1-3-17Discharge Navigator Workflow Acute Transfer / Discharge to another Acute facility (Provider) Thefollowingstepscoverthepatientdischargetoanotheracutefacilityworkflowforproviders.

1. ClickDischargenavigator.

2. ClickCosignOrdersandthensignanyremainingorders,asappropriate.

3. ClickProviders/Locationsandthen,ifknownaddthePCP/followuporclickAddMEifyouarethefollowupprovider.

4. ClickDischargeSummaryandthenenteryourD/Cnote.

5. ClickDischargeInstructionsandthenenteryourdischargeinstructionsSmartPhrase,oranEpicDischargeSmartText(e.gDCADULT).

6. ClickChargeCaptureandthendocumentanycharges,ifappropriate.

OrderReconciliation

1. ReviewOrdersforDischarge–CompleteOrderreconciliationofallcurrentorders(addpharmacyife-prescribingmedicationsandthereisnotapharmacyonfile)

2. NewOrdersforDischarge–a. CompletetheDischargeorder;enteringAcuteCareHospitalforthedisposition

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QUICKTIP:ContinuingMedsafterDischargethatdoNOTneedanewpharmacyprescription

1. ClickPrescribe2. ChangeClassto:

a. NoPrintORb. SNF/REHAB

ChoosingNoPrintwilldisplaythemedicationonthePatient’sAVS

ChoosingSNF/REHABwilldisplaythemedicationonthePatient’sAVSandshouldbeusediftheSNF/REHABfacilitywillorderthemedication

1-3-173. Summary&Sign–Signallorderstocompletetheproviderdischargeportionoftheworkflow.

Nursingwillcompletetheremainingstepstofinishtheentirepatientdischargeworkflow.

EMTALA

CompletetheEMATLAformandtheninformthenursethatyouhavecompletedyourportionofthedischarge.

Pleasenote:Completeasmanyfieldsaspossibledowntoacceptingphysician.

PrintinganEMTALAform

ThenursingteamwillprinttheEMTALAandotherappropriateAfterVisitSummary(AVS)documentationatthetimeofdischarge.

SigningtheTransferForm

AfterthenurseprintsouttheAVSandrelateddischargedocuments,signthetransferformtocompleteyourwork.