Submit Immunizations to MCIR

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Submit Immunization Messages to MCIR
CIR
Via UPHIE
Immunization messages, in the State of Michigan, need to be submitted via a Qualified Organization
(QO) such as UPHIE. The QO is responsible for coordinating all the on
on-boarding
boarding activities between
the provider / QO / MiHIN / MDCH – MCIR. In order to facilitate this process we have setup the
following “Quick Connect” process to rapidly on
on-board facilities that have an “Approved”
Approved” MCIR
interface.
Quick Connect process steps are as follows
follows:
1. Establish a VPN connection
ion with UPHIE sso
o your interface engine can transmit data to MCIR
2. To ensure that your interface is up to the latest HL7 spec please check and verify your HL7
message with the latest MCIR spec (use link below to download latest spec. The State of
Michigan keeps updating their Spec for the MCIR system so you need to double
doub check the
latest spec file:
http://mcir.org/forms/MCIR_HL7_Spec_Guide_with_MNF_CVX%20attach.pdf
a. They also have the new spec for the Query by Parameter (QBP) Guide which
whi will be
provided if you vendor is willing to participate in the pilot
pilot.
3. Prior to sending messages to the State’s MCIR database, you will need to be registered for
testing or ongoing submission in the Public Health Testing Repository (PHTR):
(PHTR)
https://mimu.michiganhealthit.org/
4. Once you are registered you will need your MCIR HL7 Facility ID (that
that you will need to
incorporate in the MSH Header of the VXU message) and your MCIR Site ID (which is the ID
you have been previously assigned for MCIR reporting)
reporting). Here is the information you will need
to get for each hospital and / or clinic that you want to connect to MCIR
a. Name of Hospital or Clinic that is in current MCIR Database
b. Address: Street, City, State Zip Code
c. MCIR Site Id: xxxxxxxxxxx
d. Facility Id: xxxx-xx-xx
xx
5. Set your Immunization message feed IP’s and ports to the following: (call for IP & Port)
a. UPHIE UAT (Test): IP XXX.XXX.XXX.XXX port xxxxx this is only used for the initial
MICR connection testing or testing of an undeveloped system / interface. After the
initial connectivity test we switch over to the production IP. We can skip this step if
yourr vendor has a message feed that has been MU certified.
b. UPHIE CA (Production): IP XXX.XXX.XXX.XXX port xxxxx is used for all MICR message
testing / on-boarding
boarding and “Live” production
228 West Washington Street
Marquette, Michigan 49855
906-225-7703 • Fax 906-225-8795
www.uphie.org
State of Michigan’s Summarized Meaningful Use Process
for Submitting
ting Immunization Messages to MCIR
M
The Michigan Care Improvement Registry (MCIR) was created in 1998 to collect reliable immunization
information and provide online accessibility to authorized users. In 2006, MCIR was expanded to
include adults. MCIR benefits health care providers, health care organizations, pharmacies, schools,
licensed childcare programs and Michigan’s citizens by consolidating immunization information from
multiple sources. This consolidation reduces vaccine
vaccine-preventable
preventable diseases and over-vaccination.
over
MCIR also has the capability to track vaccines and medications during a public health emergency,
such as pandemic influenza.
Meaningful Use and MCIR
Meeting MCIR’s One Test Message Requirement and Follow
Follow-Up
Up Submission criteria will:
•
•
Allow Eligible Professionals (EPs) to meet Menu Measure 9 of Stage 1 Meaningful Use (MU)
Allow Eligible
ible Hospitals (EHs) to meet Menu Measure 8 of Stage 1 MU
Meeting MCIR’s Ongoing Submission criteria will:
•
•
Allow EPs to meet Core Measure 16 of Stage 2 MU
Allow EHs to meet Core Measure 13 of Stage 2 MU
For questions regarding Meaningful Use Public Health Reporting, contact
contact:
[email protected]
For questions regarding MCIR Testing and Submission, contact
contact: [email protected]
Instructions: Find your Stage and Year of Meaningful Use below.
Follow the steps listed.
Stage 1, Year 1
1. Before registering to test and submit:
a. Download and read carefully the MCIR HL7 Specification for Vaccine Messages Guide
available using the link below.
http://mcir.org/forms/MCIR_HL7_Spec_Guide_with_MNF_CVX%20att
http://mcir.org/forms/MCIR_HL7_Spec_Guide_with_MNF_CVX%20attach.pdf
b. Visit the MCIR Meaningful Use site using the button below.
http://mcir.org/meaningfuluse.html
228 West Washington Street
Marquette, Michigan 49855
906-225-7703 • Fax 906-225-8795
www.uphie.org
2. Register for testing or ongoing submission in the Public Health Testing Repository (PHTR) using
the link below.
https://mimu.michiganhealthit.org/
3. Please allow 2 weeks for a response from MCIR staff after you have submitted your
registration.
