Welcome to the Health Information Exchange Gateway

The California Department of Public Health (CDPH) shares data with many stakeholders, including providers, hospitals, laboratories, local health jurisdictions and federal agencies. To improve upon our data exchange, analysis, and reporting capabilities, CDPH has developed a secure health information exchange (HIE) web application, the CDPH HIE Gateway. The Gateway will allow providers, hospitals and health information exchange organizations to register and manage public health data exchange with CDPH for specific types of reportable diseases and conditions.

Declaration of Readiness for Meaningful Use Stage 3

California Immunization Registry

The California Immunization Registry (CAIR) is declaring its readiness to meet the Stage 3 Meaningful Use Immunization Measure for early adopters of Stage 3 Meaningful Use in 2017. CAIR will be able to meet the 2015 Edition CEHRT criteria, including:

• The ability to respond to bidirectional queries (QBP/RSP)
• The capacity to receive NDC codes

Submitters in the seven CDPH CAIR regions seeking to meet the Stage 3 Meaningful Use Immunization Measure in 2017 will be required to complete the online CAIR Bidirectional Interest/Readiness Survey by January 31, 2017 and await further instructions. Look for the survey link to be posted at California Immunization Registry beginning in November 2016. In the meantime, interested sites should continue to submit immunization messages to CAIR in 2017.

This declaration does not affect submitters seeking to meet the Stage 2 Meaningful Use Immunization Measure in 2017. Those submitters should continue to submit immunization messages to CAIR in 2017.

CalREDIE Electronic Lab Reporting (ELR)

CalREDIE is declaring its readiness to meet the Stage 3 Meaningful Use ELR Measure for early adopters of Stage 3 Meaningful Use in 2017. CalREDIE will be able to meet the 2015 Edition CEHRT criteria. As noted in the CDC document, there are no changes for ELR between 2014 and 2015 Edition CEHRT.

CalREDIE Electronic Case Reporting (eCR)

As of July 1, 2017, CalREDIE is declaring its readiness to meet the Stage 3 Meaningful Use Electronic Case Reporting (eCR) Measure for adopters of Stage 3 Meaningful Use in 2018. CalREDIE intends to be ready to accept electronic initial case reports (eICR) contingent on receipt of expected funding to support this effort.

Starting January 1, 2018, CalREDIE will be able to accept electronic initial case reports (eICR) for reportable conditions from Eligible Professionals (EP) and Eligible Hospitals (EH) in support of Objective 8, Measure 3 – Electronic Case Reporting. Healthcare providers must have the capability to submit electronic case reports to CalREDIE in accordance with the national standard that has been developed for certified electronic health record technology (CEHRT) to generate an eICR as described in the HL7 CDA® R2 Implementation Guide: Public Health Case Report, Release 2 - US Realm - the Electronic Initial Case Report (eICR).

CDPH/CalREDIE is working with the Digital Bridge initiative to implement an electronic case reporting approach for nationwide interoperability, and enhanced delivery of effective disease control and patient care practices. To learn more about the Digital Bridge, and the electronic case reporting specifications developing through the Digital Bridge partnership see:

• http://www.digitalbridge.us/about/ - Overview of the Digital Bridge initiative
• http://www.digitalbridge.us/resources/ - Business and technical specifications for eCR developed by Digital Bridge

Please note that this statement of readiness for the eCR Measure means that submitters will not be able to claim the following exclusions for this measure: ‘(ii) Operates in a jurisdiction for which no public health agency is capable of receiving electronic case reporting data in the specific standards required to meet the CEHRT definition at the start of the EHR reporting period. (iii) Operates in a jurisdiction where no public health agency has declared readiness to receive electronic case reporting data at the start of the EHR reporting period.’

Cancer Registry

The California Cancer Registry is declaring its readiness to meet the Stage 3 Meaningful Use Cancer Measure for early adopters of Stage 3 Meaningful Use in 2017. CCR will be able to meet the 2015 Edition CEHRT criteria, including incorporation of the updated Cancer Implementation Guide HL7 CDA ® Release 2 Implementation Guide: Reporting to Public Health Cancer Registries from Ambulatory Healthcare Providers, Release 1, DSTU Release 1.1 – US Realm

Before beginning the Gateway registration process, make sure to:

1. Check the California Public Health Electronic Reporting Capacity Matrix to see whether your Local Health Jurisdiction prefers you to use the CDPH HIE Gateway or a local solution for Public Health Reporting.

2. Set aside 15-20 minutes to complete the process - data will not be saved unless registration is completed.

3. Have all your Organization/Site and EHR vendor/IT technical support contact information available (contact names, email addresses, phone #s). With respect to MU, it is not necessary for individual EPs to register at the Gateway as CDPH will acknowledge MU-qualifying public health reporting per Site.

4. Define how your Site will submit data to the Gateway (choose 1 of these 3 options):

   1. Directly to the Gateway from your EHR system
   2. Through an intermediary facility (e.g. HIE/HIO, vendor data warehouse, health plan data warehouse, etc.)
   3. Will operate as an HIE/Sending Facility and submit data on behalf of other Sites

If participating in the EHR Incentive Program, know which Meaningful Use (MU) Stage your Org/Site will be participating in in 2014 and if MU Stage 2, when your intended 90-day reporting period will be (You may need to consult with your EHR vendor or IT support staff to obtain this information).

When you have assembled all this necessary information and are ready to begin Gateway registration, click below on the type of public health data you wish to submit and proceed with registration. Once you have registered to submit one public health data type (e.g. immunizations), registration for submission of other data types will take less time.

If you have any questions specific to Meaningful Use, please send your inquiries to this email address: MeaningfulUse@cdph.ca.gov

5:05 PM 11/21/2017