Electronic Case Reporting (eCR) is the automated generation and transmission of case reports from an electronic health record (EHR) to the public health agency’s disease surveillance system for review and action. eCR will allow healthcare providers the opportunity to report suspected cases to TDH for further investigation using an electronic health record (EHR) system rather than manually reporting on paper and waiting on lab test results to confirm a suspected case. The eCR will capture critical clinical and demographic patient data from Certified Electronic Health Record Technology (CEHRT) not otherwise included in laboratory reports. Utilizing eCR will reduce the burdensome paper-based and labor-intensive administrative process reporters face in reporting and responding to public health’s requests for additional information.

Electronic Case Reporting Measure

Eligible hospitals interested in eCR pilot testing can email questions to CEDS.Informatics@tn.gov for more information.

EHR Incentive Programs support the adoption and meaningful use of certified EHR technology to allow providers to exchange public health information electronically. TDH is currently accepting electronic reportable laboratory results from eligible hospitals (EHs) and eligible critical access hospitals (CAH) only.

Electronic Reportable Laboratory Result Reporting Measure

In order to satisfy TDH’s requirements for Public Health Reporting using electronic health record technology, all potential trading partners must first register their intent to exchange data: Trading Partner Registration (TPR)

The MU EHR Incentive Program requires EHs and CAHs to be in active engagement with public health to send electronic reportable laboratory results from CEHRT, except where prohibited, and in accordance with applicable law and practice.

Note: The time until live data exchange varies and depends upon the quality and speed of data exchange testing.

Send inquiries to CEDS.Informatics@tn.gov.

EHR Incentive Programs support the adoption and meaningful use of certified EHR technology to allow providers to exchange public health information electronically. TDH is currently accepting syndromic surveillance data from Eligible Hospitals (EHs) with an emergency department only.

Syndromic Surveillance Measure

In order to satisfy TDH’s requirements for Public Health Reporting using electronic health record technology, all potential trading partners must first register their intent to exchange data: Trading Partner Registration (TPR)

The MU EHR Incentive Program requires EHs to be in active engagement with public health to submit syndromic surveillance data from CEHRT, except where prohibited, and in accordance with applicable law and practice.

Note: The time until live data exchange varies and depends upon the quality and speed of data exchange testing. At this time, TDH is not accepting syndromic surveillance data from any eligible professionals.

Send inquiries to CEDS.Informatics@tn.gov.

EHR Incentive Programs support the adoption and meaningful use of certified EHR technology to allow providers to exchange public health information electronically. TDH is currently accepting immunization data from EPs, EHs, and CAHs.

Immunization Registry Reporting Measure

In order to satisfy TDH’s requirements for Public Health Reporting using electronic health record technology, all potential trading partners must first register their intent to exchange data: Trading Partner Registration (TPR)

The MU EHR Incentive Program and the MIPS Advancing Care Information program require EPs, ECs, EHs, and CAHs to be in active engagement with public health to submit immunization data from CEHRT except where prohibited and in accordance with applicable law and practice.

Note: The time until live data exchange varies and depends upon the quality and speed of data exchange testing.

Send inquiries to TennIIS.MU@tn.gov. Your points of contact will be Karen L. Curtis.

Cancer Case reporting using a CEHRT does not replace state mandated hospital and laboratory reporting. 

Effective July 1^st, 2018, TCR will accept only new registrations from eligible clinicians for electronic data submissions with the following physician specialties:

1. Dermatology                            
2. Urology
3. Gastroenterology
4. Hematology
5. Medical Oncology
6. Radiation Oncology
7. Surgical Oncology
8. Gynecologic Oncology

See also TCR Declaration Update for more information.

Public Health Registry Reporting Measure

In order to satisfy TDH’s requirements for Public Health Reporting using electronic health record technology, all potential trading partners must first register their intent to exchange data: Trading Partner Registration (TPR)

The MU EHR Incentive Program requires EPs to be in active engagement with public health to submit data to a specialized registry from CEHRT except where prohibited and in accordance with applicable law and practice.

Note: The time until live data exchange varies and depends upon the quality and speed of data exchange testing.

Send inquiries to TNCancer.Registry@tn.gov.

The EP, EH or CAH registered to submit data with the PHA or, where applicable, the CDR to which the information is being submitted; registration was completed within 60 days after the start of the EHR reporting period; and the EP, eligible hospital, or CAH is awaiting an invitation from the PHA or CDR to begin testing and validation.

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 (new registrations), Cancer Case Reporting, Electronic Laboratory Reporting (ELR) and Syndromic Surveillance Messaging (Eligible Hospitals w/Emergency Room) in one location. TPR provides documentation that can be utilized for Meaningful Use attestation and allows users to view their progress from end to end through the use of milestone letters documenting on-boarding progress. Click here to download the TPR Worksheet.

Also displayed within the TPR organizational profiles are requests for actions. TDH expects the responses of potential trading partners to requests for actions to be applicable with moving the trading partner to a production status. TDH reserves the right to disengage in onboarding activates with any trading partner, at any time, due to consistent problems associated with reporting requirements, and file specifications in accordance published national standards. The trading partner’s active engagement status will be provided in the TPR system under the Interface Details tab.

Click here to see a listing of training dates and times. To receive the TPR webinar details, you must complete the registration form found at https://stateoftennessee.formstack.com/forms/tpr_training. If the requested date/time is available, you will receive an email invitation with the conference phone number and webinar link. If you do not receive an email within 2 business days send an email to mu.health@tn.gov.

The EP, EH or CAH is in the process of testing and validating of the electronic submission of data. Providers must respond to requests from the PHA or, where applicable, the CDR within 30 days; failure to respond twice within an EHR reporting period would result in that provider not meeting the measure.

The TDH interfaces will invite the EPs, EHs or CAHs to begin submitting test messages. TDH staff will validate the messages and provide information needed to correct errors or omissions. The testing procedures and requirements will vary between TDH interfaces and will depend upon which stage of the Meaningful Use process is being completed. The testing and validation process will continue until the onboarding team states the messages have met the requirements. The trading partner’s active engagement status will be provided in the TPR system under the Interface Details tab.

The EP, EH, or CAH has completed testing and validation of the electronic submission and is electronically submitting production data to the PHA or CDR.

Appropriate TDH program staff will indicate that testing has been successfully completed and data is being sent to the TDH production system. TDH may communicate with those reporting electronically about data quality. The trading partner’s active engagement status will be provided in the TPR system under the Interface Details tab. 

Note: The CDC Web Service Definition Language (WSDL) is the formally defined transport standard for transmitting immunization data via HL7 messaging. Trading partners seeking a bi-directional interface with TennIIS should contact the TennIIS Team at TennIIS.MU@tn.gov.