Public Health Registry Reporting

The objective of this measure is to submit electronic data to health registries.

This measure may not apply to eyecare. Check with your state health agency to determine if there is a health information exchange (HIE) you're required to report to. 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. Check with your state health agency to determine if there is a health information exchange (HIE) you're required to report to. 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.

This measure is not required to fulfill the Public Health and Clinical Data Exchange objective. This measure contributes up to 5 bonus points.

You can receive up to 5 bonus points for one of the following measures. You cannot receive more than 5 bonus points.

You may receive bonus points even if you claimed an eligible exclusion from both of the required measures and, thus, your Public Health and Clinical Data Exchange objective was reweighted to zero.

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.