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Meaningful Use


Meaningful Use and Arizona’s Public Health Systems

The adoption and utilization of electronic health records (EHR) is a vital national goal established under the Health Information Technology for Economic and Clinical Health Act (HITECH Act). One goal of HITECH Act is to increase the Meaningful Use (MU) of EHR technology among healthcare providers.

Meaningful Use is using certified EHR technology:

  • To Improve quality, safety, efficiency, and reduce health disparities
  • Engage patients and families in their health care
  • Improve care coordination
  • Improve population and public health

Meaningful Use will be the standard by which providers will use EHR technology to build enhancements for future reporting and quality measures to improve patient outcomes.

The Arizona Department of Health Services (ADHS) is working with eligible professionals and hospitals to meet public health objectives. Please refer to the table below for specific objective status at ADHS.

Public Health Meaningful Use Objectives

Please refer back, as the status of objectives may change.

Healthcare Provider Type Immunization Reportable Lab Results Syndromic surveillance Cancer Specialized Registry
Eligible Professional* Yes N/A No Yes Cancer
Eligible Hospitals and Critical Access Hospitals* Yes Yes Yes N/A No

*Please refer to this CMS website for more information on eligibility.

The process for healthcare providers interested in meeting Meaningful Use Public Health Objectives is as follows:

Step 1


For Stages 1 and 2 of Meaningful Use

Step 2


While in queue:

Review implementation guide(s) and related sources

Create and evaluate test messages

Step 3


Invitation - Testing - Validation - Production

Note: Queue process and timing during onboarding mary vary by ADHS program

Step 4

Ongoing Submission with Quality Assurance

Registration of Intent

EPs, EHs and CAHs planning to send data to ADHS should register their intent to submit ongoing messages for the MU Public Health objectives. The ADHS Meaningful Use program will provide information and instructions once the registration has been submitted.

Stage 2: The Final Rule requires Stage 2 Registrations be completed no later than 60th day from the start of the Reporting Period.

Please complete one registration for each group of hospitals (EH/CAH) or eligible professionals (EP) in your organization that are implementing the public health objectives in the same reporting period and are using the same software(s) for creating the messages for public health.

Eligible Hospitals (EH) and Critical Access Hospitals (CAH)
  • Set aside 25-30 minutes to complete the process - data will not be saved unless registration is completed and submitted
    • Have all your Organization/Site and EHR vendor/IT technical support contact information available (contact names, email addresses, phone #s)
  • A fillable PDF form is available for you to collect the information needed for registration of intent

Register your Intent in the AZ Public Health MU Portal

Eligible Professionals (EP)
  • EPs planning to send immunization data to ADHS can register their intent by contacting the Immunization Program.
  • EPs planning to send cancer data to ADHS can register their intent by contacting the Cancer Registry.

Testing and Validation

The ADHS Meaningful Use program will invite the EP, EH or CAH to begin submitting test messages, will validate the messages and provide information needed to correct errors or omissions that are identified. The testing process and requirements will vary between different ADHS Meaningful Use programs, and 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.

Ongoing Electronic Reporting

The ADHS Meaningful Use program will indicate that testing has been successfully completed and data is being sent to the ADHS production system. ADHS may communicate with those reporting electronically about data quality.