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Emergency Transfer Communication Measure

CBE ID
0291
Project
Patient Experience and Function
Endorsed
New or Maintenance
Maintenance
Endorsement and Maintenance (E&M) Cycle
Fall 2019
Is Under Review
No
Measure Description

Percentage of all patients transferred from an Emergency Department to another healthcare facility whose medical record documentation indicated that all required information was communicated (sent) to the receiving facility within 60 minutes of transfer For all data elements, the definition of ‘sent’ includes the following:
• Hard copy sent directly with the patient, or 
• Sent via fax or phone within 60 minutes of patient departure, or
• Immediately available via shared Electronic health record (EHR) or Health Information Exchange (HIE) (see definition below)

For purposes of this measure, a shared electronic health record (EHR) is defined as one where data entered into the system is immediately available at the receiving site. Facilities using the same EHR vendor or a Health Information Exchange (HIE) cannot assume immediate access by the receiving facility to the transferred patient’s record.

  • Measure Type
    Process
    Electronic Clinical Quality Measure (eCQM)
    No
    Level Of Analysis
    Facility
    Care Setting
    Emergency Department and Services
    Inpatient/Hospital
    Outpatient Services
    Numerator

    Numerator Statement: Number of patients transferred from an ED to another healthcare facility whose medical record documentation indicated that all of the following relevant elements were documented and communicated to the receiving hospital in a timely manner:
    • Home Medications
    • Allergies and Reactions
    • Medications Administered in ED
    • ED Provider Note
    • Mental Status and Orientation Assessment
    • Reason for Transfer and Plan of Care
    • Tests and/or Procedures Performed
    • Tests and/or Procedures Results

    Denominator

    Denominator Statement: Transfers from an ED to another healthcare facility
    Included Population: All transfers from an ED to another healthcare facility 
    Excluded Populations: Patients observation status.

    Exclusions

    All emergency department patients not discharged to another healthcare facility.
    Those admitted, sent home, left AMA, those on observations status, etc.

    Testing Data Sources
    Claims Data
    Electronic Health Data
    Electronic Health Records: Electronic Health Records
    Management Data
    Paper Patient Medical Records
  • Most Recent Endorsement Activity
    Measure Retired and Endorsement Removed Patient Experience and Function Fall Cycle 2019
    Initial Endorsement
    Endorsement Status
    Endorsement Removed
    Last Updated
    Removal Date