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This use case covers the transfer of Skilled Nursing Facility patients to an Emergency Department and the subsequent possible transitions to an acute care facility and eventually back to the SNF.
Background
Transfers from Skilled Nursing Facilities (SNF) to an Emergency Department (ED) are the result of a clinical emergency. The goal of this implementation guide is to enable the information sharing from the SNF to the ED, and the information sharing as the result of the two general outcomes of the ED visit: return to the SNF, or admission to the hospital.
TODO: Why 360X, what does it mean
General Flow Diagram
TODO: diagram of the flow
The SNF to ED Transfer
Transfer notification
Clinical information
The ED to SNF Discharge
Closing the loop
ED Discharge Summary
TODO: Is this a regular discharge summary, or more specific information is needed
The Hospital Admission
Admission notification
TODO: Use the admission notification from the Direct Standards Notification IG
Supplemental Clinical Information from SNF
TODO: Review the contents of this Nursing Unit-centered information.