Public Health Registry Reporting

This measure may not apply to eyecare. If you cannot complete this measure and you have exhausted all attainable Public Health and Clinical Data Exchange measures, you may claim an eligible exclusion from this measure.

This measure may not apply to eyecare. If you cannot complete this measure and you have exhausted all attainable Public Health and Clinical Data Exchange measures, you may claim an eligible exclusion from this measure.

The MIPS-eligible clinician is in active engagement with a public health agency to submit data to public health registries.

Active engagement can be achieved through any one of the following options:

• Completed Registration to Submit Data. The MIPS-eligible clinician registered to submit data with the PHA to which the information is being submitted; registration was completed within 60 days after the start of the performance period; and the MIPS-eligible clinician is awaiting an invitation from the PHA to begin testing and validation. This option allows MIPS-eligible clinicians to meet the measure when the PHA has limited resources to initiate the testing and validation process. MIPS-eligible clinicians that have registered in previous years do not need to submit an additional registration to meet this requirement for each performance period.
• Testing and Validation. The MIPS-eligible clinician is in the process of testing and validation of the electronic submission of data. MIPS-eligible clinicians must respond to requests from the PHA within 30 days; failure to respond twice within a performance period would result in that MIPS-eligible clinician not meeting the measure.
• Production. The MIPS-eligible clinician has completed testing and validation of the electronic submission and is electronically submitting production data to the PHA.

Any MIPS-eligible clinician (EC) who meets one or more of the following criteria may be excluded from the Immunization Registry Reporting measure:

• The EC does not treat or diagnose any reportable diseases for which data is collected by their jurisdiction's reportable disease system during the performance period; OR
• The EC operates in a jurisdiction for which no public health agency is capable of receiving electronic case reporting data in the specific standards required to meet the certified EHR definition at the start of the performance period; OR
• The EC operates in a jurisdiction where no public health agency has declared readiness to receive electronic case reporting data as of six months prior to the start of the performance period.

This measure is part of the Public Health and Clinical Data Exchange objective. Two measures from this objective are required to achieve a promoting interoperability score. The Public Health and Clinical Data Exchange objective is worth up to 10 points.

Not applicable.

The auditor may ask you to sign a written statement attesting to the fact that reporting specific cases falls outside of your scope of practice.