Transition Record With Specified Elements Received by Discharged Patients (Emergency Department Discharges to Ambulatory Care [Home/Self Care] or Home Health Care)
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
Percentage of discharges in which the patient or their caregiver(s) received a transition record at the time of emergency department (ED) discharge including, at a minimum, the listed elements
Numerator
Discharges in which the patient or their caregiver(s) received a transition record at the time of emergency department (ED) discharge including, at a minimum, all of the following elements: - Summary of major procedures and tests performed during ED visit, AND - Principal clinical diagnosis at discharge which may include the presenting chief complaint, AND - Patient instructions, AND - Plan for follow-up care (OR statement that none required), including primary physician, other health care professional, or site designated for follow-up care, AND - List of new medications and changes to continued medications that patient should take after ED discharge, with quantity prescribed and/or dispensed (OR intended duration) and instructions for each
Denominator
All discharges for patients, regardless of age, from an emergency department (ED) to ambulatory care (home/self care) or home health care
Exclusions
Patients who died; Patients who left against medical advice (AMA) or discontinued care
Use of Risk Adjustment
Risk Adjustments
None
Stratifications
None
Collection and Reporting Attributes
Type of Data Collection
Data Collection Methods
Electronic Health Data; Paper Patient Medical Records
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
Measure Retired and Endorsement Removed