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veillance data to public health agen- cies and follow-up submission if the test is successful (unless none of the agencies to which a physician submits such information can receive the in- formation electronically). This does not apply to a physician who does not collect any reportable syndromic information on patients during the EHR reporting period or who does not submit such information to a pub- lic health agency that can receive the information electronically.


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Texas physicians who provide immu- nizations should perform at least one test by submitting patient immunization data to ImmTrac, the state’s immuniza- tion registry, www.dshs.state.tx.us/im munize/immtrac/imm_providers.shtm. Physicians who do not provide im- munizations should choose the public health measure on syndromic surveil- lance data submission. In Texas, only the Tarrant County Public Health Depart- ment can electronically receive syndrom- ic surveillance data. Physicians who do not submit to Tarrant County or who do not collect syndromic surveillance data can claim an exemption. Physicians participating in meaning-


ful use must attest to all 15 of the core measures and must choose five measures from the menu set of 10, www.cms.gov/ Regulations-and-Guidance/Legislation/ EHRIncentivePrograms/downloads/EP- MU-TOC.pdf. If a physician is eligible to claim an


exclusion from both public health mea- sures, he or she should select one of the two measures during attestation and claim the respective exemption. He or she should then choose four other mea- sures from the menu set for attestation. Physicians who need help with at-


testation or any other EHR incentive program requirements should seek help from one of the four Texas regional ex- tension centers (RECs). Visit the Texas Medical Association’s REC Resource Center, www.texmed.org/rec, to find out which REC serves your county. For questions about this and any oth-


er health information technology issues, contact TMA’s HIT Department at (800) 880-5720 or email HIT@texmed.org.


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