Source

ONC analysis of the Centers for Medicare & Medicaid Services (CMS) Electronic Health Record (EHR) Incentive Program data, September 2016. CMS.gov.

Citation

Office of the National Coordinator for Health Information Technology. 'Hospital Selection of Public Health Measures by State,' Health IT Quick-Stat #10. https://www.healthit.gov/dashboard/quickstats/hospital-selection-public-health-measures-state. January 2017.

In 2015, eligible and Critical Access hospitals were required to report on active engagement with a public health agency to submit four possible types of electronic public health data: (1) immunizations; (2) reportable laboratory results; (3) specialized registries; and (4) syndromic surveillance. Overall, a large majority of the nation's hospitals who attested to meaningful use through the Medicare EHR Incentive Program in 2015 are in active engagement with a public health agency to submit these data electronically; however, variation does exist across states.

This variation can be due to several reasons.

  1. This data reflects reports through meaningful use attestation and does not necessarily reflect actual, full capabilities for all hospitals. In 2015, modified stage 2 and stage 2 of the EHR Incentive Program had different requirements for public health data reporting. Hospitals attesting to modified stage 2 were required to report on 2 of the 4 public health data types, and hospitals attesting to stage 2 were required to report on 3 of the 4 data types. In 2015, 90 percent of hospitals (that participated) attested to stage 2, so the 10 percent of hospitals that attested to modified stage 2 reported only 2 of the data types, lowering overall rates in some states.
  2. Hospitals can claim an exclusion from reporting on a data type. For example, if the hospital does not immunize patients or does not have an emergency room, or if the hospital's state public health agency cannot receive the data. To see a full list and further information on these exclusions, see Health IT Quick Stat, Hospital Selection of Public Health Measures in Medicare EHR Incentive Program, or the official CMS exclusion document.

Select type of public health data

Data: [.csv] // [.json]

Table

Percent of hospitals in active engagement with a public health agency, by state(attested to meaningful use through the Medicare EHR Incentive Program in 2015)

State Number of hospitals attested in 2015 Immunizations (%) Reportable laboratory results (%) Specialized registry (%) Syndromic Surveillance (%)
Alabama 75 96 93 4 97
Alaska 13 92 92 0 92
Arizona 64 98 92 2 91
Arkansas 62 100 97 2 97
California 280 96 91 6 47
Colorado 70 93 87 21 36
Connecticut 23 65 0 0 0
Delaware 5 100 100 0 40
District of Columbia 7 86 100 0 100
Florida 172 98 97 2 98
Georgia 115 95 91 3 94
Hawaii 17 100 82 12 6
Idaho 32 94 84 3 78
Illinois 171 98 94 1 98
Indiana 104 100 98 0 96
Iowa 113 99 86 19 6
Kansas 117 77 68 3 68
Kentucky 77 95 88 4 99
Louisiana 101 93 94 3 85
Maine 30 97 93 0 97
Maryland 46 98 98 2 93
Massachusetts 59 92 97 2 88
Michigan 122 100 93 3 94
Minnesota 119 96 91 6 3
Mississippi 87 89 80 0 82
Missouri 99 99 88 3 97
Montana 49 86 84 0 67
Nebraska 82 100 87 2 85
Nevada 30 90 67 3 90
New Hampshire 22 36 95 5 100
New Jersey 60 95 90 2 92
New Mexico 30 100 80 0 97
New York 157 96 91 4 94
North Carolina 98 14 85 12 92
North Dakota 35 97 91 0 97
Ohio 146 99 90 0 98
Oklahoma 103 76 75 7 9
Oregon 53 98 96 0 98
Pennsylvania 98 95 86 4 91
Rhode Island 9 100 67 0 67
South Carolina 55 98 80 11 80
South Dakota 51 88 82 0 80
Tennessee 92 100 93 0 51
Texas 320 98 81 4 59
Utah 24 100 100 0 92
Vermont 14 100 93 0 100
Virginia 78 100 91 0 100
Washington 78 99 86 4 96
West Virginia 41 100 88 5 98
Wisconsin 113 100 81 10 96
Wyoming 25 96 68 8 92

The map and table include hospital attestation data from the 2015 program year of the Medicare EHR Incentive Program. 4,043 hospitals attested to the Medicare Program in 2015; 3,571 attested to stage 2 and 472 attested to modified stage 2. These visualizations do not include data reported to state Medicaid EHR Incentive Programs or data reported in prior program years. The data, therefore, do not include data reported by hospitals who attested in 2014 or prior and did not attest in 2015. For visualizations and analysis of 2014 public health reporting, see Health IT Quick Stat, Hospital Selection of Meaningful Use Public Health Measures, and ONC Data Brief, Hospital Reporting on Meaningful Use Public Health Measures in 2014.

Content last reviewed on July 22, 2021
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