1. Meaningful Use Syndromic Surveillance DHSC March 3, 2016

2. Eligible Providers (EP’s) and Hospitals do the following: – SS MU Stage 1: o EP’s and Hospitals demonstrate capability to submit electronic SS data to public health by generating a HL7 ADT 2.5.1 message from EHR. o Submit 1 test message to Public Health generated from EHR. – SS MU Stage 2: o Set up interface with public health agency to transmit ongoing SS data. o Validate message structure and content. o Ongoing submission of production SS data to public health. Syndromic Surveillance MU Objective

3. September 2013 – December 2015 – ~202 EP’s/hospitals registered intent with UDOH. – ~114 completed requirement to submit at least one HL7 ADT test message generated by EHR system. SS MU Stage 1 MSH|^~\&|EHRSystem^2.16.840.1.113883.3.4272.14.1^ISO|HOSPITAL^1665584236^NPI|Biosense2^2.16.840.1.113883.3.1673^ISO|UDO H|20160223115858||ADT^A03^ADT_A03|02231611585837028363|P|2.5.1|||||USA||||PH_SS-NoAck^SS Sender^2.16.840.1.114222.4.10.3^ISO EVN||201602231158|||||HOSPITAL^1665584236^NPI PID|1||556234^^^444555^MR^^^^^||~^^^^^^S||19700820|F||2106- 3^White^CDCREC^C^Caucasian^L|^^City^UT^84111^USA^L^^~|||^^^^^^^^^^^||||||||2186-5^Not Hispanic or Latino^CDCREC^N^Not Hispanic or Latino^L|||||||||||20160223092554|Hospital| PV1|1|E|ED^WR^WR^HOSPITAL^A|1|||1093957714^ALEXS^BETTY^|^^^|^^^|ER ||||1|||1093957714^ALEXS^BETTY^||155000111^^^^VN|||||||||||||||||01||||||||20160223091000|20160223114400||||||| OBX|1|CWE|SS003^ FACILITY / VISIT TYPE^PHINQUESTION||^^||||||F OBX|2|NM|21612-7^AGE TIME PATIENT REPORTED^LN||26|a^^UCUM|||||F OBX|3|CWE|8661-1^CHIEF COMPLAINT:FIND:PT:PATIENT:NOM:REPORTED^LN||^^^^^^^^UTI||||||F DG1|1||R07.89^Other chest pain^I10|||W|||||||||||||| DG1|2||I50.9^Heart failure, unspecified^I10|||W|||||||||||||| DG1|3||E11.9^Type 2 diabetes mellitus without complications^I10|||W|||||||||||||| DG1|4||I10^Essential (primary) hypertension^I10|||W||||||||||||||

4. September 2013 – Present – ~475 EP’s/hospitals registered intent with UDOH o ~98 are sending ongoing SS data (not all have been validated). o ~60 met requirement of submitting ongoing data in validated message structure. SS MU Stage 2

5. Secure Interface Options SFTP VPN HTTPS SOAP Web Service PHIN MS Secure web portal cHIE/UHIN

6. MU Outcomes To Date: – UDOH has more than doubled the amount of SS data going to syndromic surveillance analysis system (Biosense). – We have received over 26 million SS messages.

7. Gaps and Opportunities Biosense only accepts SS data from hospital, ER/ED, urgent care facilities. – Collecting SS data from other provider types – expand to include this data into Biosense. Less than 50% follow complete SS MU Stage 2. – Why? – Work with these EP’s/Hospitals to overcome barriers to completing SS MU Stage 2. Some providers only send the minimum required SS data elements. Some providers send much more than the minimum required SS data elements.