Meaningful Use

Published on . Last modified on March 2, 2015

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:

  • Immunization data,
  • Electronic laboratory data (EH’s and CAH’s only), or
  • Syndromic surveillance data.

Immunization Data

Monterey County Health Department uses the California Immunization Registry (CAIR), sponsored by the California Department of Public Health (CDPH).  Register at the CDPH Health Information Exchange (HIE) Gateway and receive reporting instructions.

Electronic Laboratory Reporting Data (EHs and CAHs only)

Monterey County Health Department uses the California Reportable Disease Information Exchange (CalREDIE), sponsored by CDPH, for surveillance and disease reporting.  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.  

Electronic Syndromic Surveillance Data

Monterey County has the ability to receive electronic syndromic surveillance (ESS) data in HL7 messaging format.   Currently, however, our capacity is limited to EHs and CAHs.   Facilities interested in meeting the ESS incentive should refer to the most recent Public Health Information Network (PHIN) Guide for Electronic Syndromic Surveillance and to the Monterey County Health Department’s Core Data Elements for Electronic Syndromic Surveillance

For More Information

ESS Data Use Agreements: 

Susie Barnes, Epidemiologist          

ESS Technical Issues:

Randy Bosio, Business Technology Analyst