Transition of Care Summary

The eligible hospital or CAH that transitions their patient to another setting of care or provider of care or refers their patient to another provider of care should provide summary care record for each transition of care or referral.

The eligible hospital or CAH that transitions or refers their patient to another setting of care or provider of care provides a summary of care record for more than 50 percent of transitions of care and referrals.

 

Measure Numerator

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

 

Measure Denominator

Number of transitions of care and referrals during the EHR reporting period for which the eligible hospital’s or CAH’s inpatient or emergency department (POS 21 to 23) was the transferring or referring provider.