Negligible syndromic surveillance processing time degradation was realized with the added Rhapsody processing. This processing allowed NH DPHS to implement its last acute care hospital into the existing syndromic surveillance application (using Rhapsody mapping), filter existing hospital syndromic surveillance transmissions on specific patient types (preventing unwanted types), receive MU ELR and immunization data prior to expected timelines, increase hospital MU certification reimbursement without additional MU expenditure and decrease the hospital laboratory staff reporting burden, which previously was manual.