electronic copy of discharge instructions configuring rpms-ehr for meaningful use resource patient...
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Electronic Copy of Discharge Instructions
Configuring RPMS-EHR for Meaningful Use
Resource Patient Management System
Presenters:
Kelly Stewart, MS, RHIAIHS HIM Consultant (A)
Elvira Mosely, MSHS, BSN, RNPhoenix Area Clinical Applications Coordinator
Electronic Copy of Discharge Instructions
Training Objectives• Understand the MU objective and the
measure• Examine the use of the TIU Note Titles:
Discharge Instr, E-Copy Discharge Instr Not Received, E-Copy Discharge Instr Received
• Generate TIU/SSD list of titles to verify that E copy was received or not received
• Appropriately document within the ROI application as necessary
Electronic Copy of Discharge Instructions
MU Objective and Measure
Provide patients with an electronic copy of their discharge instructions at the time of discharge, upon request.More than 50% of all patients who are discharged from the hospital’s inpatient or emergency department and who request an electronic copy of their discharge instructions are provided it.
Electronic Copy of Discharge Instructions
MU Measure
Type of Measure: Rate
The number of patients in the denominator who are provided an electronic copy of discharge
instructions. >50%Number of patients discharged from an eligible hospital's or CAH's inpatient or emergency
departments (POS 21 or 23) who request an electronic copy of their discharge instructions and
procedures during the EHR reporting period.
Electronic Copy of Discharge Instructions
RPMS Reporting Logic
Denominator Inclusions:COUNT: each patient
HAVING: requested an electronic copy of discharge instructions during the EHR reporting period
HAVING: a hospitalization during the EHR reporting period (defined as Service Category of H)
WHERE: the Discharge Type was Regular Discharge, Transferred, or Irregular Discharge
OR HAVING: an emergency department visit during the EHR reporting period (defined as clinic code of Emergency Department-30 and Service Category of A)
Electronic Copy of Discharge Instructions
RPMS Reporting Logic
Numerator Inclusions:COUNT: each patient in the Denominator
WHERE: the patient was given an electronic copy of discharge instructions at the time of discharge
Electronic Copy of Discharge Instructions
RPMS Reporting Logic
Measure Exclusion:• An eligible hospital or CAH that receives no
requests for electronic discharge instructions during the reporting periods is excluded from this requirement.
Electronic Copy of Discharge Instructions
What HIM Needs to Know• Understand the MU objective and the measure• If patient is requesting an E-Copy of Discharge Instructions • If provider or nurse provides patient with E-Copy • Examine the use of the TIU Note Titles - Discharge
Instructions; “E-Copy Discharge Instr Not Received” and “E-Copy Discharge Instr Received”
• Discharge Instructions templates available on the EHR/FTP site
• Generate TIU/SSD list of titles to verify that E copy was received or not received
• Document disclosure in the ROI application as necessary
Electronic Copy of Discharge Instructions
How-to Session
• Run SSD Report
Electronic Copy of Discharge Instructions
Policy and Procedure
Review, things to consider• If patient requests a copy of D/C inst electronically,
address who, what and how is this going to happen• Address whether or not we need a ROI for this
document• Who and how frequent the site will be running the
SSD report to identify if these special note titles has been used for notes other than e-copy D/C instructions notes
Electronic Copy of Discharge Instructions
How-to SessionQuestions & Discussion
Electronic Copy of Discharge Instructions