Meaningful Use

Hawaii Meaningful Use Public Health Reporting

The American Reinvestment & Recovery Act (ARRA) was enacted on February 2009 and includes the “Health Information Technology for Economic and Clinical Health (HITEC) Act”.  This Act supports the concept of electronic health records and Meaningful Use (MU) which is an effort led by Centers for Medicare & Medicaid Services (CMS) and the Office of the National Coordinator for Health IT (ONC).  MU is defined by the use of certified EHR technology in a meaningful manner as defined by CMS and ONC.  This includes a set of measures and metrics that are shared through a set of rules that are released in three stages.   MU stage 3 (MU3) will begin in January 2018.

Hawaii Public Health Reporting Measures

MeasuresStage 2 MU (2014-2017)Stage 3 MU -2018 Year
Electronic Lab ReportingYesYes
Electronic Case ReportingNAYes (new option)
Immunization Registry ReportingYesYes
Syndromic Surveillance ReportingNoNo
Cancer Registry ReportingYesNo (Effective March 1st, 2018)

Laboratory Reporting:

The Hawaii Dept. of Health (HDOH), Disease Investigation Branch  is now accepting HL7 (version 2.5.1) messages from certified electronic health record (EHR) systems for electronic laboratory reporting (ELR) and Meaningful Use (MU) attestation. ELR reporting is designed to be secure, automated, and unobtrusive to facility operations. Successful ongoing submission to HDOH using the ELR reporting method will assist eligible hospitals in receiving Medicare and Medicaid incentive funds.

The Hawaii Dept. of Health  encourages all laboratories, providers and EHR vendors to coordinate with the Hawaii Health Information Exchange (HHIE) to establish a connection for secure data transmission of HL7 2.5.1 for ELR data.

Please contact the HDOH ELR coordinator for more information about the Laboratory Reporting attestation process.

There are no changes to the HL7 implementation guide used for Electronic Laboratory Reporting in Meaningful Use stage 3.  However, there may be a need to revalidate if a hospital or laboratory updates or purchases new certified software.

Last reviewed September 25, 2017

Meaningful Use Stage 3 Electronic Case Reporting (eCR)

Electronic case reporting is the electronic transmission of reports of potential cases of reportable diseases and conditions from an electronic health record (EHR) system to the public health agency’s disease surveillance system for review and action.  It is a new option starting in 2018. Public health agencies should declare readiness six months prior to being able to receive data.  As of September 25, 2017, the Hawaii Department of Health (HDOH) is ready to actively engage eligible professionals, eligible hospitals and /or critical access hospitals participating in electronic case reporting (eCR) pilots for MU3 electronic case reporting (eCR) beginning in 2018. Note that electronic case report data is not a replacement for reporting of communicable diseases, nor is it a substitute for electronic laboratory reporting (ELR).

Implementation Guide: eCR messages must meet the HL7 definition as described in HL7 CDA® R2 Implementation Guide: Public Health Case Report, Release 2 – US Realm Electronic Initial Case Report (eICR). HL7 membership may be required to access this document.

Certification Criteria: eCR must meet the 2015 edition CEHRT definition

HDOH is currently developing requirements to begin pilot testing.  Eligible hospitals and professionals interested in serving as a pilot site for eCR please contact:

Contact Information: DOH.ELR.Hawaii

Additional information will be posted as it becomes available.

Helpful Links:

CDC Meaningful Use Website

The Association of State and Territorial Health Officials (ASTHO) website on Electronic Case Reporting

The Digital Bridge and its initial focus on electronic case reporting (eCR)

Last reviewed September 25, 2017

Meaningful Use: Immunization Information System (IIS) Reporting

To meet requirements, eligible professionals and eligible hospitals and/or critical access hospitals must be in active engagement with an immunization registry or other type of Public Health agency to submit electronic public health data in a meaningful way using Certified Electronic Health Record Technology. Active engagement can be in the form of registration of intent, testing and validation, and ongoing electronic submission of data to the registry.

View the Hawaii Immunization Registry Meaningful Use Requirements.

Note: HIR has been unable to accommodate new requests from providers for electronic data exchange submissions since June 1, 2017. Interested providers are being placed on a wait list and will be contacted when processing of data exchange requests resumes.

Last reviewed January 2018

Syndromic Surveillance Reporting:

Effective 10/01/2014, DOH is no longer supporting Syndromic Surveillance Reporting.

Cancer Reporting:
Effective March 1st, 2018, Hawaii Tumor Registry would like to inform all Eligible Providers (EP) and Critical Access Hospitals (CAH) that the Hawai‘i Tumor Registry will no longer participate in Meaningful Use (MU) for Cancer Reporting.

If in the future the Hawai‘i Tumor Registry decides to participate once again, we will announce such notices on this web page, the State of Hawai‘i, Department of Health Meaningful Use web page.