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Stage 1 Menu Measure 10

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Measure at a Glance

Type: task to be performed

Denominator: none

Duration: completed any time during the reporting period’s year, so long that the date is on or before the last day of the reporting period

Objective:Capability to submit electronic syndromic surveillance data to public health agencies and actual submission except where prohibited and according to applicable law and practice
Measure: Performed at least one test of the certifies EHR technology’s capacity to provide electronic syndromic surveillance data to public health agencies and follow-up submission if the test is successful (unless none of the public health agencies to which an EP submits such information has the capacity to receive the information electronically)
Exclusion: An EP who does not collect any reportable syndromic information on their patients during the EHR reporting period or does not submit such information to any public health agency that has the capacity to receive the information electronically

CMS Technical Specification

TennCare Notes

Eligible professionals (EPs) are required to accomplish one of the two public health menu measures. As no public health agency in Tennessee has the capacity to receive syndromic surveillance data from EPs in the standards mandated, EPs should attest to Menu Measure 9, the immunization registry.

Please see the syndromic surveillance fact sheet from the TN Department of Health (TDOH), as well as TDOH’s meaningful use website for public health measures.

As TennCare encourages EPs to select measures for which they have data before claiming exclusions, TennCare discourages attesting to an exclusion for syndromic surveillance to count this measure toward the five required menu measures.

Relevant CMS FAQs

  • 10714: clarifying acceptable reasons for exclusions
  • 10162: instructing how to select five menu measures, including the public health objectives
  • 10764: submitting data via intermediary rather than directly
  • 10846: defining syndromic surveillance
  • 10978: conducting a test from a test environment or test domain of certified EHR technology
  • 10979: conducting tests for each physical location if multiple EPs are using the same EHR

Additional Resources

None at this time.

Federal Regulations Governing This Measure

CMS' Final Rule

§ 495.6(e)(10) see objective and measure above

Standards and Certification Final Rule

§ 170.302(l) Public health surveillance. Electronically record, modify, retrieve, and submit syndrome-based public health surveillance information in accordance with the standard specified in § 170.205(d)(1) or § 170.205(d)(2).

§ 170.205(d) Electronic submission to public health agencies for surveillance or reporting.

  1. Standard. HL7 2.3.1 (incorporated by reference in Sec. 170.299).
  2. Standard. HL7 2.5.1 (incorporated by reference in Sec. 170.299).