Meaningful Use Public Health Reporting Guidance

Please navigate to the Meaningful Use Public Health Reporting Guidance section by selecting the appropriate Payment Year below.


Public Health Reporting in 2015

Public Health Reporting in 2015

EHR Reporting Period

In 2015 only, the EHR Reporting Period for all Eligible Providers will be a continuous 90-day period. EPs may choose any continuous 90-day period between January 1, 2015 and December 31, 2015. EHs may choose any continuous 90-day period between October 1, 2014 and December 31, 2015.

Available Public Health Reporting Measures in 2015 (Modified Stage 2)

Public Health Reporting Measure Maximum times measure can count towards the objective
Measure 1 – Immunization Registry Reporting 1
Measure 2 – Syndromic Surveillance Reporting 1
Measure 3 – Specialized Registry Reporting EPs: 2
EHs: 3
Measure 4 – Electronic Reportable Laboratory Result Reporting EHs: 1

Review FAQ PH1 to learn how to successfully meet a Meaningful Use Public Health Reporting Measure.

How Eligible Providers can meet the Public Health Reporting Objective in 2015

  EPs Scheduled for Stage 1 in 2015 EPs Scheduled for Stage 2 in 2015 EHs Scheduled for Stage 1 in 2015 EHs Scheduled for Stage 2 in 2015
Minimum number of measures 1 2 2 3
Measures eligible for an alternate exclusion* Measure 1, Measure 2 or Measure 3 Measure 2 or Measure 3 Measure 1, Measure 2, Measure 3 or Measure 4 Measure 3
Maximum number of alternate exclusions* 2 2 3 1

*CMS released FAQ#12985 which offers Eligible Providers demonstrating Meaningful Use in 2015 the option to use alternate exclusions for one or more Public Health Reporting measures if they did not intend to attest to the equivalent menu objective under previous Meaningful Use requirements.


Registration to Submit Data

Eligible Professionals and Eligible Hospitals must formally register their intent to submit data to Public Health 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 System (MURPH).

Meaningful Use Registration for Public Health System (MURPH)
MURPH is a statewide system hosted on the Health Commerce System (HCS) that accepts Eligible Professionals' and Eligible Hospitals' registrations and is used by the public health registries and the EHR Incentive Program to manage onboarding and program compliance.


Quick Access to MURPH:
  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 Applications" in the drop down
  4. Click on the letter "M"
  5. Click on Meaningful Use Registration for Public Health

*If you need an HCS account click here for instructions. Account sign-up can also be initiated from the HCS Login screen.


Four-Step Onboarding Process

For step-by-step directions to complete the Four-Step Onboarding Process with each registry, please click on the appropriate link below based on the jurisdiction in which the provider is located.


Modified Stage 2 Public Health Reporting with New York State Registries

Eligible Professionals
Public Health Reporting Measure NY City Report to: NY State (outside of NYC) Report to:
Immunization Registry Reporting Citywide Immunization Registry (CIR) NYS Immunization Information System (NYSIIS)
Syndromic Surveillance Reporting Primary Care Information Project (PCIP) Syndromic Surveillance This option is not available for EPs outside of NYC
Specialized Registry Reporting - Cancer Case Reporting New York State Cancer Registry (NYSCR) New York State Cancer Registry (NYSCR)
Specialized Registry Reporting - Notifiable Conditions Provider Notifiable Conditions (PNC) This option is not available for EPs outside of NYC


Eligible Hospitals
Public Health Reporting Measure NY City Report to: NY State (outside of NYC) Report to:
Immunization Registry Reporting Citywide Immunization Registry (CIR) NYS Immunization Information System (NYSIIS)
Syndromic Surveillance Reporting NYC Department of Health and Mental Hygiene (NYC DOHMH) New York State Department of Health (NYSDOH)
Electronic Reportable Laboratory Result Reporting Electronic Clinical Laboratory Reporting System (ECLRS) Electronic Clinical Laboratory Reporting System (ECLRS)



Public Health Reporting in 2016

Public Health Reporting in 2016

EHR Reporting Period

In 2016, the EHR Reporting Period for Eligible Providers demonstrating Meaningful Use for the first time will be any continuous 90-day period within the calendar year. For Eligible Providers who have previously demonstrated Meaningful Use, the EHR Reporting Period in 2016 will be the full calendar year.

