We describe radiologic services as any imaging service that uses electronic product radiation. Electronic product radiation is defined at 21 CFR 1000.3 as: "any ionizing or nonionizing
electromagnetic or particulate radiation, or [a]ny sonic, infrasonic, or ultrasonic wave that is emitted from an electronic product as the result of the operation of an electronic circuit in such product." If the provider desires to include other types of imaging services that do not rely on electronic product radiation they may do so as long as the policy is consistent across all patients and for the entire EHR reporting period.
Accessible through – Either incorporation of the image and accompanying information into CEHRT or an indication in CEHRT that the image and accompanying information are available for a giving patient in another technology and a link to that image and accompanying information.
Incorporation of the Image – The image and accompanying information is stored by the CEHRT.
A Link to the Image and Accompanying Information – A link to where the image and accompanying information is stored is available in CEHRT. This link must conform to the certification requirements associated with this objective in the ONC final rule published elsewhere in this issue of the Federal Register.
No Access – None of the imaging providers used by the EP provide electronic images and any
explanation or other accompanying information that are accessible through their CEHRT at the start of the EHR reporting period.
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Menu Objective 3 – Imaging Results
Objective:
Imaging results consisting of the image itself and any explanation or other accompanying information are accessible through CEHRT.
Measure:
More than 10 percent of all tests whose result is one or more images ordered by the EP during the EHR reporting period are accessible through CEHRT.
Exclusion:
Any EP who orders less than 100 tests whose result is an image during the EHR reporting period; or any EP who has no access to electronic imaging results at the start of the EHR reporting period.
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Menu Objective 4 – Family Health History
Definition:
First Degree Relative – A family member who shares about 50 percent of their genes with a particular individual in a family. First degree relatives include parents, offspring, and siblings.
Objective:
Record patient family health history as structured data.
Measure:.
More than 20 percent of all unique patients seen by the EP during the EHR reporting period have a structured data entry for one or more first-degree relatives.
Exclusion:
Any EP who has no office visits during the EHR reporting period.
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No NM Public Health registry capable of receiving data under specific standards.
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Cont’d
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Menu Objective 5—Report Cancer Cases
Objective: Capability to identify and report cancer cases to a public health central cancer registry, except where prohibited, and in accordance with applicable law and practice.
Measure: Successful ongoing submission of cancer case information from CEHRT to a public health central cancer registry for the entire EHR reporting period.
Exclusion:
Any EP that meets at least 1 of the following criteria may be excluded from this objective:
(1) The EP does not diagnose or directly treat cancer;
(2) The EP operates in a jurisdiction for which no public health agency is capable of receiving electronic cancer case information in the specific standards required for CEHRT at the beginning of their EHR reporting period;
(3) The EP operates in a jurisdiction where no PHA provides information timely on capability to receive electronic cancer case information; or
(4) The EP operates in a jurisdiction for which no public health agency that is capable of receiving electronic cancer case information in the specific standards required for
CEHRT at the beginning of their EHR reporting period can enroll additional EPs.
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No NM Public Health registry capable of receiving data under specific standards.
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Cont’d
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Menu Objective 6—Specialized Registry
Objective: Capability to identify and report specific cases to a specialized registry (other than a cancer registry), except where prohibited, and in accordance with applicable law and practice.
Measure: Successful ongoing submission of specific case information from CEHRT to a specialized registry for the entire EHR reporting period.
EPs must attest YES to successfully submitting specific case information from CEHRT to a specialized registry for the entire reporting period to meet this measure.
Ongoing submission was already achieved for an EHR reporting period in a prior year and continues throughout the current EHR reporting period.
Registration with the PHA or other body to whom the information is being submitted of intent to initiate ongoing submission was made by the deadline (within 60 days of the start of the EHR reporting period) and ongoing submission was achieved.
Registration of intent to initiate ongoing submission was made by the deadline and the EP or hospital is still engaged in testing and validation of ongoing electronic submission.
Registration of intent to initiate ongoing submission was made by the deadline and the EP or hospital is awaiting invitation to begin testing and validation.
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Menu Objective 6—Specialized Registry
Exclusions:
Any EP that meets at least 1 of the following criteria may be excluded from this objective:
(1) The EP does not diagnose or directly treat any disease associated with a specialized registry sponsored by a national specialty society for which the EP is eligible, or the public health agencies in their jurisdiction;
(2) The EP operates in a jurisdiction for which no specialized registry sponsored by a public health agency or by a national specialty society for which the EP is eligible is capable of receiving electronic specific case information in the specific standards required by CEHRT at the beginning of their EHR reporting period;
(3) The EP operates in a jurisdiction where no public health agency or national specialty society for which the EP is eligible provides information timely on capability to receive information into their specialized registries; or
(4) The EP operates in a jurisdiction for which no specialized registry sponsored by a public health agency or by a national specialty society for which the EP is eligible that is capable of receiving electronic specific case information in the specific standards required by CEHRT at the beginning of their EHR reporting period can enroll additional EPs.
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Menu Objective 6—Specialized Registry
Definition of Terms
Specialized Registry – Sponsored by national specialty societies and specialized registries maintained by public health agencies.
Additional Information:
The specialized registry cannot be duplicative of any of the other registries included in other meaningful use objectives and measures. This means that an EP cannot meet the immunization, syndromic surveillance or cancer objectives and this objective by reporting to the same registry.
In determining whether an EP meets the first exclusion, the registries in question are those
sponsored by the public health agencies with jurisdiction over the area where the EP practices and national medical societies covering the EP’s scope of practice.
Attestation: Attach Supporting Documentation:
If attesting to a specialized registry sponsored by a national specialty society, attach a letter from the specialty society stating that the data was received by them, that the data was transmitted from the provider’s/practice’s CEHRT, and on what date the transmission occurred.
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