Meaningful Use

The American Recovery and Reinvestment Act of 2009 (ARRA) enacted the Health Information Technology for Economic and Clinical Health (HITECH) Act to accelerate the adoption of health information technology. The ARRA offers incentives to eligible providers and hospitals to adopt electronic health record technology in order to submit pertinent data to public health agencies respective to operational and public health criterion, which will be released in three stages. Meaningful Use Stage 1 (MU1) consists of three mandatory objectives: 1) immunization reporting, 2) reportable lab results submission (for eligible hospitals only), and 3) syndromic surveillance reporting. Additionally, MU1 requires dependent of healthcare classification (i.e. eligible provider or hospital) must meet 15 core set objectives and 5 of 10 menu objectives.

In August 2012, the United States Department of Health and Human Services Centers for Medicare and Medicaid Services (CMS) published Meaningful Use Stage 2 (MU2) rules. MU2 mandates all providers to implement electronic reporting through acceptable health information technology and use such reporting to support the MU Stage 1 policy priorities by the defined time period, regardless of what Meaningful Use phase the provider is in during this time period. Additionally, MU2 increased objective requirements for both eligible providers and hospitals.

  • Eligible Professionals (EPs) must complete 17 core objectives and 3 of 6 menu objectives to obtain incentive credits. New menu objectives have been added for EPs. These objectives are described as: the reporting of cancer cases to the public health agencies, syndromic surveillance reporting, and the reporting of cases to other specialized registries. ADPH accepts HL7 CDA format specifically required for MU2 cancer reporting only.
  • Eligible Hospitals (EHs) must complete 16 core objectives and 3 of 6 menu objectives. Electronic cancer reporting to ASCR currently is not a menu option for EHs. However, hospitals are still required by state law to continue to submit reportable cancer incidences to the ASCR.
  • The ASCR is the only active registry qualifying as a Specialized Registry with ADPH at this time. Manual data entry into a web portal does not qualify for submission to a specialized registry. The sending entity must be able to send electronic data generated from their CEHRT. Please see CMS Frequently Asked Questions for more details.

The ASCR is ready to begin receiving electronic records through Meaningful Use. Please see our Declaration of Readiness in the Additional Meaningful Use Resources section.

Getting Started with Meaningful Use

  • Eligible professionals and hospitals are required to enroll in the CMS Meaningful Use Program.
  • For electronic medical record reporting to Alabama Department of Public Health (ADPH), please register at the ADPH Security Portal.
  • For eligible providers make sure to select Cancer Reporting as one of your menu options.
  • Cancer reporting messages should be validated with both the National Institute of Standards and Technology (NIST) Validation Tool and the Clinical Document Architecture (CDA) Validation Tool. The NIST tool can be found in the links below. For a copy of the CDA Validation Tool please contact Lindsay Ryan of the Centers for Disease Control and Prevention at (770) 488-3004.

For more information from ADPH, send an email to or visit ADPH Meaningful Use.

Additional Meaningful Use Resources

Page last updated: October 18, 2019