Discharge Diagnoses 90% 92% Hospital Course 79% 81% Encounters 47% 42% Results 89% 90% Problems 79% 83% Discharge Diet 37% 41% Procedures 86% 89% Discharge Instruction 64% 68% Medical Equipment 36% 41% Chief Complaint / 85% 85% Functional Status 59% 58% Social History 36% 34% RfV Plan of Treatment 85% 89% Mental Status 58% 60% Family History 29% 27% Hospital 84% 86% Advance Directives 56% 60% Information 29% 24% Consultation History of Present 82% 84% Vital Signs 52% 53% Review of Systems 28% 24% Illness Admission Diagnosis 80% 82% History of Past Illness 49% 49% Notes: 1) Percentage include responses of Necessary and Valuable 2) All is an average of 583 respondents, Exp is based on the 263 with ToC experience 3) Stop light coding is based on responses green: highly relevant, yellow: relevant, red: – less relevant Table 16 rearranges the data from previous tables, to show the sections in order from high to low perceived value. There were no major differences in results between respondents who had actually received ToC documents electronically, and those respondents who had not. Note that some data sections may be valuable to the provider, even necessary, but may not have been deemed important to obtain from ToC documents because it is gathered another way. For example, Payer information is almost always gathered directly from the patient and reverified frequently in person, rather than relying on prior providers for it. It is unlikely that most of the value” sections (red) are included in typical ToC documents, since “low none of them are required by MU or certification, except for smoking status in the Social History Section. Family History is often collected, and may be present if available. RECOMMENDATIONS nclude a summary of the patient story, using Hospital Course plus one or more of the following sections for which information is available: Chief Complaint, Chief Complaint and Reason for Visit, History of Present Illness, Hospital Consultations, and Plan of Treatment. onsider generating the C-CDA Discharge Summary for hospital discharges. Avoid including detail from prior hospitalizations, and include only the relevant data from the current hospitalization. Amount of Data from Hospitalizations Table 17: Preferred Amount of Data from Current Hospitalization Please indicate the scope of information you wish to receive for each category.
Discharge Diagnoses 90% 92% Hospital Course 79% 81% Encounters 47% 42% Results 89% 90% Problems 79% 83% Discharge Diet 37% 41% Procedures 86% 89% Discharge Instruction 64% 68% Medical Equipment 36% 41% Chief Complaint / RfV 85% 85% Functional Status 59% 58% Social History 36% 34% Plan of Treatment 85% 89% Mental Status 58% 60% Family History 29% 27% Hospital Consultation 84% 86% Advance Directives 56% 60% Information 29% 24% History of Present Illness 82% 84% Vital Signs 52% 53% Review of Systems 28% 24% Admission Diagnosis 80% 82% History of Past Illness 49% 49% Notes: 1) Percentage include responses of Necessary and Valuable 2) All is an average of 583 respondents, Exp is based on the 263 with ToC experience 3) Stop light coding is based on responses – green: highly relevant, yellow: relevant, red: less relevant Table 16 rearranges the data from previous tables, to show the sections in order from high to low perceived value. There were no major differences in results between respondents who had actually received ToC documents electronically, and those respondents who had not. Note that some data sections may be valuable to the provider, even necessary, but may not have been deemed important to obtain from ToC documents because it is gathered another way. For example, Payer information is almost always gathered directly from the patient and reverified frequently in person, rather than relying on prior providers for it. It is unlikely that most of the “low value” sections (red) are included in typical ToC documents, since none of them are required by MU or certification, except for smoking status in the Social History Section. Family History is often collected, and may be present if available. RECOMMENDATIONS nclude a summary of the patient story, using Hospital Course plus one or more of the following sections for which information is available: Chief Complaint, Chief Complaint and Reason for Visit, History of Present Illness, Hospital Consultations, and Plan of Treatment. onsider generating the C-CDA Discharge Summary for hospital discharges. Avoid including detail from prior hospitalizations, and include only the relevant data from the current hospitalization. Amount of Data from Hospitalizations Table 17: Preferred Amount of Data from Current Hospitalization Please indicate the scope of information you wish to receive for each category.
20170227170451%21CDAR2_IG_PATSUMRNP_R1_I1_2017JAN_Reconciliation.docx