Promoting Interoperability and the Quality Payment Program

The Health Information Technology for Economic and Clinical Health (HITECH) Act established a national initiative to expand the adoption and use of electronic health record (EHR) technology. EHR Incentive Programs, including Promoting Interoperability (formerly known as Meaningful Use) and the Quality Payment Program, promote the use of interoperable health information technology by Eligible Professionals (EPs) and Eligible Hospitals (EHs).


Declaration of Readiness

The Missouri Department of Health and Senior Services (DHSS) is the state Public Health Authority (PHA) and accepts messages from EPs and EHs for the following public health measures:

DHSS is ready to accept messages for the following measures:

  • Immunization Registry Reporting
  • Syndromic Surveillance
  • Electronic Laboratory Reporting (ELR)
  • Cancer Registry Reporting (qualifies as a Public Health Registry)

DHSS is not ready to accept messages for the following measures:

  • Electronic Initial Case Reporting (eICR)


Beginning the Data Submission Process

Step 1: Registration | Step 2: Read Resources | Step 3: Onboarding

In order to register your intent for data submission, complete the registration process below. After completing the registration of intent, DHSS will invite you to begin the onboarding process.

Registration of Intent - Get Started button

Registry Resources
  • ShowMeVax registry available since June 2011
  • Available for EPs and EHs that administer immunizations
Electronic Laboratory Reporting (ELR)
  • Available for EHs
Syndromic Surveillance
  • Available for EHs and EPs that practice at urgent care clinics
Cancer Registry (Public Health/Specialized Registry)
  • Under development
  • Available for EPs that directly treat cancer cases

How do I meet the active engagement requirement?

In order to receive incentive payments, EPs and EHs must achieve active engagement with DHSS for each public health registry for which they are eligible to report. You can meet the requirement by meeting one of the following criteria:

  • The provider has completed the registration of intent and is awaiting invitation to begin testing and validation from DHSS.
  • The provider has completed the registration of intent and is engaged in the testing and validation process, but has not yet reached production.
  • The provider has completed the registration of intent and has reached production within their reporting period or within a prior reporting period.


If an EP or EH does not qualify to report for a measure, they are eligible for an exclusion for that measure. Exclusion documents are available for the following measures:

  • Immunizations: For EPs or EHs that do not administer immunizations
  • Syndromic Surveillance: For EHs that do not have an emergency room or EPs that do not practice at an urgent care clinic
  • Cancer Registry Reporting: For EPs that do not directly treat cancer cases

EPs or EHs may be eligible for multiple exclusions based on the nature of their practice. To obtain exclusion documents, contact the Public Health Authority at

What role does DHSS play?

To accomplish the goals of the EHR Incentive Programs, DHSS works with each provider to confirm their submission of electronic data and that their data submissions meet the state or national standards. Any changes to the provider’s electronic messages require DHSS to review to assure the changes have not impacted the quality of the data.


For questions related to the public health measures, contact the Public Health Authority at