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Emergency Transfer Communication Measure

CBE ID
0291
Endorsement Status
1.1 New or Maintenance
Previous Endorsement Cycle
Is Under Review
No
1.3 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.

        • 1.14 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

        • 1.15 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.

        • Most Recent Endorsement Activity
          Measure Retired and Endorsement Removed Patient Experience and Function Fall Cycle 2019
          Initial Endorsement
          Last Updated
          Removal Date
        • Steward
          University of Minnesota
          Steward Organization POC Email
          Steward Organization Copyright

          X