Meaningful Use Frequently Asked Questions
The FAQs below describe how the Tennessee Department of Health (TDH) will leverage Meaningful Use (MU) for the benefit of public health.
1. How should I determine if there is a specialized registry maintained by a public health agency in Tennessee that is accepting data for MU stage 2 and beyond?
The TDH Declaration of Readiness lists all systems particpating in CMS EHR Incentive Programs or Promoting Interoperability (PI) Programs objectives and measures in Tennessee.
TDH recommends the National Healthcare Safety Network (NHSN) as an option for eligible hospitals. The NHSN surveillance system is used by TDH’s Healthcare Associated Infections and Antimicrobial (HAI/AR) program to track HAI prevention progress over time. Similar to other NHSN modules, facilities may confer rights to the HAI/AR program for the AUR modules. Click here for more information.
Other reporting options include , but are not limited to:
Surveys from the National Center for Health Statistics
- National Health Care Surveys Registry
- National Hospital Care Survey (NHCS)
- National Ambulatory Medical Survey (NAMCS)
The National Institutes of Health (NIH) list of available registries - https://www.nih.gov/health-information/nih-clinical-research-trials-you/list-registries
2. How does sharing data from the provider Electronic Health Record (EHR) benefit the state of Tennessee?
Improved accuracy and completeness of all surveillance data impacts all areas of public health interventions designed to reduce incidence of disease or increase early detection. As a result, disparities among various disadvantaged population groups can be identified to develop effective interventions.
3. What kind of documentation will TDH provide to me so that I can use that documentation to attest to Meaningful Use?
In Tennessee, the onboarding process to exchange data with the Tennessee Department of Health (TDH) begins when a potential trading partner registers with TDH expressing their intent to exchange data electronically. The Trading Partner Registration (TPR) system allows potential trading partners to register for Immunization Messaging, Cancer Case Reporting, Electronic Laboratory Reporting (ELR) and Syndromic Surveillance Messaging (Eligible Hospitals w/Emergency Room) in one location - online. The TPR system provides documentation that can be utilized for MU attestation and allows users to view their progress from end to end through the use of milestone letters documenting on-boarding progress. TDH will provide official electronic letters documenting completed milestones throughout the on-boarding process in the TPR system. These letters can be used as documentation for your records.
Providers who receive an incentive payment for the Medicare or Medicaid Electronic Health Record (EHR) Incentive Program should retain ALL relevant supporting documentation from TDH (in either paper or electronic format) used in the completion of the Attestation Module responses. Documentation to support attestation data for meaningful use objectives and clinical quality measures should be retained for period of at least six years post-attestation. See the CMS Supporting Documentation for Audits factsheet – https://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/Downloads/AppealsAudits_2015through2017SupportDoc.pdf.
4. What if I have other questions about Meaningful Use?
Public Health Measure options –
Electronic Laboratory Reporting (ELR) – If your question is specifically related to ELR, please feel free to email to CEDS.Informatics@tn.gov.
Syndromic Surveillance Messaging – If your question is specifically related to Syndromic Surveillance for Hospitals with an ER, please feel free to email to CEDS.Informatics@tn.gov.
Immunization Registry Reporting – If your question is specifically related to Immunization Registry Reporting, please feel free to email to TennIIS.MU@tn.gov. Your points of contact will be Nancy Williams or Sarah Rudd.
Cancer Case Reporting – If your question is specifically related to Cancer Case Reporting, please feel free to email to TNCancer.Registry@tn.gov.
5. Does Physician Reporting under MU replace facility reporting?
No. Physician Reporting under MU does not replace hospital and laboratory reporting. It is important to note that hospitals and laboratories cannot demonstrate cancer reporting under Meaningful Use.
6. Can I submit cancer case information even if I don’t directly treat cancer?
No, if an eligible professional does not diagnose or directly treat cancer then the professional may not satisfy the cancer reporting menu option.
If the eligible professional does diagnose or directly treat cancer cases they must ensure that the EHR software can submit cancer cases and meets 100% of the required certification criteria, CQM domains, and either inpatient or ambulatory CQMs.
1. What is the Trading Partner Registration (TPR) system?
The TPR system allows potential trading partners to register their intent to electronically exchange data with the Tennessee Department of Health (TDH). It allows eligible professionals and eligible hospitals to formally register their intent with TDH for Meaningful Use. It also provides TDH with updated information about each trading partner, a necessity for establishing and maintaining electronic interfaces.
2. How can I access the TDH Trading Partner Registration (TPR) system?
In order to begin the process of registering intent to exchange data with TDH, you must first have a PAAMS/TN.gov account. This account allows you to register for TN.gov services including TDH Trading Partner Registration. Go to https://apps.tn.gov/paams/ to create your PAAMS/TN.gov account.
If you already have a PAAMS/TN.gov account, simply login, click “Add another service” to your existing account. You may then login at https://apps.tn.gov/tpr/. New users may be added to both existing and/or newly created accounts by clicking on the “Add Users” button.
3. What is PAAMS?
The Portal Admin Acount Management System (PAAMS) is the system used for TN.gov services. Your account will allow you to use the TPR system in addition to many other TN.gov web portal systems. If you have an existing account, there is no need to create a new one to use the TPR system.
4. Where can I learn more about each TPR interface?
5. I don’t see the interface I want to register for, what should I do?
The four options provided – Syndromic Surveillance Messaging, Immunization Registry Messaging, Electronic Lab Reporting, and Cancer Case Reporting – are the only interface currently utilizing the TPR system. If you are interested in electronic data exchange for any other reason, contact the TDH program area of interest or MU.Health@tn.gov.
