Advantage MD, Provider Specialty: PCP, OCP. Members age 18 years and older.

Measure Description

The percentage of acute and non-acute discharges, on or between January 1st and Dec. 1st of the MY, for members 18 years of age and older. Receipt of Discharge Information is one of the four rates reported for the TRC Measure. Requires documentation of receipt of discharge information on the day of discharge through 2 days after the discharge (3 days total).

Best Practice and Measure Tips

Documentation sent to the member's PCP or OCP must include dated evidence of receipt of discharge information on the day of discharge through 2 days after discharge. Discharge information must include all of the following:

• The name of the care provider responsible for the member’s care during the inpatient stay
• Services or treatments provided during the inpatient stay
• Diagnoses at discharge
• Test results or documentation that either test results are pending or no test results are pending
• Current Medication List   
• Directions on future patient care to the PCP or ongoing care provider
• Current Medication List
• Directions on future patient care to the PCP or ongoing care provider
• Current medication list
• Discharge information may be included in, but not limited to, a discharge summary, summary of care record, or located in structured fields in an EHR.
• Acceptable documentation:
• Instructions for patient care post discharge given to the PCP, OCP, member, or family/caregiver.
• Discharge instructions that direct the member to follow-up with the PCP.
• Even when the PCP or OCP is the discharging provider, required discharge information must be documented in the appropriate medical record on the day of discharge through 2 days after discharge. Received date is not required in a shared EMR system.
• We can utilize file date, date "in basket" or date information was accessible to PCP or OCP.
• Not Acceptable: Documentation that the member or the member's family notified the PCP or OCP of discharge.

Measure Exclusions

Required Exclusion: Hospice

Measure Codes

Administrative reporting is not available for this indicator.