Public Health Specialized Registries
The Centers for Medicare and Medicaid Services Electronic Health Record Incentive Program Stage 3 and Modifications to Meaningful Use in 2015 Through 2017 (“Modified MU”) includes Specialized Registry reporting. The eligible hospital or CAH is in active engagement to submit data to a specialized registry. Please view the following options for meeting this measure.
- Public Health Specialized Registries
- Other Specialized Registry Options
Cancer Case Reporting
Cancer Case Reporting now falls under the Specialized Registry Reporting measure under the Modified MU rules. Eligible Professionals who diagnose cancer can therefore meet the Specialized Registry Reporting measure.
EHs and CAHs currently are excluded from the existing Cancer Case Reporting measure in the Modified MU rules. California Department of Public Health (CDPH) is in discussion with federal authorities regarding the creation of a Cancer Reporting measure for EHs and CAHs. In the meantime, EHs and CAHs must still follow California law in submitting cancer data even though it does not satisfy a Meaningful Use measure.
California Smokers' Helpline
The California Department of Public Health determined that the California Smokers’ Helpline, meets the Specialized Registry Reporting measure. The California Smokers’ Helpline, funded primarily by the CDPH, California Tobacco Control Program, provides free tobacco cessation counseling in English, Spanish, Mandarin, Cantonese, Korean and Vietnamese. It also conducts population research using data collected from participants. Beginning in 2013, the University of California Davis Health System integrated a proactive, two-way eReferral to the California Smokers’ Helpline into its EHR. The other four University of California health systems followed suit over the next two years. In 2015, the CDPH designated the California Smokers’ Helpline as a Public Health “Specialized” Registry and the University of California Irvine Health System used this designation to demonstrate Meaningful Use (MU) compliance.
The designation of the California Smokers’ Helpline as a Specialized Registry helps link public health and health care systems. It supports efforts to ensure that health systems routinely screen all patients for tobacco use or exposure, advise all tobacco users to quit, and offer evidence based cessation assistance to those who are willing to make a quit attempt. Data in this registry can be used both to help individual tobacco users quit, e.g. by sending them repeated reminders to quit with offers of assistance, and to understand larger trends in the tobacco using population and influence cessation on a population level.
Following successful implementation of eReferrals within the five University of California health systems, the California Smokers’ Helpline is currently expanding its eReferral service to a large outpatient clinic system and two additional hospitals, and hopes to expand the program further in the future. Instructions and criteria for implementation of eReferrals to the California Smokers’ Helpline will be available in September 2016.
If you have any questions specific to Specialized Registries, please send your inquiries to MeaningfulUse@cdph.ca.govTo get answers to your frequently asked questions, please click here.
Other Specialized Registries Options
The following are other registries that have declared to be options to meet the Specialized Registry measure.
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Surveys from the National Center for Health Statistics
On the federal level, The National Center for Health Statistics has proclaimed their surveys to be an option to meet the Specialized Registry measure. Please see The National Health Care Surveys, The National Hospital Care Survey (NHCS), and The National Ambulatory Medical Care Survey (NAMCS).
CALNOC – The Collaborative Alliance for Nursing Outcomes (Eligible Hospitals and Critical Access Hospitals only)
CALNOC, the nations' first Nurse Sensitive Registry, has been in existence for 20 years. CALNOC satisfies Joint Commission and CMS requirement for participation in a nurse sensitive registry and CALNOC data is also used satisfy hospital Magnet designation by the American Nurses Credentialing Center. Its data has been used to benchmark and drive patient safety and quality across its hospital base.
CALNOC has been recognized as a Specialized Registry for Meaningful Use. EH and CAH must be able to extract data from a Certified EHR. Some additional fees may be required to participate.
Other Clinical Data Registries
As per this CMS FAQ, "A provider should check with any specialty society with which they are affiliated to determine if the society maintains or endorses a specialized registry."
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