Menu 7 : Transition of Care Summary

Measure Overview : Provide a summary of care record to patients that you refer to other providers.

Denominator : Number of transitions of care and referrals during the EHR reporting period for which the EP was the transferring or referring provider.

Numerator : Number of transitions of care and referrals in the denominator where a summary of care record was provided.

Stage 1 Goal : 50%

Exclusion : Provider who don't transfer a patient to another setting or refer a patient to another provider during the EHR reporting period.

ChARM EHR Workflow : For patients that you refer to other providers record the details below during encounter.

1. Go to Encounter > 'Meaningful Use Measures' section
2. Choose 'Transition of care Outgoing'
3. Provide summary of care record (by using either one of the options below)

Options to provide Summary of Care:

1. If patient has a PHR account, summary of care record is automatically shared to PHR once the encounter is signed.
2. Use the 'Patient Summary' option to print the visit summary.
3. Use 'Export as PDF' option under Patient Details > Past Encounters section
4. Use 'Export as HL7 CCDA' option under Patient Details > Past Encounters section

For more information, refer to the CMS guideline for this measure