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[Objective 10] Public Health Reporting

Last Updated: May 30, 2016 11:35AM PDT


 Be in active engagement with 2 qualifying public health reporting agencies: Immunization Registry, Syndromic Surveillance Reporting, or Specialized Registry 


For 2016 only, providers can claim an alternate exclusion for syndromic surveillance and specialized registry to meet the second registry requirement this year. Therefore, practices only need to engage with their state’s immunization registry (exclusion from immunization registry counts).

State Registries

Each state has its own registration process.  Elation has created a public health registry guide for the following states:


If you do not see your state listed, please contact 

Measure Details

Specifications from CMS: Objective 10 

There are three public health reporting options:

Measure Option 1: Immunization Registry Reporting
Exclusion: A provider can claim an exclusion if they do not administer vaccinations.

Measure Option 2: Syndromic Surveillance Reporting
Exclusion: A provider can claim an exclusion if they operate in a jurisdiction for which no public health agency is capable of receiving electronic syndromic surveillance data in the specific standards required to meet the CEHRT definition at the start of the EHR reporting period. 

Measure Option 3: Specialized Registry Reporting
Exclusion: A provider can claim an exclusion if they do not diagnose or treat any disease or condition associated with or collect relevant data that is required by a specialized registry in their jurisdiction during the EHR reporting period. 


Active Engagement: In order to meet this measure, providers must be in "active engagement" with public health reporting agencies.  A provider can meet the Active Engagement requirement with each public health agency by satisfying one of the following Active Engagement options:

  • Active Engagement Option 1: Complete registration with the public health agency within 60 days after the start of the EHR reporting period. 

  • Active Engagement Option 2:  Provider is in process of testing and validation of electronic submission of data.

  • Active Engagement Option 3: Provider has completed testing and validation of electronic submission of data. 

IMPORTANT: if the public health agency requests that the providers submits a test file, the provider must respond to to the public health agency's request within 30 days; failure to respond twice within an EHR reporting period would result in the provider not meeting the measure.

How to Meet This Measure in Elation

Measure Option 1: Immunization Registry Reporting

To satisfy in Elation: Check off the “Yes” checkbox within the MU Dashboard after you have registered with your state's immunization registry or submitted a test data file. 

Measure Option 2: Syndromic Surveillance Reporting

This measure is to confirm that you have the ability to submit syndromic surveillance data to the state public health agencies electronically. The syndromic surveillance data that the public health agencies require is the same data that you will send to the state immunization registry. 

An encrypted syndromic surveillance information file for a patient can be submitted via email to the state public health agency by using the Elation Data Exchange module and clicking on the Export Syndromic Surveillance Information button.


To satisfy in Elation: Check off the “Yes” checkbox within the MU Dashboard after you have registered with your county's local health department or have submitted the syndromic surveillance data to the local health department.

Measure Option 3: Specialized Registry Reporting

The specialized registry regulations are purposefully general to provide flexibility and avoid excluding registries.

  • Specialized registries could include, but are not limited to: birth defects registries, chronic disease registries, traumatic injury registries, and registries focused on healthcare associated infections.

  • In addition, specialized registries operated by patient safety and quality improvement organizations that enable knowledge generation or process improvement regarding the diagnosis, therapy, and prevention of conditions that affect a population could be considered.

  • The specialized registry cannot be duplicative of any of the other registries included in other meaningful use objectives and measures. This means that a provider cannot meet the immunization or syndromic surveillance and this objective by reporting to the same registry.

Specialized registries may be sponsored or maintained by Public Health Agencies (PHAs) or other organizations (e.g., national specialty societies, patient safety organizations, quality improvements organizations).

There are no certification and standards criteria specified in the Office of the National Coordinator for Health Information Technology (ONC) 2014 Edition EHR Technology Certification Criteria corresponding to this objective. Therefore, to meet this objective, the EPs would need to electronically submit data from CEHRT following the standards, specifications, and vocabularies required by the specialized registry.

If you have any questions about registering for and submitting data to public health agencies in your area, please contact us at
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