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.
UPDATE
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.
UPDATE
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.

eCR Now: COVID-19 Electronic Case Reporting

eCR Now: COVID-19 Electronic Case Reporting

Improve public health action with real-time data flow

Updated Feb. 5, 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.

eCR Now: COVID-19 Electronic Case Reporting for Public Health Agencies pdf icon[168 KB, 1 page]
Map: Healthcare Facilities In Production For COVID-19 Electronic Case Reporting

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’s Value

  • Enables bi-directional data exchange between healthcare providers and public health
  • Provides immediate feedback from public health to healthcare about reportable conditions and possible outbreaks
  • Reduces burden of manual reporting on healthcare facilities and providers and entry of information on public health agencies
  • Improves completeness of reporting, including demographics that allows for expedited case investigation and contact tracing
public health
Public Health Agencies
  • eCR provides more complete data from the electronic initial case report for a better public health response
  • Reduces response time with automated information during outbreaks and public health emergencies
  • Improves communication and collaboration with healthcare providers
  • Shares relevant information with healthcare providers
  • Monitors the spread of reportable conditions like COVID-19
hospital icon
Healthcare Providers
  • eCR reduces burden on healthcare professionals, staff, and facilities without disrupting the clinical workflow
  • Fulfills legal reporting requirements
  • Streamlines reporting challenges with jurisdictions
  • Connects in real-time with your public health agency
  • Offers credit for the CMS Promoting Interoperability Program for implementing eCR
  • Improves COVID-19 reporting immediately and allows expansion to all reportable conditions

eCR Is Easy to Implement

Public Health Agencies

check light icon Use the Readiness and Implementation Checklistexternal icon to ensure your agency is connected to AIMS, the APHL Informatics Messaging Platform

check light icon Enter your jurisdiction’s reporting criteria for reportable conditions into the Reportable Condition Knowledge Management System (RCKMS)

check light icon Engage with local healthcare organizations that are ready to implement eCR now

Healthcare Providers

check light icon Email ecr@cdc.gov for information to onboard for eCR Now

check light icon Contact your EHR vendor about implementing eCR now

check light icon Learn details about implementing eCR for COVID-19external icon

check light icon Obtain necessary approval from organizational leadership and implement eCR now