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Transition Record with Specified Elements Received by Discharged Patients (Emergency Department Discharges to Ambulatory Care [Home/Self Care] or Home Health Care)

CBE ID
0649
1.4 Project
Care Coordination
Endorsement Status
Endorsement Removed
1.1 New or Maintenance
Maintenance
Previous Endorsement Cycle
Full Year 2016
Is Under Review
No
1.3 Measure Description

Percentage of discharges from an emergency department (ED) to ambulatory care or home health care, in which the patient, regardless of age, or their caregiver(s), received a transition record at the time of ED discharge including, at a minimum, all of the specified elements

    • 1.14 Numerator

      Discharges in which the patient or their caregiver(s) received a transition record at the time of emergency department (ED) discharge including, at a minimum, all of the following elements:
      - Summary of major procedures and tests performed during ED visit, AND
      - Principal clinical diagnosis at discharge which may include the presenting chief complaint, AND
      - Patient instructions, AND
      - Plan for follow-up care (OR statement that none required), including primary physician, other health care professional, or site designated for follow-up care, AND
      - List of new medications and changes to continued medications that patient should take after ED discharge, with quantity prescribed and/or dispensed (OR intended duration) and instructions for each

    • 1.15 Denominator

      All discharges for patients, regardless of age, from an emergency department (ED) to ambulatory care (home/self care) or home health care

    • Exclusions

      Exclusions:
      Patients who died
      Patients who left against medical advice (AMA) or discontinued care

      Exceptions:
      Patients who declined receipt of transition record
      Patients for whom providing the information contained in the transition record would be prohibited by state or federal law

    • Most Recent Endorsement Activity
      Measure Retired and Endorsement Removed Care Coordination Project 2016-2017
      Initial Endorsement
      Last Updated
      Removal Date
    • Steward
      Physician Consortium for Performance Improvement
      Steward Organization POC Email
      [email protected]
      Steward Organization Copyright

      © 2016 PCPI® Foundation and American Medical Association. All Rights Reserved.

      Limited proprietary coding is contained in the Measure specifications for convenience. Users of the proprietary code sets should obtain all necessary licenses from the owners of these code sets. The AMA, the PCPI and its members and former members of the AMA-PCPI disclaim all liability for use or accuracy of any Current Procedural Terminology (CPT®) or other coding contained in the
      specifications.

      CPT® contained in the Measures specifications is copyright 2004-2015 American Medical Association. LOINC® copyright 2004-2015 Regenstrief Institute, Inc. SNOMED CLINICAL TERMS (SNOMED CT®) copyright 2004-2015 The International Health Terminology Standards Development Organisation (IHTSDO). ICD-10 is copyright 2015 World Health Organization. All Rights Reserved.