Performance Measurement Network

Question: Multiple EMRs

Our hospital system utilizes two electronic record systems. In the system that contains the inpatient records, the discharge summary addresses the continuing care plan. A discharge note is then placed in the outpatient record (in another electronic system) within 72 hours of discharge. Would an annotation that this information was transferred to the outpatient records (sometimes within 24 hours of discharge) allow us to select allowable value 1? If not, could you provide more information on how we should handle electronic documentation.

Answer:

Yes, as long as the two EMRs are considered the official medical records that can be linked to the patient and outside reviewer can access all of this information, this documentation is acceptable.

Question Details
Focus area(s): Chart Abstracted Measure Specifications – Clinical, Other
Related documents: HBIPS,
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