1. Responding to the Meaningful Use Stage 2 Public Health Objectives: Case Studies from State Public Health Agencies Bethany Bradshaw, MPH Applied Public Health Informatics Fellow, Wisconsin Department of Health Services 1 Emilie Lamb, MSPH Meaningful Use Consultant, North Carolina Department of Health and Human Services

2. Overview Stage 2 Meaningful Use (MU) Public Health Reporting Task Force recommendations for supporting MU Five common Stage 2 MU challenges facing public health agencies (PHAs): Assessing need Selecting a platform for registering providers Coordinating across public health programs Structuring registrations Acknowledgements Registration experience to date Questions 2

3. Task Force Recommendations 3 New PHA Administrative Tasks Source: Stage 2 Meaningful Use Public Health Reporting Task Force.

4. Ways to Meet Stage 2 Public Health Objectives 4 Source: Stage 2 Meaningful Use Public Health Reporting Task Force.

5. Assessing Need No requirement for PHAs Which public health programs to include? State mandates  existing registration systems? Use beyond MU? 5

6. Selecting a Platform FUNDING Expanding existing systems vs. new development Custom vs. out of the box Connectivity with other systems User authentications and permissions 6

7. Coordinating across Public Health Programs System/data ownership and privacy Maintaining and enhancing the system Public health program autonomy: Getting “buy-in” Coordinating with existing registration systems Defining “On-boarding Process” and “Ongoing Submission” Acknowledgements 7

8. Structuring Registrations 8 WisconsinNorth Carolina Bulk registrationsSingle registration to cover an entire integrated delivery network Single registration per individual Eligible Professional (EP) and Eligible Hospital or Critical Access Hospital Eligible Professional Information Only collect name and NPI for solo EP registrations Collect name and National Provider Identifier (NPI) for all EPs Program-specific information collected Yes MU participationMinimal: yes/noMinimal: estimated dates Vendor registration for clientsNo Providers can modify registrations YesNo Registration information visibility Limited to registrant; Administrator can grant access to other users Summary provided to registrant

9. Acknowledgements Defining statuses Task Force recommendations Delivery mechanism: Email Physical letters (mailed or faxed) Posting to a website Preparing for audits 9

10. Registration Experience to Date Total number of registrations Hospitals EPs Number of Acknowledgements sent Plans for maintenance and upgrades 10

11. Bethany Bradshaw, MPH Wisconsin Department of Health Services Bethany.Bradshaw@gmail.com Emilie Lamb, MSPH North Carolina Department of Health and Human Services Emilie.Lamb@dhhs.nc.gov 11