Available Public Health Reporting Measures in 2016 (Modified Stage 2)

Public Health Reporting Measure Maximum times measure can count towards the objective
Measure 1 – Immunization Registry Reporting 1
Measure 2 – Syndromic Surveillance Reporting 1
Measure 3 – Specialized Registry Reporting EPs: 2
EHs: 3
Measure 4 – Electronic Reportable Laboratory Result Reporting EHs: 1

Review FAQ PH1 to learn how to successfully meet a Meaningful Use Public Health Reporting Measure.

How Eligible Providers can meet the Public Health Reporting Objective in 2016

  EPs EHs
Minimum number of measures 2 3
Measures eligible for an alternate exclusion* Measure 2, Measure 3 Measure 3
Maximum number of alternate exclusions* 2 1

*CMS released FAQ#14397 which describes the alternate exclusion available in 2016 for Public Health Reporting Measures if they require the acquisition of additional technologies Eligible Providers did not previously have or if Eligible Providers did not previously intend to include the measure(s) in their activities for Meaningful Use.



Registration to Submit Data

Eligible Professionals and Eligible Hospitals must formally register their intent to submit data to Public Health for a given Public Health Reporting measure, using the Meaningful Use Registration for Public Health System (MURPH). For Payment Year 2016, EPs and EHs with a full calendar year EHR Reporting Period have been granted an extension to register intent to submit data. Review the full details here

EPs and EHs demonstrating Meaningful Use for the first time in 2016 will have a 90-day EHR Reporting Period and must register intent within 60 days of the start of their EHR Reporting Period.

Meaningful Use Registration for Public Health System (MURPH)
MURPH is a statewide system hosted on the Health Commerce System (HCS) that accepts Eligible Professionals' and Eligible Hospitals' registrations and is used by the public health registries and the EHR Incentive Program to manage onboarding and program compliance.


Quick Access to MURPH:
  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 Applications" in the drop down
  4. Click on the letter "M"
  5. Click on Meaningful Use Registration for Public Health

*If you need an HCS account click here for instructions. Account sign-up can also be initiated from the HCS Login screen.


Four-Step Onboarding Process

For step-by-step directions to complete the Four-Step Onboarding Process with each registry, please click on the appropriate link below based on the jurisdiction in which the provider is located.

Modified Stage 2 Public Health Reporting with New York State Registries

Eligible Professionals
Public Health Reporting Measure NY City Report to: NY State (outside of NYC) Report to:
Immunization Registry Reporting Citywide Immunization Registry (CIR) NYS Immunization Information System (NYSIIS)
Syndromic Surveillance Reporting NYC Department of Health and Mental Hygiene (NYC DOHMH) This option is not available for EPs outside of NYC
Specialized Registry Reporting - Cancer Case Reporting New York State Cancer Registry (NYSCR) New York State Cancer Registry (NYSCR)
Specialized Registry Reporting - Case Reporting Provider Notifiable Conditions (PNC) This option is not available for EPs outside of NYC
Specialized Registry Reporting - Population Health Reporting Population Health Registry This option is not available for EPs outside of NYC


Eligible Hospitals
Public Health Reporting Measure NY City Report to: NY State (outside of NYC) Report to:
Immunization Registry Reporting Citywide Immunization Registry (CIR) NYS Immunization Information System (NYSIIS)
Syndromic Surveillance Reporting NYC Department of Health and Mental Hygiene (NYC DOHMH) New York State Department of Health (NYSDOH)
Electronic Reportable Laboratory Result Reporting Electronic Clinical Laboratory Reporting System (ECLRS) Electronic Clinical Laboratory Reporting System (ECLRS)



