Support Electronic Referral Loops by Receiving and Incorporating Health Information

Identifying Attributes

Care Settings
Care Transitions
Country
United States of America
Publishing Organisation
Centers for Medicare & Medicaid Services (CMS): Medicare Promoting Interoperability Program for Eligible Hospitals and Critical Access Hospitals
Type of Quality Indicator
Process
IOM Quality Dimension
Safety
Domain
Medication-Related

Defining Attributes

Definition

Percentage of electronic summary of care records in the denominator for which clinical information reconciliation is completed using CEHRT for the following three clinical information sets: (1) Medication - Review of the patient's medication, including the name, dosage, frequency, and route of each medication; (2) Medication Allergy - Review of the patient's known medication allergies; and (3) Current Problem List - Review of the patient's current and active diagnoses.

Numerator

The number of electronic summary of care records in the denominator for which clinical information reconciliation is completed using CEHRT for the following three clinical information sets: (1) Medication - Review of the patient's medication, including the name, dosage, frequency, and route of each medication; (2) Medication Allergy - Review of the patient's known medication allergies; and (3) Current Problem List - Review of the patient's current and active diagnoses.

Denominator

Number of electronic summary of care records received using certified electronic health record technology (CEHRT) for patient encounters during the EHR reporting period for which an eligible hospital or CAH was the receiving party of a transition of care or referral, and for patient encounters during the EHR reporting period in which the eligible hospital or CAH has never before encountered the patient.

Exclusions
Use of Risk Adjustment
No
Risk Adjustments

None

Stratifications

Data Attributes

Type of Data Collection
Electronic/paper chart records
Data Collection Methods

Electronic Health Record. Open to eligible hospitals and critical access hospitals (CAHs) that receive federal funds from Medicare. The EHR reporting period for new and returning participants attesting to CMS is a minimum of any continuous, self-selected, 90-day period. Eligible hospitals and CAHs must successfully attest to avoid a downward Medicare payment adjustment.

Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods

Medicare Promoting Interoperability Program for Eligible Hospitals and Critical Access Hospitals - an HER incentive program with a focus on interoperability and improving patient access to health information. Not publicly reported on CMS Care Compare.

Reporting Frequency
Reporting Frequency in Days
Indicator Has Recommended Targets
No

Source and Reference Attributes

Link to Measurement Tools
Quality Indicator Confirmed to be Part of a Program Used to Monitor Quality and Safety of Care Among Older People at a Population-Level between 2012-2022
Yes
Assessed by the Australian Consortium for Aged Care Collaborators as Generally Containing Good Properties (Importance and Scientific Acceptability)
No
Australian Consortium for Aged Care Endorsed
No
Identified by PHARMA-Care Project
No
Upload Date
12 March 2025