A large majority of hospitals attesting for Stage 2 are reporting on the three mandatory public health measures: immunizations, infectious disease lab results and syndromic surveillance data from emergency department visits.

Hospitals can be excluded from one or more measures if their public health agency cannot accept electronic reporting, or they do not perform a service such as vaccinations or urgent care. But in 2014, 88 percent have reported to immunizations, 85 percent on lab results and 75 percent on syndromic surveillance, according to new information from the Office of the National Coordinator for Health Information Technology.

Hospitals in Stage 1 only have to report on one measure that they select and only 5 percent reported on all three measures. Fifty-eight percent of Stage 1 attesters in 2014 reported on immunizations, 23 percent on syndromic surveillance and 14 percent on lab results.

Some states remain unready to support the meaningful use public health reporting requirements. In North Carolina and New Hampshire, for instance, less than 10 percent of hospitals are reporting immunizations.  New Hampshire soon will debut a new immunization registry and North Carolina¬ís immunization system accepts electronic data, but not in the format required for meaningful use, according to ONC. But overall, only nine percent of attesting hospitals are not reporting immunizations because public health is not ready, and three percent do not offer the service.

Iowa, Minnesota, Oklahoma and Tennessee had rates of less than 10 percent of attesting hospitals reporting syndromic data to public health. No hospitals could report in Connecticut and the District of Columbia. The report is available here.

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