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