New York City Department of Health and Mental Hygiene (NYC DOHMH)

The New York City Department of Health and Mental Hygiene (NYC DOHMH) participates with Eligible Professionals (EPs), Eligible Hospitals (EHs), and Critical Access Hospitals (CAHs) inside the five boroughs of New York City.

The NYC DOHMH previously collected data from EPs under the Primary Care Information Project (PCIP) from 2012–2015.

Eligible Professionals

2012–2015: The PCIP collected Influenza–Like–Illness (ILI) surveillance data

2016–Present: The NYC DOHMH collects syndromic surveillance data from EPs practicing at a licensed urgent care centers only. The surveillance data collected includes the following syndromes: respiratory, vomiting, diarrhea, fever, influenza–like–illness, and asthma.

Eligible Hospitals

The NYC DOHMH collects syndromic surveillance data from EHs, which includes some of the following syndromes: respiratory, vomiting, diarrhea, fever, influenza–like–illness (ILI), and asthma.

For additional information on the type of data the NYC DOHMH collects please see Public Health FAQ #3.5 and Public Health FAQ #3.6.

  • Meaningful Use Stage 1 (2011 – 2014): Syndromic Surveillance Reporting
  • Meaningful Use Stage 2 (2014): Syndromic Surveillance Reporting
  • Meaningful Use Modified Stage 2 (2015–2017): Syndromic Surveillance Reporting
  • Meaningful Use Stage 3 (2017–2021): Syndromic Surveillance Reporting

Email: nycsyndromic@health.nyc.gov

Meaningful Use Stage 3 – 2015 Edition CEHRT

On July 15, 2016, the NYC DOHMH declared they will be capable of accepting electronic syndromic surveillance data from EPs at urgent care centers and EHs located inside the five boroughs of NYC according to the standards required to meet the 2015 Edition CEHRT definition on or before January 1, 2017.

Meaningful Use Stage 2 & Modified Stage 2 – 2014 Edition CEHRT

Eligible Professionals

As of January 1, 2013 the NYC DOHMH Primary Care Information Project (PCIP) began accepting and continued to accept electronic syndromic surveillance data from EPs located inside the five boroughs NYC according to the standards required to meet the 2014 Edition CEHRT definition.

Eligible Hospitals

As of January 12, 2014, the NYC DOHMH began accepting electronic syndromic surveillance data from EHs located inside the five boroughs NYC according to the standards required to meet the 2014 Edition CEHRT definition.

Meaningful Use Stage 1 – 2011 Edition CEHRT

Eligible Professionals

As of October 1, 2012 the NYC DOHMH Primary Care Information Project (PCIP) began accepting electronic syndromic surveillance data from EPs located inside the five boroughs NYC according to the standards required to meet the 2011 Edition CEHRT definition.

Eligible Hospitals

As of August 19, 2004, the NYC DOHMH began accepting and continued to accept electronic syndromic surveillance data from EHs located inside the five boroughs NYC according to the standards required to meet the 2011 Edition CEHRT definition.

EPs and EHs must register their intent to submit data for a given Public Health Reporting measure, before or within 60 days of the start of their EHR Reporting Period, using the Meaningful Use Registration for Public Health (MURPH) System. MURPH is the statewide system hosted on the Health Commerce System (HCS) that accepts registrations, is used by the registries, and used by the EHR Incentive Program to manage onboarding and program compliance. A registration must be completed for each EP and EH. When an EP or EH formally submit a registration, an e–mail confirmation will be sent to the Registration Contact´s e–mail from the MURPH System. Please see Public Health FAQ #4.1 regarding keeping the Registration Confirmations for post–payment audit purposes.

Please be aware that only one registration is needed if the EP or EH is choosing to achieve multiple Public Health Reporting measures in the same Public Health jurisdiction. If the provider spans both jurisdictions, inside the 5 boroughs of NYC and outside the 5 boroughs of NYC, then a separate registration is needed for each jurisdiction.

How to Access the Registration System:

  1. Log into HCS: https://commerce.health.state.ny.us*
  2. Click on the "My Content" on the top navigation bar
  3. Click on "All Application" in the drop down
  4. Click on the letter "M"
  5. Click on "Meaningful Use Registration for Public Health"

*An HCS account is required to submit a registration on the MURPH system. Account sign–up can be initiated from the HCS Login screen.

Note: Please see the Eligible Professional MURPH Registration Guide or Eligible Hospital MURPH Registration Guide for additional details.

Step 1 Status

An EP or EH who has submitted a registration through the MURPH System within 60 days of the start of their EHR Reporting Period has achieved Active Engagement Option 1 – Completed Registration to Submit Data and may attest ´Yes´ to the Public Health Reporting measure in an EHR Incentive Program attestation.

