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Disclaimer

In the Downloads section, the ‘Prior Submission’ file reflects the most recent measure submission to the former CBE. This file is provided for transparency. For any questions or clarification, please contact the designated measure steward.

Emergency Transfer Communication Measure

CBE ID
0291
Endorsement Status
1.0 New or Maintenance
1.1 Measure Structure
Previous Endorsement Cycle
Is Under Review
No
1.6 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 Specs
      General Information
      1.7 Measure Type
      1.3 Electronic Clinical Quality Measure (eCQM)
      No
      1.8 Level of Analysis
      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 Organization
      University of Minnesota
      Steward POC email
      Steward Organization Copyright

      X

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