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Meaningful Use Requirements

Meaningful Use provisions of the Health Information Technology for Economic and Clinical Health Act were enacted as part of the American Recovery and Reinvestment Act of 2009. Under this Act, Eligible Hospitals (EHs), Critical Access Hospitals (CAHs), and Eligible Professionals (EPs) that provide clinical services to Medicare and Medicaid (Medi-Cal, in California) patients and commence the transmission of electronic health data are eligible to receive Meaningful Use financial incentives from the Centers for Medicare and Medicaid Services.
To qualify for Stage 1 incentives, eligible providers are required to meet one or more of the following Public Health objectives for electronic data transmissions of:
  1. Immunization data,
  2. Electronic laboratory data (EH’s and CAH’s only), or
  3. Syndromic surveillance data.


Where do I submit data in Santa Clara County?
Immunization Data – Register at the CDPH HIE Gateway and receive reporting instructions. If you already registered at the CAIR Immunization Messaging Portal and you don’t plan to submit other types of public health data, you do not need to re-register at the CDPH Gateway.
Electronic Laboratory Reporting Data (EHs and CAHs only) – Santa Clara County Public Health Department uses the California Reportable Disease Information Exchange (CalREDIE) data system, sponsored by California Department of Public Health, for surveillance data. Laboratories may submit data electronically to CalREDIE using the Electronic Laboratory Reporting (ELR) module. The ELR module of CalREDIE will satisfy Meaningful Use requirements. Register with the CDPH HIE Gateway. The Gateway will then instruct you on how to submit data to CalREDIE.  Note that EPs cannot choose the Electronic Laboratory Reporting requirement to fulfill Meaningful Use. 
Syndromic Surveillance Data – Currently, Santa Clara County does not have the capability to receive syndromic surveillance messages which meet meaningful use standards. Until we have this capability EPs should use the immunization objective, and EHs and CAHs should use the immunization and/or electronic laboratory reporting objective(s) to meet the Public Health requirements for Meaningful Use.
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