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  2. CQM-5928

decision to admit vs admit order

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    • Resolution: Answered
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    • Tammy Hert
    • 8143335748
    • Meadville Medical Center
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      ​​Acceptable documentation for the Decision to Admit inpatient includes:
      Documentation of the decision to admit the patient from the ED that is closest to the inpatient admission and since admission processes vary at different hospitals this can use either of the following:

      1. An Order- A) admission order (this may be an operational order rather than the hospital admission to inpatient status order), B) disposition order (must explicitly state to admit), C) documented bed request, or D) documented acceptance from admitting physician. This is not the "bed assignment time" or "report called time". Or

      2. An Assessment- an ED evaluation that results in a decision to "Admit Inpatient"
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      ​​Acceptable documentation for the Decision to Admit inpatient includes: Documentation of the decision to admit the patient from the ED that is closest to the inpatient admission and since admission processes vary at different hospitals this can use either of the following: 1. An Order- A) admission order (this may be an operational order rather than the hospital admission to inpatient status order), B) disposition order (must explicitly state to admit), C) documented bed request, or D) documented acceptance from admitting physician. This is not the "bed assignment time" or "report called time". Or 2. An Assessment- an ED evaluation that results in a decision to "Admit Inpatient"
    • CMS0111v11

      If our ER physician does not document a decision to admit time or the time is after the patient left the ED, do we have to use the Admit order if there is one and it is signed before the patient left the ED.

            JLeflore Mathematica EH eCQM Team
            thert Tammy Hert
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