Once a registration is received, the Public Health Agencies (PHAs) will triage new registrants and prioritize EPs and EHs based on staff/resource availability, volume of data, practice size, reporting periods, and other criteria. If the registry chooses not to onboard the EP or EH immediately following registration, the EP or EH´s status will be recorded as Active Engagement Option 1 – Completed Registration to Submit Data. When the PHA staff is ready to work with the EP or EH, an e–mail invitation will be sent to the registration and alternate contacts listed in the MURPH registration. At this time, the registry staff will change the EP or EH´s status to ´´Invited to Test.´´ As soon as a timely response is received from the EP or EH, PHA staff will change the status to Active Engagement Option 2 – Testing and Validation.

The measure may not be met if an EP or EH fails to participate in the onboarding process as demonstrated by failure to respond to the PHA´s written request for action within 30 days on two separate occasions. Written requests to take action include invitations to begin testing, any requests for corrective action related to testing and validation, and any requests for corrective action while in production. Therefore, if an EP or EH fails to respond to two requests for action before each 30–day time limit expires, the EP or EH may be deemed "Non–Responsive" and not a meaningful user of CEHRT.

Step 2 Status

An EP or EH that has achieved Active Engagement Option 2 – Testing and Validation may attest ´Yes´ to the Public Health Reporting measure in an EHR Incentive Program attestation.

Now that a PHA has invited the EP or EH to begin testing, the PHA will dedicate a representative to work closely with the EP or EH to initiate the exchange and testing of data. The PHA will verify submitted test data for valid structure, content, and completeness. If any issues arise, the PHA may request EHR vendor/IT attention for troubleshooting, implementation of corrections, and continued testing.

The measure may not be met if an EP or EH fails to participate in the onboarding process as demonstrated by failure to respond to the PHA´s written request for action within 30 days on two separate occasions. Written requests to take action include invitations to begin testing, any requests for corrective action related to testing and validation, and any requests for corrective action while in production. Therefore, if an EP or EH fails to respond to two requests for action before each 30–day time limit expires, the EP or EH may be deemed "Non–Responsive" and not a meaningful user of CEHRT. See Public Health FAQ #4.3 for additional information.

Syndromic Surveillance reporting will be accepted from EHR software certified by an Office of the National Coordinator for Health Information Technology (ONC)–Authorized Testing and Certification Body and will be in accordance with NYC–specific HL7 v2.5.1 message requirements based largely on the PHIN Messaging Guide for Syndromic Surveillance.

NYC DOHMH Syndromic IT staff will provide you with implementation materials and will be available to support you if you have questions during the process.

Testing Process Steps

  1. Following invitation to Test, NYC DOHMH will request additional contact information for your implementation team.
  2. NYC DOHMH will assist in setting up UPHN Lite for data transport, if this has not already been arranged.
  3. NYC DOHMH will request various test files from your EHR vendor or IT contacts to check for correct HL7 formatting.
  4. NYC DOHMH will request test HL7 files from your EHR system to verify the complete and correct transmission of registry required data elements. Throughout this testing process NYC DOHMH will work with your EHR vendor/IT contacts to troubleshoot any data transmission issues.
  5. When NYC DOHMH has verified that test messages meet reporting requirements, submission of production HL7 data will be instituted in accordance with NYC DOHMH standards.

For more information on UPHN Lite, please contact the NYC DOHMH at nycsyndromic@health.nyc.gov.

Step 3 Status

An EP or EH that has achieved Active Engagement Option 2 – Testing and Validation may attest "Yes" to the Public Health Reporting measure in an EHR Incentive Program attestation.

The NY Medicaid EHR Incentive Program defines submission of production data as an EP or EH who continually and successfully submits structured, production–level data from a Certified EHR Technology to the appropriate PHA when the data is made available by the Certified EHR Technology and according to the timing and frequency determined by Public Health Law or registry policies. See Public Health FAQ #4.5 for additional information.

Submission of production data is initially achieved when the EP or EH completes testing and validation and the PHA staff determines the EP or EH´s live data is being received by the PHA and is correct in structure and content. When submission of production data is achieved, the EP or EH´s status will be changed from Active Engagement Option 2 – Testing and Validation to Active Engagement, to Option 3 – Production. E–mail communications between the PHA and the EP or EH indicating that submission of production data has been achieved is considered the EP or EH´s acknowledgment of this status and should be saved for EHR Incentive Program audit purposes.

For additional information on audits please see Post–Payment Audit Guidance.

Step 4 Status

An EP or EH that has achieved Active Engagement Option 3 – Production may attest ´Yes´ to the Public Health Reporting measure in an EHR Incentive Program attestation.