2014 - PCMH5C

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The practice:

5.C.1 Proactively identifies patients with unplanned hospital admissions and emergency department visits.

Description	Example/Screenshot/Documentation	Source	Date Added

5.C.2 Shares clinical information with admitting hospitals and emergency departments.

Description	Example/Screenshot/Documentation	Source	Date Added

5.C.3 Consistently obtains patient discharge summaries from the hospital and other facilities.

Description	Example/Screenshot/Documentation	Source	Date Added

5.C.4 Proactively contacts patients/families for appropriate follow-up care within an appropriate period following a hospital admission or emergency department visit.

Description	Example/Screenshot/Documentation	Source	Date Added

5.C.5 Exchanges patient information with the hospital during a patient’s hospitalization.

Description	Example/Screenshot/Documentation	Source	Date Added

5.C.6 Obtains proper consent for release of information and has a process for secure exchange of information and for coordination of care with community partners.

Description	Example/Screenshot/Documentation	Source	Date Added

5.C.7 Exchanges key clinical information with facilities and provides an electronic summary-of-care record to another care facility for more than 50 percent of patient transitions of care.

Description	Example/Screenshot/Documentation	Source	Date Added
PCC EHR ability for electronic exchange of key clinical information with facilities	PCC EHR electronic exchange of key clinical info	PCC	07/07/14
External Organization Policies and Procedures Example	Examples	TPC	03/25/13