Transitions of care – create and transmit transition of care\referral summaries (MU2)

MU Requirements

Per ONC

Taken from ONC Final Rule:File:2014 Edition Cert Federal Register.pdf

(2) Transitions of care – create and transmit transition of care/referral summaries. (i) Create.
Enable a user to electronically create a transition of care/referral summary formatted according to
the standard adopted at § 170.205(a)(3) that includes, at a minimum, the Common MU Data Set
and the following data expressed, where applicable, according to the specified standard(s):
(A) Encounter diagnoses. The standard specified in § 170.207(i) or, at a minimum, the
version of the standard specified § 170.207(a)(3);
(B) Immunizations. The standard specified in § 170.207(e)(2);
(C) Cognitive status;
(D) Functional status; and
(E) Ambulatory setting only. The reason for referral; and referring or transitioning
provider’s name and office contact information.
(F) Inpatient setting only. Discharge instructions.
(ii) Transmit. Enable a user to electronically transmit the transition of care/referral summary
created in paragraph (b)(2)(i) of this section in accordance with:
(A) The standard specified in § 170.202(a).
(B) Optional. The standards specified in § 170.202(a) and (b).
(C) Optional. The standards specified in § 170.202(b) and (c).

Per ONC/NIST Final Test Methods

See here: http://www.healthit.gov/policy-researchers-implementers/2014-edition-final-test-method

Proposal

• (EMR Direct feature is complete and committed to 4.1.2 codebase)
• The mechanism to transmit is in place, however still need to create the summary (per standard)

• Note that the smoking status needs to include the SNOMED codes that are mapped to them (these are mapped in the Administration->Lists->Smoking Status)

• I think also need to support CCD(a) to accomplish this item.
• This item will be supported by the ZH Healthcare Care Coordination Module: http://sourceforge.net/p/zhopenemr/wiki/Care%20Coordination%20Module/

Owner

ZH Healthcare

Forum Threads

• Direct connection hook by EMR Direct
• Discussion on applicability of email/fax features

Links

• OpenEMR Certification Stage II Meaningful Use Main Project Page
• Summary Care Record for Transition of Care/Referral wiki page for stage I certification