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Minimum Information for Ambulatory Health Care
The introduction of new Joint Commission requirements for the transfer of health information will take a stepped approach, moving the field toward the long term goal of efficient communication of health information, while seeking to avoid any unintended negative consequences. Defining the minimum amount of information required in the course of transferring a patient from an ambulatory heath care facility to another care provider or practitioner is essential. The data set should consist of a generic set of items, as well as items specific to the long-term care setting.
Further down on this page, you will see a link to resources related to this topic as well as performance requirements that may be applicable to the ambulatory health care setting. Feel free to upload additional materials that would further help The Joint Commission to establish a core set of requirements in this area. This may include media articles, forms used within your organization, or anything else pertaining to the transfer of health information. Also, feel free to edit the existing performance requirements that are listed below, or add new ones you feel should be considered by The Joint Commission. Remember, performance requirements are objective and measurable descriptions of an action, outcome, or observable behavior.
In November 2006, The Joint Commission Board of Commissioners approved the “Principles Governing Content Development for Upgrading HIT-Related Joint Commission Standards” (“HIT Principles”) as recommended by The Joint Commission’s Health Information Technology Strategic Issues Work Group. These 11 principles were created to guide standards content development as health care organizations transition to an electronic health information environment. All future standards will be assessed for congruency with the HIT Principles.
MI1 (1 comments ) The organization transfers, at a minimum, the following information for the current episode of care:
Primary diagnosis
Secondary diagnoses/comorbidities
Current medications
Allergies
Short summary of the course of care provided
Surgical procedures, if applicable (including surgeon name, date, procedure)
Dietary specifications
Any active or suspected infections
Follow-up recommendations
Provider contact information
MI2 (0 comments ) In addition, if transferring a patient to a another care provider (skilled nursing facility, long term acute care hospital, inpatient rehabilitation hospital, home health care), the care provider, at a minimum, transfers the following information:
Date of onset of primary diagnosis
Weight-bearing status
Assistance required for transfers and locomotion
Other precautions (swallowing, movement, exercise, contact precautions)