6. What are the different TPR access levels and what does each mean
View Access: you are able to view milestones and entity information.
Edit Access: you are able to view milestones and edit entity information.
Approval Access: you are able to view milestones, edit entity information, and approve or deny user requests to the entity record.
7. What information do I need to complete the registration process?
The information needed to complete the registration process might come from many different sources within your organization and includes:
- Information about your organization
- Information about your system(s) and associated vendor(s)
- Information about your system’s capabilities for the desired interfaces
- Information about the individuals who will be responsible for the testing and validation process as well as a contact from the organization
- Information about your transmittal volume
For further guidance on the information needed to complete registration, refer to the Trading Part Registration Worksheet.
8. What is a classification?
Trading partners are grouped into one of three classifications for the registration process. The classifications help organize trading partners into categories, which is beneficial to maintaining relationships between multiple associated trading partners.
- How do classifications differ from one another?
A trading partner selects one of three classifications for registration: Organization, Facility, or Professional.
Organization classification is used by trading partners with multiple locations, potentially carrying multiple affiliated organizations, facilities, and/or professionals.
Facility classification is used by trading partners that are a single location, potentially carrying affiliated professionals.
Professional classification is used for trading partners registering as an individual, and the trading partner should be a person; if registered as a professional, the user will only be able to register that professional. No affiliated organizations, facilities or other professionals can be registered underneath a professional in the hierarchy.
9. I don’t fit into any of those classifications, how should I register?
Trading partners may not clearly fall within one of these classifications. In that case, trading partners are advised to register using the organization classification. As the highest level classification, an organization could easily register other affiliated organizations, facilities, or professionals at a later time, if necessary.
10. What are “parent” and “child” entities?
“Parent” and “child” are terms the TPR system has adopted to help document various entity affiliations while maintaining hierarchy relationships. To document an affiliation, register your first (“parent”) entity, and then add a “child.” For example, a Health System may be registered as an organization, with multiple Hospitals registered underneath it. In that situation, the Health System is the “parent” and the Hospitals are “children.” Although this hierarchy is preserved in the system, each entity has its own demographic, interface, and MU information, which may differ greatly among related parent/children affiliates.
11. How do I determine my MU Stage/Year for TPR registration?
This is a common question during registration because in many cases, a trading partner anticipates moving from their current Stage/Year to the next in the near future. In that instance, use your upcoming Stage/Year for registration purposes. For example, if you anticipate moving from Stage 1 to Stage 2 of Year 1 soon after registration, enter Stage 2/Year 1 for your Meaningful Use participant information.
12. What happens after I complete my registration?
All registrations must be approved by appropriate TDH staff. You will receive an automated email notification once your registration has been approved. TDH program staff will contact you with more information about testing and on-boarding. For additional information related to on-boarding for each individual interfaces, see the meaningful use summary page.
13. How should I structure my organization when registering to exchange data with the immunization registry?
The Immunization Information System (IIS) supports a 2-tier hierarchy of locations - Organization and Facility. Organizations are the top tier and typically identify the legal entity. Facilities are the bottom tier and typically identify physical locations of each provider office or practice. Patients, vaccinations, and the Vaccines for Children (VFC) Provider Identification Number (PIN), if applicable, are at the facility level. An organization may have one or more facilities but a facility may only be a member of one organization. The Trading Partner must make the Tennessee Department of Health (TDH) aware of their hierarchical structure and must notify TDH when this structure changes (for example, when new facilities are added or removed from an organization). Please notify the Tennessee Immunization Information System (TennIIS) team at TennIIS.MU@tn.gov.
14. Who do I contact for general TPR system help?
If you have questions or need general help using the TPR system, contact TDH Partner Engagement Coordinator at MU.Health@tn.gov.
15. Who do I contact if I cannot login to TPR?
For login assistance, contact:
Web Help & Application Manafgement
(629) 888-5870 or (888) 890-8183
16. If other people in my organization need access to these registrations, how do I set that up?
Authorized users may obtain access to your registration by logging in to the TPR system, clicking “Add New Entity”. From there, click “Search for your Records” enter required information, and click “Search for your Records.” Locate the appropriate entity and select the access level. An email notification will be sent to the entity’s admin user for approval or denial of the request. Denied users can request access to an entity’s information again, if initially due to requested level of access: simply adjust the requested access level selection and follow the same steps to re-submit.
Note: Admin users can only approve or deny requests – they cannot change the level of access.
17. I need to update/change information for my previously-submitted registration, how do I do that?
An existing registration can be updated at any time by users with Edit or Approval access to that entity. When viewing the submitted registration information, select the File Information tab and click “Edit Information” for the section you wish to edit. . Complete all necessary edits and click “Continue,” through to “Complete Registration,” then “Finalize Registration” to exit Edit mode. An email notification will be sent to TDH staff for review.
18. Can an EHR vendor register on behalf of its clients?
Yes – An EHR vendor can register on behalf of their clients; however, EHR vendors must be sure to list points of contact information for their client in the Entity Information and Meaningful Use sections of TPR and not list themselves as the point contact for the entity.
19. Can an organization register for multiple facilities?
Yes – TPR allows users to register multiple organizations.
20. Can other organizations registered in TPR see my organizations registration information?
No – The information your organization provides is visible only to you, TDH administrative users, and others you give access to the data.
21. Is TPR only for Meaningful Use?
No – All providers who would like to exchange data with TDH for the interfaces that currently utilize the TPR system (Cancer Case Reporting, Immunization Registry Messaging, Electronic Lab Reporting (ELR), and Syndromic Surveillance Messaging) must now register through the TPR system, regardless of MU participation status.