This comes courtesy of my friend John O'Connor at Mcknights. Software vendor Caradigm has developed an application that converts Minimum Data Set information to Continuity of Care Documents. The conversion means MDS information can be used by providers outside the long-term care field.
Whether moving someone from hospital to assisted living, skilled nursing, even into the ambulance that transports the person to providers, it is important that each team hand off a set of information that can be used by the next provider in understanding the care plan.
Essentially, a CCD aids this. The CCD is an industry-accepted standard that provides a "human-readable" and an "EHR-readable" summary of patient data that can be shared electronically.
The best accountable care partners will be the ones who can communicate best with their hospital partners.
The information in the CCD includes: administrative, demographic, and basic clinical facts about a patient's health covering one or more healthcare encounters. It provides a method for one healthcare organization to aggregate all pertinent data about a patient and forward it to another practitioner, system, or setting to support continuity of care.
The MDS-to-CCD Transformer will let skilled nursing facilities participate in health information exchanges, even if they do not use an electronic health records system. Caradigm worked with the Keystone Beacon Community, led by Geisinger Health System. Keyston Beacon is a federally funded initiative focused on building and strengthening local health IT infrastructure. Its providers include doctors, hospitals and SNFs.
When the data is converted into CCD format, it's sent to a health information exchange, where licensed clinicians can access the data.Providers save on the cost of full EHR platforms, and patients avoid unnecessary tests through the additional data sharing and collaboration.
I don't think it should serve as an excuse not to develop your digital platform and EMR/EHR capabilities. But at least this is a start in helping to assure smooth transitions of care and the best care for residents/patients.
Learn more ~ or join the conversation!
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