Skip Ribbon Commands
Skip to main content

     Meaningful Use and Public Health
The Health Information Technology for Economic and Clinical Health Act (HITECH) is providing financial incentives to encourage the use of electronic health records (EHRs). 
The U.S. Centers for Medicare and Medicaid Services (CMS) has implemented incentive programs for eligible health care professionals, eligible hospitals and critical access hospitals to adopt, implement or demonstrate meaningful use (MU) of certified EHR technology. 
The submission of immunization data, syndromic surveillance data, and reportable laboratory reports is included in the strategies for demonstrating “meaningful use” of the EHR systems.
The Nebraska Department of Health and Human Services (NDHHS) is interested in working with eligible professionals, eligible hospitals, and critical access hospitals on all the public health related meaningful use objectives. 
NDHHS is currently able to receive the following:


  • NESIIS - Immunization Data:
    File Specifications:  HL7 2.3.1 or 2.5.1
    Transport Method:  PHINMS or SOAP Web Services (preferred)
    Bi-directional exchange available
  • NEDSS - Electronic Lab Reporting:
    File Specifications:  HL7 2.3.1 or HL7 2.5.1
    Transport Method:  PHINMS
  • SSEDON - Emergency Department Syndromic Surveillance:
    File Specifications:  HL7 2.5.1
    Transport Method:  PHINMS
  • SSEDON - Inpatient Facility Syndromic Surveillance:
    File Specifications:  HL7 2.5.1
    Transport Method:  PHINMS

NDHHS is not able to receive Syndromic data from EPs at this time.

How to Proceed:
Step 1: 
Please complete the online registration to express your interest in testing with NDHHS.  You may review the questions prior to completing the online survey by clicking here.  Please answer all questions and fill it out completely.  Incomplete registration forms will not be processed until all information has been submitted.
Step 2: 
Upon receiving your registration, NDHHS will review it for accuracy and completeness.  You will then receive an email verifying your registration has been received and that your information has been sent to the applicable registries to begin the onboarding process for each.

Step 3:
NDHHS staff for each registry will contact you to begin the onboarding process.  Additional questions may be asked and information on specifications may be provided.

The links below contain additional guidance, messaging specifications, and contact information for each of the registries available for MU public health objectives.  



Step 4:
Work with NDHHS throughout the onboarding process.  Upon successfully onboarding with NDHHS (or testing as it pertains to MU Stage 1), NDHHS will issue an acknowledgement that you have met our objectives for submitting electronic health data.

If you have any questions regarding the three registries (Immunizations, Electronic Labs, and Syndromic Surveillance) or Meaningful Use, please contact:
Jesse Clarke
Nebraska Department of Health and Human Services
Phone: 402-471-3727
Michelle Hood
NESIIS, HIE, and Meaningful Use Coordinator
Nebraska Department of Health and Human Services
Documents in PDF PDF format require the use of Adobe Acrobat Reader which can be downloaded for free from Adobe Systems, Inc.