Performance Measurement Network

Question: Referral to Next Level of Care

In planning a patient's discharge from the Psychiatric Unit, the doctor documents intent to refer to next level of care. Patient indicates he is moving out-of-state, and he is not sure what area of new city. Thus, facility was unable to identify the provider and fax next level of care information. Please confirm that it's correct to abstract allowable value #4 for data element Patient Referral to Next Level of Care and allowable value #2 for data element Continuing Care Plan-Next Level of Care Recommendations.

Answer:

For the data element, Continuing Care Plan-Next Level of Care Recommendations, the continuing care plan was created but not transmitted, so allowable value 2 is correct. For the data element, Patient referral to Next Level of Care Provider, because the patient was moving and the referral could not be made, allowable value 4 is correct (other reason for not making a referral).

Question Details
Focus area(s): Chart Abstracted Measure Specifications – Clinical
Related documents: HBIPS, Patient Referral to Next Level of Care Provider ,
File:

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