ONC Tech forum - 360X will have a booth in the "virtual exhibition hall". We may be able to have a live booth presence, there were several volunteers to be present during the the event. We will discuss setup and other details on 7/17 call.
Discussion on the top next proposed project for 360X - transfers from LTAC facilities to Acute care facilities
- Main points for SNF to acute transfer:
- initial transfer is most commonly to the ED - referral for consultation
- ED transfers have very specific, targeted information requirements from the SNF
- In many cases patient is then transferred back to SNF - loop is closedÂ
- In other cases patient is moved form ED to Hospital admission
- Hospital admissions have different information requirements to be obtained from the SNF, mainly to inform inpatient nursing staff how the patient needs to be managed
- Discharge from hospital admission can be to same SNF or to a different one
- Steps to consider
- Referral to ED
- Is this a request that can be denied, or is it more like a notification to the ED (expect this patient)?
- Need to describe the data needed from SNF to ED
- Discharge from ED back to SNF
- Notification, with a summary of what happened in the ED - close the loop outcome
- Transfer to Hospital admission
- Notification from ED/Hospital to SNF
- Response from SNF to Hospital with additional information
- Can we keep the referral ID? Should we call it something else?
- Determination whether the patient will be discharged to the same SNF
- Can be due to timing - whether the patient bed can stay on hold for time necessary to be at the hospital - possibly a notification from SNF to hospital
- Patient may decide to look for a different facility - notification form hospital to SNF
- Patient Discharge - close the loop
- to same SNF - folow steps from 360XL for an already selected facility
- to a different SNF - use the full 360XL process - request, select, transferÂ
We will continue discussions during the 7/24 call.