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Promoting Interoperability Programs

This website is meant for use by providers, including professionals and hospitals, who wish to comply with and participate in the Meaningful Use Programs. Since 2017, the meaningful use program has also been known as Promoting Interoperability Programs. Please continue reading for general information concerning meaningful use requirements and details on meaningful use for Immunization Registries Reporting, Electronic Laboratory Reporting, Electronic Case Reporting and Syndromic Surveillance Reporting.

NOTICE:  Acquisition of documentation for attesting Public Health & Clinical Exchange measures for Promoting Interoperability (formerly Meaningful Use) to New Mexico Human Services Department has changed. The current method of acquiring documentation is to submit a request via email to the respective program, please contact Electronic Laboratory Reporting at or Syndromic Surveillance Reporting at their address.


Beginning in 2009, federal legislation created a critical national goal: the meaningful use of interoperable Electronic Health Records (EHR) throughout the United States health care delivery system. Meaningful use is the use of Certified Electronic Health Record Technology (CEHRT) in a meaningful manner that provides for the electronic exchange of health information to improve the quality of care.

Meaningful use legislation has moved through three stages and includes an incentive program. 2015 Final Rule Stage 3 Meaningful Use Criteria sets out the structure for attesting Meaningful Use. In 2018 Centers for Medicare and Medicaid Services renamed the EHR Incentive Programs as the Promoting Interoperability Programs.

Current State

Public health and clinical data exchange require eligible providers (professionals, hospitals, and critical access hospitals treating Medicare and Medicaid patients) to attest on the measures below. Hospitals and critical access hospitals must attest to at least four measures from 1 through 6. Professionals must attest to at least two measures 1 through 5.

  1. Immunization Registries Reporting
  2. Electronic Case Reporting
  3. Public Health Registry Reporting — Not Available in New Mexico
  4. Clinical Data Registry Reporting — Not Available in New Mexico
  5. Syndromic Surveillance Reporting
  6. Electronic Laboratory Reporting — Hospitals Only

Please note that Public Health Registry Reporting and Clinical Data Registry Reporting are not available in New Mexico. Providers can receive exclusions from these requirements for several reasons, including operating in a jurisdiction where registries or reporting are not available.

Please read the Stage 2 Meaningful Use Fact Sheet document to learn more.

Public Health and Clinical Data Exchange Reporting

See the chart below for program reporting availability in New Mexico for different providers.

Reporting Type Professional Provider Hospitals and Critical Access Hospitals
Immunization Registries Reporting Yes Yes
Electronic Case Reporting (eCR) Yes Yes
Public Health Registry Reporting No No
Clinical Data Registry Reporting No No
Syndromic Surveillance Reporting No (Unless Already Reporting) Yes
Electronic Lab Reporting (ELR) No Yes

The CMS final rule for changes to the Medicare Promoting Interoperability Program, requires the Electronic Case Reporting measure associated with the Public Health and Clinical Data Exchange Objective for eligible hospitals and critical access hospitals (CAHs), to take effect on January 1, 2022

For details on how to attest, please visit the New Mexico Human Services Meaningful Use website.

Immunization Registries Reporting

Immunization Reporting readiness for Meaningful Use Stage 3 is currently in place at the NMDOH. The goal of the Immunization program is to ensure that all New Mexicans are properly immunized against vaccine-preventable diseases.

Each year, approximately 28,000 children are born in New Mexico. Every one of these children will need 18-22 immunizations by age six to protect them from debilitating, life threatening diseases. New vaccines are quickly becoming available, resulting in a complex childhood immunization schedule for a large population. Keeping track of immunizations can be challenging for health care professionals.

Keeping track of families is another challenge for health care professionals. The average family relocates multiple times over the course of a lifetime, frequently leaving medical records and valuable immunization information behind. As many as 25% of children visit two or more providers for immunizations before their third birthday.

The Statewide Immunization Information System (NMSIIS), administered by the New Mexico Department of Health, is a confidential, computerized repository of individual immunization records that integrates information from birth and death records, public and private health care providers, and parental records.

It is a secure, web-based system that is compliant with Health Insurance Portability and Accountability Act of 1996 (HIPAA) standards. You may login to the Statewide Immunization Information System to get started.

Please visit our Immunization Registries Reporting page to learn more.

Electronic Laboratory Reporting

To fulfill the Electronic Reportable Laboratory Test Reporting requirement of Promoting Interoperability (Meaningful Use) Programs, eligible hospitals and laboratories must fulfill the reporting requirements of New Mexico law through HL7 Electronic Laboratory Reporting (ELR).

NMAC 7.4.3 provides that health care professionals, laboratories, and others with knowledge of diseases and conditions of public health significance must report this information to NMDOH through calls, faxing, or ELR. Please see the Notifiable Conditions and Diseases in New Mexico document to learn more.

NMDOH accepts HL7-compliant ELR from hospitals and laboratories who have “onboarded” with NMDOH. Only hospitals and laboratories are eligible to report results via ELR.

To assist hospitals and laboratories in the onboarding process, NMDOH has provided several documents and links for more information. Please visit the Electronic Laboratory Reporting page to learn more.

Syndromic Surveillance Reporting

A statewide syndromic surveillance system is hosted by NMDOH for use by local public health practitioners, and data providers (hospitals, free standing emergency departments and urgent care settings) for enhanced surveillance of emerging public health conditions or threats in near real-time as potential indicators of an event, a disease, or an outbreak of public health significance. Syndromic surveillance analyzes trend data to establish a baseline and then uses algorithms to compare the current data to that baseline. Alerts are issued when potential outbreaks are detected.

NMDOH has the authority to operate a syndromic surveillance system under NMAC

Please visit the Syndromic Surveillance Reporting section of our website to learn more.

About Electronic Case Reporting

Currently Electronic Case Reporting for meaningful use is available at NMDOH based on your EHR connection with APHL AIMs Platform.

Presbyterian Healthcare Services Joins the Nationwide eCR Now Initiative to Accelerate COVID-19 Case

Presbyterian Healthcare has joined the nationwide eCR Now initiative—a growing network of thousands of healthcare facilities—to rapidly adopt and implement electronic case reporting (eCR) for the COVID-19 response. eCR can eliminate the need for manual data entry, which decreases the burden on healthcare providers and allows them to spend more time on patient care and other critical priorities.

eCR allows healthcare organizations to generate automated case reports using their electronic health records (EHRs) and send them to public health agencies in real time for review and action. eCR enables public health agencies to provide immediate feedback to healthcare providers about reportable conditions and possible outbreaks, which improves communication for patient care and public health surveillance activities. Using eCR, healthcare providers can:

  • Eliminate manual data entry, faxing, and reduce follow-up calls from public health agencies
  • Report mandated health data without disrupting the clinical workflow
  • Engage in real-time, bidirectional data exchange with public health agencies
  • Automatically send the required information to all appropriate public health agencies
  • Improve COVID-19 reporting now and expand to all reportable conditions in the future

Implementing eCR is easy. Joining the eCR Now initiative helps us immediately improve COVID-19 reporting and allows us to expand our reporting to all reportable conditions in the future.

eCR is a collaborative effort between the Association of Public Health Laboratories, the Council of State and Territorial Epidemiologists, and the Centers for Disease Control and Prevention.

For more information about eCR and the eCR Now initiative, visit CDC's eCR website and APHL's eCR Now for COVID-19 Reporting website, or contact the CDC eCR team at

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