Performance Measurement Network

Question: Proof that next level of care provider contact information was transmitted with the Transition of Care Record

Many of our MDs have access to our EMR from their offices. We have a section that is considered in your terms the "care transition record". If the MD has access to the entire EMR but the reason for admission is not stated in the "care transition record", would I answer "no" to ACHF-03? The MD technically has access to the reason for admission and all procedures performed but it is not populated in the "care transition record". Therefore, I am unsure of how you would like us to answer this data element. Thanks.

Answer:

If the next level of care provider has access to the complete EMR, select value '1' even if a synopsis of the reason for hospitalization is not in the care transition of the medical record. Each care transition record data element definition has the EMR note for abstraction below. If the next level of care provider has access to the complete EMR, they should be able to identify the reason for hospitalization somewhere in the record.

• If the hospital has an electronic medical record (EMR) and the next level of care provider has access to the complete hospital EMR, select allowable value 1. The EMR should contain documentation that the next level of care provider has access to the EMR. • The reason for hospitalization should be a short synopsis describing the events the patient experienced prior to this hospitalization. The reason for hospitalization may be listed as the triggering or precipitating event.

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

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