Public Health Reporting in 2017

Public Health Reporting in 2017

EHR Reporting Period

Eligible Providers participating in the Medicaid EHR Incentive Program and demonstrating Meaningful Use for the first time will have an EHR Reporting Period of any continuous 90-day period within the calendar year. Eligible Providers choosing to attest to Meaningful Use Stage 3 in 2017 will have an EHR Reporting Period of any continuous 90-day period during the calendar year. For all other Eligible Providers, the EHR Reporting Period will be the full calendar year.

Available Public Health Reporting Measures in 2017 (Modified Stage 2)

Public Health Reporting Measure Maximum times measure can count towards the objective
Measure 1 – Immunization Registry Reporting 1
Measure 2 – Syndromic Surveillance Reporting 1
Measure 3 – Specialized Registry Reporting EPs: 2
EHs: 3
Measure 4 – Electronic Reportable Laboratory Result Reporting EHs: 1
Eligible Professionals (EPs) demonstrating Meaningful Use through Modified Stage 2 in 2017 must meet two (2) measures from Measures 1-3. Eligible Hospitals (EHs) demonstrating Meaningful Use through Modified Stage 2 in 2017 must meet three (3) measures from Measures 1-4. No alternate exclusions are available for 2017. Review FAQ PH1 to learn how to successfully meet a Meaningful Use Public Health Reporting Measure.

Registration to Submit Data

Eligible Professionals and Eligible Hospitals must formally register their intent to submit data to Public Health 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 System (MURPH).

Meaningful Use Registration for Public Health System (MURPH)
MURPH is a statewide system hosted on the Health Commerce System (HCS) that accepts Eligible Professionals' and Eligible Hospitals' registrations and is used by the public health registries and the EHR Incentive Program to manage onboarding and program compliance.


Quick Access to MURPH:
  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 Applications" in the drop down
  4. Click on the letter "M"
  5. Click on Meaningful Use Registration for Public Health

*If you need an HCS account click here for instructions. Account sign-up can also be initiated from the HCS Login screen.


Four-Step Onboarding Process

For step-by-step directions to complete the Four-Step Onboarding Process with each registry, please click on the appropriate link below based on the jurisdiction in which the provider is located.

Modified Stage 2 Public Health Reporting with New York State Registries

Eligible Professionals
Public Health Reporting Measure NY City Report to: NY State (outside of NYC) Report to:
Immunization Registry Reporting Citywide Immunization Registry (CIR) NYS Immunization Information System (NYSIIS)
Syndromic Surveillance Reporting NYC Department of Health and Mental Hygiene (NYC DOHMH) This option is not available for EPs outside of NYC
Specialized Registry Reporting - Cancer Case Reporting New York State Cancer Registry (NYSCR) New York State Cancer Registry (NYSCR)
Specialized Registry Reporting - Case Reporting Provider Notifiable Conditions (PNC) This option is not available for EPs outside of NYC
Specialized Registry Reporting - Population Health Reporting Population Health Registry This option is not available for EPs outside of NYC


Eligible Hospitals
Public Health Reporting Measure NY City Report to: NY State (outside of NYC) Report to:
Immunization Registry Reporting Citywide Immunization Registry (CIR) NYS Immunization Information System (NYSIIS)
Syndromic Surveillance Reporting NYC Department of Health and Mental Hygiene (NYC DOHMH) New York State Department of Health (NYSDOH)
Electronic Reportable Laboratory Result Reporting Electronic Clinical Laboratory Reporting System (ECLRS) Electronic Clinical Laboratory Reporting System (ECLRS)

Stage 3 Declaration of Readiness

The following registries sponsored by the New York State Department of Health (NSYDOH) and the New York City Department of Health and Mental Hygiene (NYC DOHMH) will be capable of accepting electronic public health data according to the standards required to meet the 2015 Edition Certified EHR Technology (CEHRT) definition on or before January 1, 2017 to support Eligible Providers demonstrating Meaningful Use Stage 3.

