Long-Term and Post-Acute Care Providers Engaged in Health Information Exchange: Final Report. 4.4. Summary of Long-Term and Post-Acute Care Data That Could be Prioritized for Electronic Health Information Exchange

10/29/2013

LTPAC organizations have a frequent and ongoing need to exchange information -- both as a receiver and a sender. As noted, electronic HIE is beginning to occur, but primarily by allowing access by LTPAC providers to hospital and HIEO information. Minimal information has been requested from LTPAC providers for inclusion by the HIEO, or sent electronically from the LTPAC EHR directly to another provider's EHR.

The following list summarizes the type of information frequently provided by LTPAC organizations and exchanged with other health care providers. This health information can provide the basis for expansion of HIEOs' LTPAC content and/or HIT standards development efforts to facilitate interoperable exchange.

  • Current demographic information.

  • Transfer summary and/or discharge POC.

  • Current problems/diagnoses.

  • Medication and treatment orders.

  • Recent medications administration records to show the what and when medications were given (at transition of care).

  • Current allergies.

  • Recent vital signs and trending reports.

  • Telehealth data and trending reports.

  • Recent immunization, lab, radiology, and other specialized test results.

  • Recent narrative progress notes at transfer to assist clinical staff in hand-off of care.

  • POC.

  • Assessments such as cognitive function, physical function, fall risk, MDS, OASIS, etc. (depending on the receiver).

  • Advanced directives and/or DNR order.

  • Referral -- such as to community service/aging services to and/type of service requested and past history data.

  • Immunization data.

  • ADT events for HIEOs.

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