4. MCIR Staff will contact you at the ee-mail provided in the PHTR and provide you with
instructions for submitting a test message to MCIR.
5. You must submit a test message with the appropriate credentials and a VXU for MCIR to
identify where it came from. Ask your MCIR contact for details.
6. Once your test message is rece
received,
ived, MCIR staff will send you a letter confirming the receipt of
your test message. Save this letter for your Meaningful Use Audit records to verify that you
completed the test.
Stage 1, Year 2
1. You must e-mail: [email protected] to register your intent to move to Ongoing
Submission with MCIR. This will fulfill the requirement in Stage 2.
2. If you need to add or remove any EP, EH, or practice site to your existing PHTR registration,
please read and follow the st
steps below:
Adding New EPs to MCIR HL7 Transmission for Approved Health Systems
http://www.mcir.org/forms/Adding%20a%20New%20Eligible%20Professional.pdf
Adding Sites to MCIR HL7 Transmission for Approved Health Systems:
Systems
http://www.mcir.org/forms/Adding%20%20New%20Site%20EXTERNAL%20STEPS.pdf
3. Once you have contacted the MCIR team per step 1 and have updated your registration
information, you will receive further instructions from MCIR on how to proceed when
possible. Staying on track with these instructions during your EHR reporting period (a threethree
month calendar quarter in 2014; a full ye
year
ar otherwise) will result in your receiving an updated
confirmation letter at the end of the EHR reporting period for your Meaningful Use audit
records.
4. Please refer to Step 4 under Stage 2 below to learn about the remainder of the MCIR Testing,
Validation,
n, and Onboarding Procedures.
228 West Washington Street
Marquette, Michigan 49855
906-225-7703 • Fax 906-225-8795
www.uphie.org
Stage 2
1. If you need to add or remove any EP, EH, or practice site to your existing PHTR registration,
please read and follow the steps below:
i. Adding New EPs to MCIR HL7 Transmission for Approved Health Systems
ii. http://www.mcir.org/forms/Adding%20a%20New%20Eligible%20Professional.
pdf
iii. Adding Sites to MCIR HL7 Transmission for Approved Health Systems:
http://www.mcir.org/forms/Adding%20%20New%20Site%20EXTERNAL%20STE
PS.pdf
2. Please ensure that you register intent to move to Ongoing Submission for all your EPs and
sites by the 60th day of your Stage 1 Year 2 EHR reporting period if you have not done so
already.
3. Once you have contacted the MCIR team per step 1 and updated your registration, you will
receive further instructions from MCIR on how to proceed when possible. Staying on track
with these instructions
uctions during your EHR reporting period (a three
three-month
month calendar quarter in
2014; a full year otherwise) will result in your receiving an updated confirmation letter at the
end of the EHR reporting period for your Meaningful Use audit records.
4. The following
ng is a brief summary of MCIR’s process after the initial Test Submission is received
in Stage 1 Year 1. Per the Stage 2 Final Rule, as long as the provider has registered intent by
the 60-day
day deadline noted above in Step 2, providers who remain actively engaged
e
in the
testing and validation process may meet the Stage 2 requirements for the Immunizations
Measure.
a. A Provider (EP or EH) may move to MCIR’s First Submitters List. The provider should
subsequently send an email to [email protected] when they are live with the
Sub-State
State Health Information Exchange Qualified Organization so that the Data Quality
Assurance process can begin.
b. Once the provider enters Data Quality Assurance, more message submissions will be
requested by MCIR to test the quality of the transport through the Michigan Health
Information Network (MiHIN), as well as validating the quality of the message itself.
c. The DQA Process is outlined in the following document:
http://www.mcir.org/forms/DQA_Steps.pdf
d. When MCIR judges the quality of the message and transport to be sufficient to move
to full Production submission with MCIR (i.e. the EHR will be fully electronically
reporting to MCIR and n
not
ot just testing anymore), MCIR will set the “Testing” flag on
inbound messages to a “Production” Flag and begin production on a particular date.
This production date will be provided on an updated confirmation letter that will be
sent by MCIR immediately. Providers will not need to wait until the end of an EHR
reporting period for a MCIR Production confirmation letter.
228 West Washington Street
Marquette, Michigan 49855
906-225-7703 • Fax 906-225-8795
www.uphie.org
e. In future years after production is reached, as long as the provider remains* in ongoing
submission of immunization messages to MCIR, the p
provider
rovider (EP or EH) will continue to
receive confirmation notifications at the end of the EHR reporting period.
*MCIR recognizes that certain clinics that only administer flu shots seasonally will not be
submitting immunization messages year
year-round.
228 West Washington Street
Marquette, Michigan 49855
906-225-7703 • Fax 906-225-8795
www.uphie.org

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