Opportunities for Engaging Long-Term and Post-Acute Care Providers in Health Information Exchange Activities: Exchanging Interoperable Patient Assessment Information. Creating The Patient Assessment Summary Document

12/01/2011

The MDS3.0 and OASIS-C assessment instruments offer a rich repository of patient information designed to present the nursing home and home health professional with a holistic picture of patient strengths and needs, gathering information germane to both quality of care and quality of life. While this wealth of information is invaluable to the LTPAC provider, it can be cumbersome to the acute care clinician. This wealth of information far exceeds the needs -- and capacity for rapid consumption -- of the hospital/ER/physician office clinician. With the increased focus on the exchange of information crucial to transitions of care, the value of creating an electronic summary of MDS and OASIS assessment data for use in health information exchange activities is evident. To this end, this project has worked with expert panels to identify the subset MDS3.0 and OASIS-C data elements that could be clinically usefully to include in a Patient Assessment Summary Document at times of transitions in care (e.g., when a home health patient is being treated in an emergency room or admitted to acute care hospital).

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