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The Florida Department of Health works to protect, promote & improve the health of all people in Florida through integrated state, county, & community efforts.

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Meaningful Use

Allison Culpepper

  •  850-901-6891
  •  

    Mailing Address

    Florida Department of Health 

    4052 Bald Cypress Way 

    Tallahassee, FL 32399 

Meaningful Use Inventory List

List of facilities that have met DOH requirements for Meaningful Use reporting of lab results and syndromic surveillance.


Florida Meaningful Use Public Health Reporting

The Health Information Technology for Economic and Clinical Health Act (HITECH) provides financial incentives to promote the use of electronic health record (EHR) technology. The U.S. Centers for Medicare and Medicaid Services has implemented incentive programs for Eligible Professionals (EPs), Eligible Hospitals (EHs) and Critical Access Hospitals (CAHs) to adopt, implement and demonstrate meaningful use (MU) of Certified EHR Technology (CEHRT).

Included in the strategies for demonstrating “Meaningful Use” of EHR systems are objectives related to public health:

  • Submission of immunization registry data
  • Submission of syndromic surveillance data
  • Submission of electronic laboratory reporting data

The Florida Department of Health’s Bureau of Epidemiology leads the effort to on-board eligible hospitals and eligible professionals for

  • Electronic Laboratory Reporting (ELR)
  • Syndromic Surveillance (SS)

For more information about reporting Immunizations data to DOH for Meaningful Use contact the Bureau of Immunizations at FLShotsMU@FLhealth.gov.

  • Meaningful Use Stage 3
  • Electronic Laboratory Reporting (ELR)
  • Syndromic Surveillance
  • Specialized Registry Reporting
  • Additional Resources

The EHR reporting period for providers attesting to Stage 3 in 2017 will be 90 days, whereas providers who choose to attest to Modified Stage 2 in 2017 will have a full calendar year EHR reporting period.

Electronic Initial Case Reporting (eICR)

The Florida Department of Health is ready to accept electronic initial case reporting (eICR) data, beginning in 2018.

For further information regarding the submission of eICR data, please refer to the HL7 Implementation guides below:

Contact Information: MUElectronicCaseReporting@flhealth.gov

  • For additional inquiries regarding the submission of eICR data for Stage 3 of Meaningful Use
  • If you are interested in serving as a pilot site for eICR with the Florida Department of Health

Syndromic Surveillance:

For Eligible Professionals (EPs): The DOH is ready to receive syndromic data from EPs practicing in urgent care settings only.

For Eligible Hospitals (EHs) and Critical Access Hospitals (CAHs): The DOH is ready to receive syndromic data from EHs and CAHs with emergency departments only.

Certification under 2015 Edition Certified Electronic Health Record Technology (CEHRT) calls for the testing of the ability to message inpatient data (in addition to emergency department or outpatient) for syndromic surveillance purposes; under 2014 Edition this was not a requirement. Under 2015 Edition CEHRT, SyS should also provide additional facility and patient demographic information, including:

  • Facility name
  • Facility address
  • Patient city town
  • Smoking status

Electronic Laboratory Reporting:

There are no changes to the HL7 implementation guide used for Electronic Laboratory Reporting. Despite no changes, there will be a need to revalidate if a hospital updates or purchases new certified software.

Electronic Laboratory Reporting (ELR) is the electronic transmission from laboratories to public health of laboratory reports which identify reportable conditions.

Meaningful Use states that eligible hospitals must have the capability to submit electronic data on reportable lab results to public health agencies and actual submission according to applicable law and practice (Chapter 64D-3 Florida Administrative Code). The Department is readily accepting HL7 2.5.1 formatted data as specified by Meaningful Use.

In order to satisfy Florida's requirements for this Meaningful Use objective hospitals must:

  1. Complete the Registration of Intent
  2. Establish a secure file transfer protocol with DOH: Secure File Transfer Protocol (SFTP) Access Form
  3. Complete the New Supplier Enrollment Form: New Supplier Enrollment Form
  4. Provide a NIST ELR Message Validation Error Report
  5. Begin the testing process

Once we receive your online registration it will be put into a queue. Testing is prioritized based on the order that we receive online registrations and volume of reportable laboratory results performed. Due to current testing volumes, please allow one week for a response. An e-mail will be sent to the IT contact with test message submission instructions.

Additional Resources:

Send inquiries and completed forms to MUElectronicLabReporting@flhealth.gov

As stated in the Medicare and Medicaid Programs EHR Incentive Program Final Rule, active engagement is a requirement to meet the Meaningful Use electronic reportable lab results objective.

Meaningful Use Stage 3

There are no changes to the HL7 implementation guide used for Electronic Laboratory Reporting. Despite no changes, there will be a need to revalidate if a hospital updates or purchases new certified software.

Syndromic surveillance allows public health to monitor syndromes (or collections of symptoms) over time to quickly and accurately detect outbreaks or monitor diseases, disorders, or conditions.

Meaningful Use states that eligible hospitals including urgent care facilities and eligible professionals must have the capability to submit electronic syndromic surveillance data to public health agencies and actual submission according to applicable law and practice. The Department is accepting 2.5.1 formatted syndromic surveillance data from emergency departments and urgent care facilities only. At this time, DOH is not accepting syndromic surveillance data from non-urgent care eligible professionals.

In order to satisfy Florida's requirements for this Meaningful Use objective hospitals and urgent care centers must:

  1. Complete the Registration of Intent
  2. Establish a secure file transfer protocol with DOH: Secure File Transfer Protocol (SFTP) Access Form
  3. Complete a Memorandum of Understanding with DOH
  4. Begin the testing process

Once we receive your online registration it will be put into a queue. Testing is prioritized based on the order that we receive online registrations and patient volumes. Due to current testing volumes, please allow one week for a response. An e-mail will be sent to the IT contact with test message submission instructions.

Additional Resources

Send inquiries and completed forms to MUSyndromicSurveillance@flhealth.gov

Meaningful Use Stage 3

For Eligible Professionals (EPs): The DOH is ready to receive syndromic data from EPs practicing in urgent care settings only.

For Eligible Hospitals (EHs) and Critical Access Hospitals (CAHs): The DOH is ready to receive syndromic data from EHs and CAHs with emergency departments only.

Certification under 2015 Edition Certified Electronic Health Record Technology (CEHRT) calls for the testing of the ability to message inpatient data (in addition to emergency department or outpatient) for syndromic surveillance purposes; under 2014 Edition this was not a requirement. Under 2015 Edition CEHRT, SyS should also provide additional facility and patient demographic information, including:

  • Facility name
  • Facility address
  • Patient city town
  • Smoking status

Are you an eligible professional seeking Meaningful Use exclusion documentation for syndromic surveillance?

The Florida Department of Health currently offers two specialized registries for Eligible Professionals (EPs), Eligible Hospitals (EHs), and Critical Access Hospitals (CAHs).

  1. The Electronic-Florida Online Reporting of Controlled Substances Evaluation (E-FORSCE): Florida’s Prescription Drug Monitoring Program.
    Contact: E-Forsce@flhealth.gov
    URL: http://www.floridahealth.gov/statistics-and-data/e-forcse/meaningful-use.html
  2. Cancer Reporting
    Contact: MU2FLCancerReporting@med.miami.edu

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