Meaningful Use Capacity as of

Meaningful Use in the public health context means that medical data are stored, transmitted, and actively used in ways that improve patient care and overall population health. The term was developed by the Centers for Medicare and Medicaid Services which have created Incentive Programs to reward healthcare providers who work meet meaningful use objectives - including sending data to the Rhode Island Department of Health and other government agencies. We, in turn, must document what data we have the capacity to accept at a particular time. Eligible Professionals and Eligible Hospitals as defined by the Centers for Medicare and Medicaid Services may be granted an exclusion from meeting the federal requirement. for sending data if we cannot accept it.

What the Department of Health has the capacity to do

Electronic Case Reporting (eCR)

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). more

Immunizations

We accept electronic immunization data for patients from birth through 18 years of age using the KIDSNET system. KIDSNET accepts data from both Eligible Professionals and Eligible Hospitals. more

Syndromic Surveillance

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:

  • They are beginning to test sending Meaningful Use Compliant HL7 messages for Syndromic Surveillance to us for the first time or have not previously established ongoing submission of HL7 2.5.1 prior to the beginning of their reporting period.
  • They currently have ongoing submission of Syndromic Surveillance messages to us and want to switch to Meaningful Use Compliant HL7 2.5.1.

Reportable Diseases

We currently do not have the capacity to accept data from Eligible Professionals. As of February 17, 2014 the Division of Infectious Disease and Epidemiology 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:

  • They are beginning to test sending Meaningful Use Compliant HL7 messages for Reportable Diseases to us for the first time or have not previously established ongoing submission of HL7 2.5.1 prior to the beginning of their reporting period.
  • They currently have ongoing submission of Reportable Disease related messages to us and want to switch to Meaningful Use Compliant HL7 2.5.1.

Specialized Registries - Birth Defects Registry

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:

  • Develop a standard electronic data file layout.
  • Develop a testing and validation process to move into production.
  • Receive electronic files through a secure mechanism.
  • Provide appropriate documentation to participating providers.

Cancer Registries

We currently do not have the capacity to accept cancer registry data in HL7 format from Eligible Professionals or Eligible Hospitals.

What Eligible Healthcare Providers Should do