Public Health Reporting

Electronic Submissions for Meaningful Use

As part of the requirements for meeting Meaningful Use (MU) in the Medicare and Medicaid EHR Incentive Programs, Eligible Professionals (EPs), Eligible Hospitals (EHs), and Critical Access Hospitals (CAHs) must electronically submit certain forms of public health data to various registries within the Michigan Department of Health and Human Services (MDHHS).

The table below lists the public health systems with the capacity to receive data for Stage 1, 2, and 3, in accordance with requirements for both 2014 and 2015 CEHRT editions:

Public Health MeasureSystem NameAvailable Since
Immunization Registry ReportingMichigan Care Improvement Registry (MCIR)January 1, 2011
(Receive Immunization Data)

January 1, 2016
(Receive and Respond to Queries for Immunization Histories and Forecasts)
Syndromic Surveillance ReportingMichigan Syndromic Surveillance System (MSSS)August 1, 2013
Specialized Registry / Public Health Registry Reporting – Cancer Case ReportingMichigan Cancer Surveillance Program (MCSP)March 1, 2014
Specialized Registry / Public Health Registry Reporting – Birth Defect ReportingMichigan Birth Defects Registry (MBDR) – EPs

Michigan Birth Defects Registry (MBDR) – Hospitals
March 1, 2014 - EPs

February 1, 2016
Specialized Registry / Public Health Registry Reporting – Pediatric Oral Health ReportingMichigan's Dental Registry (MiDR)March 1, 2016
Specialized Registry / Public Health Registry Reporting – Newborn ScreeningNewborn Screening (NBS)January 1, 2015
Specialized Registry / Public Health Registry Reporting – Birth and Fetal DeathMichigan Birth Registry (MBR)January 1, 2017
Specialized Registry / Public Health Registry Reporting – Prescription Monitoring ProgramMichigan Automated Prescription System (MAPS)April 4, 2017
Electronic Case ReportingMichigan Disease Surveillance System (MDSS)January 1, 2018
Electronic Laboratory Results ReportingMichigan Disease Surveillance System (MDSS)January 1, 2011

EHR Reporting Period

In 2017, the EHR Reporting Period for all EPs is minimally any continuous 90-day period between January 1, 2017 and December 31, 2017.

In 2018, the EHR Reporting Period for all EPs is minimally any continuous 90-day period between January 1, 2018 and December 31, 2018.

Public Health Registry Availability

The table below lists the public health systems available for EPs with the capacity to receive data in Michigan. Click the system name in the table below to obtain more detailed system-specific information and instructions on how to complete the MU requirements.

Public Health MeasureSystem NameAvailable Since
Immunization Registry ReportingMichigan Care Improvement Registry (MCIR)January 1, 2011
(Receive Immunization data)

January 1, 2016
(Receive and Respond to Queries for Immunization Histories and Forecasts)
Syndromic Surveillance ReportingMichigan Syndromic Surveillance System (MSSS)August 1, 2013
Specialized Registry Reporting / Public Health Registry Reporting – Cancer Case ReportingMichigan Cancer Surveillance Program (MCSP)March 1, 2014
Specialized Registry Reporting / Public Health Registry Reporting – Birth Defect ReportingMichigan Birth Defects Registry (MBDR)March 1, 2014
Specialized Registry Reporting / Public Health Registry Reporting – Pediatric Oral Health Reporting Michigan's Dental Registry (MiDR)February 1, 2016
Specialized Registry Reporting / Public Health Registry Reporting – Prescription Monitoring ProgramMichigan Automated Prescription System (MAPS)April 4, 2017
Electronic Case ReportingMichigan Disease Surveillance System (MDSS)January 1, 2018

Public Health Reporting Requirements

Program Year 2017:

  • EPs attesting for the Medicaid EHR Incentive Program may attest to Modified Stage 2 objectives or may optionally attest to Stage 3 objectives in 2017. Both Modified Stage 2 and Stage 3 require EPs to attest to at least two measures from the Public Health Reporting Objective Measures.
    • NOTE: Stage 3 Public Health and Clinical Data Registry Reporting Objective Measure 3 – Electronic Case Reporting is not available until 2018.
  • For program year 2017, there are no alternate exclusions available.

Program Year 2018:

  • EPs attesting for the Medicaid EHR Incentive Program may attest to Modified Stage 2 objectives or may optionally attest to Stage 3 objectives in 2018. Both Modified Stage 2 and Stage 3 require EPs to attest to at least two measures from the Public Health Reporting Objective Measures.
  • For program year 2018, there are no alternate exclusions available.

The table below outlines the public health reporting requirements for EPs for Modified Stage 2 and Stage 3.

