Public Health Reporting Options

doctor reporting health information

The Medicare and Medicaid Promoting Interoperability (PI) Programs are designed to encourage the use of Electronic Health Information Technology to improve the quality, safety, efficiency of patient health care in our nation. Eligible providers who adopt, implement, upgrade to Certified Electronic Health Record Technology (CEHRT) may receive incentive payments if they can demonstrate the use of their systems in a meaningful way. To participate in PI programs, eligible clinicians (ECs), eligible professionals (EPs) and eligible hospitals (EHs) must meet certain Public Health Measures.

For more information on the Public Health reporting options, including the on-boarding and testing processes, trading partner agreements and specifications, please review the information listed below. All fact sheets will be updated as soon as changes are required and/or if updates are made.

Cancer Case Reporting (CCR) - for Eligible Professionals:

Contact TDH Office of Cancer Surveillance at (615) 741-5548 or (800) 547-3558 or send an email to

  1. Tennessee Cancer Registry Webpage
  2. Cancer Reporting Fact Sheet
  3. TCR Declaration Letter
  4. Cancer Case Reporting On-Boarding Document
  5. Cancer Case Reporting FAQs

Electronic Case Reporting (eCR) - for Elgible Hospitals: 

Eligible hospitals interested in eCR pilot opportunities should contact TDH Communicable Disease Surveillance Systems and Informatics Program at (615) 532-6655 or send an email to

  1. eCR Fact Sheet
  2. eCR On-Boarding Handbook
  3.  eCR Declaration Letter
  4.  eCR Declaration of Readiness


Electronic Lab Reporting (ELR) - For Eligible Hospitals:

Contact TDH Communicable Disease Surveillance Systems and Informatics Program at (615) 532-6655 or send an email to

  1. TDH CEDEP Laboratory Reporting Webpage
  2. ELR Submission Fact Sheet (PDF)
  3. ELR On-Boarding Handbook
  4. ELR FAQs

Immunization Registry Messaging (IMM) - For Eligible Professionals and Eligible Hospitals: 

Contact the Tennessee Immunization Information System (TennIIS) Help Desk (844) 206-9927 or send an email to

  1. Tennessee Immunization Information System (TennIIS)
  2. Electronic Data Exchange
  3. TennIIS FAQs

Syndromic Surveillance Messaging (SSM) – For Eligible Hospitals (w/Emergency Departments):

Contact TDH Communicable Disease Surveillance Systems and Informatics Program at (615) 741-7247 or send an email to

  1. SSM Submission Fact Sheet
  2. SSM On-Boarding Packet
  3. SSM On-Boarding Checklist
  4. SSM Declaration Letter
  5. Syndromic Surveillance declaration of readiness 

Other Public Health/Specialized Registries:

An eligible provider is in active engagement with a public health agency or clinical data registry to submit electronic public health data in a meaningful way using certified EHR technology, except where prohibited, and in accordance with applicable law and practice (CMS Incentive Program Objective).  TDH is not currently participating in other Public Health/Specialized Registries outside of those listed above.

TDH recommends the National Healthcare Safety Network (NHSN) as an option for eligible hospitals. The NHSN surveillance system is used by TDH’s Healthcare Associated Infections and Antimicrobial (HAI/AR) program to track HAI prevention progress over time. Similar to other NHSN modules, facilities may confer rights to the HAI/AR program for the AUR modules. Click here for more information.

Surveys from the National Center for Health Statistics are an option eligible clinicians, eligible professionals and eligible hospitals - Declaration of Readiness: 

  1. National Health Care Surveys
  2. National Hospital Care Survey (NHCS)
  3. National Ambulatory Medical Survey (NAMCS)

See also the National Institutes of Health (NIH) list of available registries

CMS has compiled a comprehensive list of frequently asked questions (FAQs) for EPs, EHs, and CAHs to determine if there is a specialized registry available to them.

Contact Us

If you have any questions or comments you would like to share, click on the link below to enter your information in the Office of Informatics and Analytics (OIA) Feedback form.

For questions regarding Promoting Interoperability programs and/or public health reporting, please contact the TDH Partner Engagement Team at