Eligible Professionals
Stage 3 Public Health Reporting Measure NY City Report to: NY State (outside of NYC) Report to:
Immunization Registry Reporting Citywide Immunization Registry (CIR)* NYS Immunization Information System (NYSIIS)
Syndromic Surveillance Reporting NYC Department of Health and Mental Hygiene (NYC DOHMH) New York State Department of Health (NYSDOH)+
Public Health Registry Reporting New York State Cancer Registry (NYSCR)± New York State Cancer Registry (NYSCR)±


Eligible Hospitals
Stage 3 Public Health Reporting Measure NY City Report to: NY State (outside of NYC) Report to:
Immunization Registry Reporting Citywide Immunization Registry (CIR)* NYS Immunization Information System (NYSIIS)
Syndromic Surveillance Reporting NYC Department of Health and Mental Hygiene (NYC DOHMH) New York State Department of Health (NYSDOH) +
Electronic Reportable Laboratory Result Reporting Electronic Clinical Laboratory Reporting System (ECLRS) Electronic Clinical Laboratory Reporting System (ECLRS)


* The Citywide Immunization Registry (CIR) will be capable of accepting electronic immunization data from Eligible Professionals (EPs) and Eligible Hospitals (EHs) located inside the five boroughs of New York City according to the standards required to meet the 2015 Edition CEHRT definition [HL7 Version 2.5.1: Implementation Guide for Immunization Messaging, Release 1.5] on or before January 1, 2017.

The New York State Immunization Information System (NYSIIS) will be capable of accepting electronic immunization data from EPs and EHs located outside the five boroughs of New York City according to the standards required to meet the 2015 Edition CEHRT definition [HL7 Version 2.5.1: Implementation Guide for Immunization Messaging, Release 1.5] on or before January 1, 2017.

The NYC DOHMH will be capable of accepting electronic syndromic surveillance data from EHs and EPs at urgent care centers located inside the five boroughs of New York City according to the standards required to meet the 2015 Edition CEHRT definition [PHIN Messaging Guide for Syndromic Surveillance: Emergency Department, Urgent Care, Inpatient and Ambulatory Care Settings, Release 2.0] on or before January 1, 2017.

+ The NYSDOH will be capable of accepting electronic syndromic surveillance data from EPs at urgent care centers and EHs located outside the five boroughs of New York City according to the standards required to meet the 2015 Edition CEHRT definition [PHIN Messaging Guide for Syndromic Surveillance: Emergency Department, Urgent Care, Inpatient and Ambulatory Care Settings, Release 2.0] on or before January 1, 2017.

± The New York State Cancer Registry (NYSCR) will be capable of accepting electronic cancer case reports from EPs inside or outside the five boroughs of New York City according to the standards required to meet the 2015 Edition CEHRT definition [HL7 CDA® Release 2 Implementation Guide: Reporting to Public Health Cancer Registries from Ambulatory Healthcare Providers, Release 1, DSTU Release 1.1 – US Realm] on or before January 1, 2017 in support of the Public Health Registry Reporting Measure.

The Electronic Clinical Laboratory Reporting System (ECLRS) is capable of accepting electronic reportable laboratory (ELR) results from EHs inside and outside the five boroughs of New York City according to the standards required to meet the 2015 Edition CEHRT definition [HL7 Version 2.5.1 Implementation Guide: Electronic Laboratory Reporting to Public Health, Release 1] and will continue accepting data according to the standards on January 1, 2017.






Please contact MUPublicHealthHELP@health.ny.gov or 1-877-646-5410 Option 3 for further information on registration or onboarding status updates.