Specialized Registry Reporting

  • Specialized Registry Reporting

    Measure:

    The EP, eligible hospital, or CAH is in active engagement to submit data to a specialized registry

    Exclusions:

    Any EP, eligible hospital, or CAH meeting at least one of the following criteria may be excluded from the specialized registry reporting measure if the EP, eligible hospital, or CAH –

    • Does not diagnose or treat any disease or condition associated with, or collect relevant data that is collected by, a specialized registry in their jurisdiction during the EHR reporting period;
    • 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 the EHR reporting period; or
    • Operates in a jurisdiction where no specialized registry for which the EP is eligible has declared readiness to receive electronic registry transactions at the beginning of the EHR reporting period.

    How to determine what specialized registries are available

    CMS outlined the steps required to determine if there is a specialized registry available and can be found by visiting the following FAQ page at CMS. FAQ 13657 (EP) and FAQ 14117 (EH/CAH) describe the steps that are required to meet due diligence in the search for specialized registries.  In summary, the steps are:

    • Check with your state to determine if there is a specialized registry available.
    • Check with specialty societies with which the professionals or hospital are affiliated to determine if the societies maintain or endorse any specialized registries.

    In Michigan, the following Specialized Registries are available:

    Specialized RegistryAvailable forCriteria for Reporting
    Michigan Cancer Surveillance Program (MCSP)EPsProviders who diagnose or treat certain reportable cancer cases
    Michigan’s Dental Registry (MiDR)EPsProviders who treat children under the age of 18
    Michigan Birth Defects Registry (MBDR) for EPs

    Michigan Birth Defects Registry (MBDR) for EHs
    EPs, EHs/CAHs
    Providers who diagnose or treat birth defects identified in infants and children under the age of two years
    Newborn Screening (NBS)EHs/CAHsHospitals with a birthing facility and the capability to submit pulse oximetry results in the standard format
    Michigan Birth Registry (MBR)EHs/CAHsHospitals with a birthing facility that are interested in piloting electronic submission of live birth and fetal death information
    Michigan Automated Prescription System (MAPS)EPs, EHs/CAHsProviders who prescribe or dispense controlled substances

    Please review the websites noted above to determine if any of the registries would be applicable.

    Providers should also check with their affiliated specialty societies to determine if any specialized registries are available.

    Additional Considerations

    • Providers may use electronic submission methods beyond the functions of CEHRT to meet the requirements for the Specialized Registry Reporting measure.
    • A provider may report to more than one specialized registry and may count specialized registry reporting more than once to meet the required number of measures for the objective.
    • A specialized registry cannot be duplicative of any of the other registries or reporting included in other meaningful use requirements.Special consideration exists for providers who diagnose or treat cancer but are using certified EHR technology (CEHRT) that is not certified for cancer case reporting – Special Consideration for Cancer Case Reporting in 2017.
    • Special consideration exists for providers who diagnose or treat cancer but are using certified EHR technology (CEHRT) that is not certified for cancer case reporting – see Special Consideration for Cancer Case Reporting.
    • For qualified clinical data registries, reporting to a QCDR may count for the public health specialized registry measure as long as the submission to the registry is not only for the purposes of meeting CQM requirements for PQRS or the Promoting Interoperability (PI) Programs.  In other words, the submission may count if the registry is also using the data for a public health purpose.  Many QCDRs use the data for a public health purpose beyond CQM reporting to CMS.  A submission to such a registry would meet the requirement for the measure if the submission data is derived from CEHRT and transmitted electronically. This is noted in CMS FAQ 13653.
    • The Center for Disease Control and Prevention (CDC), National Center for Health Statistics is currently accepting National Health Care Survey data from Eligible Professionals (EP), Eligible Hospitals (EH) and critical Access Hospitals (CAH) to fulfill the Meaningful Use Public Health Objective, Measure 3, submission of data for specialized registry reporting.  More information about the National Health Care Surveys can be found at http://www.cdc.gov/ehrmeaningfuluse/national_health_care_surveys.html.
    • CMS has developed a Centralized Repository for public health agency and clinical data registry reporting to provide a centralized source of information for eligible professionals, eligible hospitals, and critical access hospitals looking for public health, clinical data, or specialized registry reporting options.

    CMS Resources