PATIENT MOVEMENT WORKGROUP
October 22, 2015
1. Update on revised standardized bed category document for sending facilities & receiving facilities + piloting tools
2. Finalizing recommendations document for inclusion of data elements in hospital inter-facility transfer forms & patient face sheets + feedback on member letter
3. Streamlining emergency credentialing – feedback on guidance document outline
Today’s Agenda2
□ Since last meeting□ Met with FDNY-EMS and REMSCO on transport-related questions
raised at last meeting
□ Next steps□ Make additional revisions to sending facility form□ Re-work receiving facility form□ Pilot with Mt. Sinai, Lenox Hill; others interested?
Standardizing Bed Definitions3
Sending Facility
Receivin
g Facility
Sharing Critical Medical Information4
Sending Facil
ity
Receivin
g Facil
ity
LEVEL 1: Best source of minimum clinical information (likely in paper format) to
facilitate patient transfer and stabilization (i.e. downtime report, transfer form)
LEVEL 2: Ensure access to full (electronic) medical record to support ongoing care of
patient once transferred
□ Since last meeting□ Made minor adjustments to recommendations document based on
feedback received□ Drafted complementary cover letter to be sent to CEOs□ Have continued preliminary discussions with ONC about pilot project to
support development of an EHR template containing our recommended standard data elements
□ Next steps□ Disseminate cover letter, recommendations document and process
workflow document to NYC region members
Facilitating Sharing of (Limited) Critical Medical Information During Transfer Process
5
□Since last meeting□ Revised guidance document outline based on group discussion□ Setting up follow up conversation with medical staff specialist
leadership at NYU, North Shore and Mt. Sinai
□Next Steps□ Further refine outline based on feedback from subject matter
experts□ Share outline with SDOH and HANYS□ Begin drafting document
Streamlining Emergency Credentialing for Providers Moving from One Hospital to Another During a Prolonged Emergency Incident
6
Sending Facility
Receivin
g Facility
Sharing Critical Medical Information7
Sending Facil
ity
Receivin
g Facil
ity
LEVEL 1: Best source of minimum clinical information (likely in paper format) to
facilitate patient transfer and stabilization (i.e. downtime report, transfer form)
LEVEL 2: Ensure access to full (electronic) medical record to support ongoing care of
patient once transferred
□ Currently no clear work products related to facilitating access to full medical record during emergency incidents
□ Potential pilot project with ONC would help with this□ Tremendous amount of work happening in this area related to DSRIP
□ How to close out this topic area for the Patient Movement Workgroup?□ Identify highest priority gaps that hamper emergency incident medical record access & best
venues to address/work on these gaps (i.e. separate workgroup, regional priority setting body, existing Health IT work groups)
Ensuring Access to the Full Medical Record8
□ Cyberattack (with an emphasis on cyber impacts that affect patient care) is the theme for the 2015-2016 Emergency Preparedness Symposia series
□ 10/19 meeting featured a cybersecurity panel and break out sessions□ Goal is to help NYC hospitals develop cyberattack emergency operations plans over the course
of the next year□ Key strategy is to bring emergency managers and Health IT professionals together for joint
planning
□ GNYHA offering programming related to cybersecurity□ Will work to ensure that emergency manager community is included in outreach for this
programming
Efforts Related to Health IT9
□Thursday, November 19th – 9:30-11am
□Wednesday, December 16th – 9:30-11am
Upcoming Meetings10