Important update: Healthcare facilities
CDC has updated select ways to operate healthcare systems effectively in response to COVID-19 vaccination. Learn more
To maximize protection from the Delta variant and prevent possibly spreading it to others, get vaccinated as soon as you can and wear a mask indoors in public if you are in an area of substantial or high transmission.
Given new evidence on the B.1.617.2 (Delta) variant, CDC has updated the guidance for fully vaccinated people. CDC recommends universal indoor masking for all teachers, staff, students, and visitors to K-12 schools, regardless of vaccination status. Children should return to full-time in-person learning in the fall with layered prevention strategies in place.
The White House announced that vaccines will be required for international travelers coming into the United States, with an effective date of November 8, 2021. For purposes of entry into the United States, vaccines accepted will include FDA approved or authorized and WHO Emergency Use Listing vaccines. More information is available here.
Travel requirements to enter the United States are changing, starting November 8, 2021. More information is available here.

eCR Now: COVID-19 Electronic Case Reporting for Healthcare Providers

eCR Now: COVID-19 Electronic Case Reporting for Healthcare Providers

Improve outbreak response with real time data flow

Updated Feb. 19, 2021

Electronic Case Reporting (eCR) is the automated generation and transmission of case reports from the electronic health record (EHR) to public health agencies for review and action. eCR makes disease reporting from healthcare to public health faster and easier. It moves data securely and seamlessly—from the EHR at the point of care, to data systems at state, territorial, and local agencies. eCR also allows public health to provide information back to healthcare professionals. This timely data sharing provides a real time picture of COVID-19 to support outbreak management.

eCR Now: COVID-19 Electronic Case Reporting for Healthcare Providers pdf icon[404 KB, 1 page]

Map: Healthcare Facilities In Production For COVID-19 Electronic Case Reporting​

Join a nationwide network with eCR Now

“Our implementation of eCR improved the quality and timeliness of public health reporting for COVID-19 across the 19 states we serve. This national gateway was a cost-effective solution that helped close critical data gaps in widescale reporting that saved front line providers valuable time and money.”
– Paul Matthews,
Chief Technology Officer, OCHIN, Portland, Oregon

eCR Now is a strategic initiative that allows for rapid adoption and implementation of eCR for COVID-19. It improves COVID-19 reporting immediately, allows expansion to all reportable conditions, and features three components that make it easy to implement:

  1. Rapid eCR implementation through small cohort groups for provider sites that use an electronic health record (EHR) with eCR capabilities
  2. eCR Now Fast Healthcare Interoperability Resources (FHIR) app that non-eCR enabled EHRs can rapidly implement to automate eCR for COVID-19
  3. Extension of the existing eHealth Exchange policy framework through an approved Carequality eCR implementation guide

eCR reduces burden

  • Decreases reporting work without disrupting the clinical workflow, allowing more focus on patient care
  • Will fulfill your clinicians’ reporting requirements
  • Automatically sends required information to all appropriate public health agencies
  • Eliminates the need for manual data entry, faxing, or responding to calls from public health agencies
  • Offers credit through the Promoting Interoperability Program for implementing eCR
  • Is compliant with HIPAA and state reporting laws
  • Improves COVID-19 reporting immediately and allows expansion to all reportable conditions

eCR Now implementation is easy

  • Onboard in as few as three days with most EHR systems
  • Use the Fast Healthcare Interoperability Resources (FHIR) app if your EHR is not eCR-enabled
  • Participate through eHealth Exchange or Carequality without additional legal requirements
  • Enhance learning and shared experiences with a growing network of implementers nationwide

How to get started


Email to express interest in onboarding for eCR Now


Learn details about implementing eCR for COVID-19external icon

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Contact your EHR vendor about implementing eCR now

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Consult with leaders in your organization for project approval