Public Heath Reporting Measure Maximum times measure can be counted towards this objective
Modified Stage 2
(2015 – 2018)
Stage 3
(Optional beginning 2017)
Measure 1 – Immunization Registry Reporting 1 1
Measure 2 – Syndromic Surveillance Reporting 1 1
Measure 3 – Specialized Registry Reporting 2 N/A
Measure 3 – Electronic Case Reporting N/A 2017 – N/A

2018 and beyond – 1

Measure 4 – Public Health Registry Reporting N/A 2
Measure 5 – Clinical Data Registry Reporting N/A 2

CMS Resources

Eligible Professionals: Public Health Reporting in 2016

Medicaid Eligible Professionals: Public Health Reporting in 2017 – Modified Stage 2

Specification Sheet for Public Health Reporting for Eligible Professionals for 2017 – Modified Stage 2

Medicaid Eligible Professionals: Public Health and Clinical Data Registry Reporting Stage 3 Tip Sheet

EHR Reporting Period

In 2017, the EHR Reporting Period for all eligible hospitals and CAHs is minimally any continuous 90-day period between January 1, 2017 and December 31, 2017.

In 2018, the EHR Reporting Period for all eligible hospitals and CAHs is minimally any continuous 90-day period between January 1, 2018 and December 31, 2018.

Public Health Reporting Availability

The table below lists the federally identified public health systems with the capacity to receive data in Michigan. Click the system name in the table below to obtain more detailed system-specific information and instructions on how to complete the MU requirements.

Public Health MeasureSystem NameAvailable Since
Immunization Registry ReportingMichigan Care Improvement Registry (MCIR)January 1, 2011
Syndromic Surveillance ReportingMichigan Syndromic Surveillance System (MSSS)August 1, 2013
Specialized Registry Reporting / Public Health Registry Reporting – Newborn ScreeningNewborn Screening (NBS)January 1, 2015
Specialized Registry Reporting / Public Health Registry Reporting – Birth Defects ReportingMichigan Birth Defects Registry (MBDR)February 1, 2016
Specialized Registry Reporting / Public Health Registry Reporting – Birth and Fetal Death ReportingMichigan Birth Registry (MBR)January 1, 2017
Electronic Reportable Lab Result ReportingMichigan Disease Surveillance System (MDSS)January 1, 2011
Specialized Registry Reporting / Public Health Registry Reporting – Prescription Monitoring ProgramMichigan Automated Prescription System (MAPS)April 4, 2017
Electronic Case ReportingMichigan Disease Surveillance System (MDSS)January 1, 2018

Public Health Reporting Requirements

Program Year 2017:

  • In 2017, EHs and CAHs attesting to the Medicaid EHR Incentive Program may attest to Modified Stage 2 objectives or Stage 3 objectives.
    • EHs and CAHs attesting to Modified Stage 2 must attest to at least three measures from the Public Health Reporting Objective Measures 1 – 4.
    • EHs attesting to Stage 3 must attest to at least four measures from the Public Health and Clinical Data Registry Reporting Objective Measures 1 – 6.
    • NOTE: Stage 3 Public Health and Clinical Data Registry Reporting Objective Measure 3 – Electronic Case Reporting is not available until 2018.
  • For program year 2017, there are no alternate exclusions available.

Program Year 2018:

  • In 2018, EHs and CAHs attesting to the Medicaid EHR Incentive Program may attest to Modified Stage 2 objectives or Stage 3 objectives.
    • EHs and CAHs attesting to Modified Stage 2 must attest to at least three measures from the Public Health Reporting Objective Measures 1 – 4.
    • EHs attesting to Stage 3 must attest to at least four measures from the Public Health and Clinical Data Registry Reporting Objective Measures 1 – 6.
  • For program year 2018, there are no alternate exclusions available.

The table below outlines the public health reporting requirements for eligible hospitals and CAHs for Modified Stage 2 and Stage 3.

Public Heath Reporting Measure Maximum times measure can be counted towards this objective
Modified Stage 2
(2015 – 2018)
Stage 3
(Optional beginning 2017)
Measure 1 – Immunization Registry Reporting 1 1
Measure 2 – Syndromic Surveillance Reporting 1 1
Measure 3 – Specialized Registry Reporting 3 N/A
Measure 3 – Electronic Case Reporting N/A 2017 – N/A

2018 and beyond – 1

Measure 4 – Public Health Registry Reporting N/A 4
Measure 5 – Clinical Data Registry Reporting N/A 4
Measure 4/6 – Electronic Reportable Laboratory Result Reporting 1 1

CMS Resources

Eligible Hospitals / CAHs: Public Health Reporting in 2016

Medicaid Eligible Hospitals: Public Health Reporting in 2017 – Modified Stage 2

Medicaid EHR Incentive Program Modified Stage 2 Specification Sheet for Public Health Reporting for Eligible Hospitals and Critical Access Hospitals for 2017

Medicaid Eligible Hospitals: Public Health and Clinical Data Registry Reporting Stage 3 Tip Sheet

Registration to submit data

All providers must register with the appropriate public health registry.  Registration is required only once per public health system and is completed through the Michigan Health System Testing Repository.  If you are unsure if you have registered, please contact MDHHSPublicHealthMU@michigan.gov.

Register for Michigan Health System Testing Repository

FAQs

CMS FAQ Page

Specialized Registries

For questions regarding MU Public Health Reporting, contact MDHHSPublicHealthMU@michigan.gov.