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Does Therapy count as a Transition of Care? If so are your ortho doctor's having has much difficulty as our are meeting this "electronic" delivery method? Also, how are you seeing your numbers counted for this measure? We were told that in order for GE to count it as a transition of care the check had to be in the "create a transition of care document" my research shows me that this isn't what I am seeing. Does anyone know for sure? We do use ACM but there are so few with a Direct Address we are suffering.
Posted : November 2, 2015 11:48 am
Topic starter
Really????? no one has an opinion about therapy as a Transition of care? We believe it does count but it is killing our numbers for Orthopedics. Any suggestions would be very helpful.
Posted : November 4, 2015 11:05 am
Hi,
We are considering any activity of a provider sending a patient to an external provider of care for treatment of a condition related to their care of the patient (pretty much any time they are sending a patient) as a transition of care (we're also focusing on using the term transition of care as the referrals part, which is a transition of care, was tripping people up thinking they only had to do it for referrals - small but important distinction).
So in your case I would say yes.
Lucky for us most of our physical therapy referrals go to outpatient services at the local hospital (which has a direct address) for the electronic transmission piece. But I can definitely see this as an issue when that is not the case.
As for counting, what we've seen, is that an order placed with that box checked off increments the denominator. The get "credit" for the numerator (we use the Qvera solution so it might be different) the document has to generate (it won't if it failed transmission). The things that have to be done to get this are:
The order is placed correctly. The authorizing provider of the order has a direct address. The order has a service provider with a direct address. The order status is "in process" (after the service provider is entered) and, being we're in Mass and they don't make anything easy, our custom patient consent is addressed.
Posted : November 9, 2015 4:38 am
Topic starter
Thank you very much for your input. It is appreciated. I did see that SP11 was supposed to fix the TOC Summary of care CQR reporting issues.
Posted : November 9, 2015 6:11 am
We are struggling with this issue as well for PT. The more I read the CMS definitions, I'm not sure that I consider it a "transition of care" since we continue to treat the patient. The PT that we refer out for is more of an addition to the treatment we provide and we continue to see the patient regardless. If we do truly transition the patient to another provider then that is a different story. Thoughts?
Posted : November 11, 2015 7:13 am
Topic starter
We don't think of a "transition" as we won't be seeing them anymore; although I am sure in a few cases this may be true. We initially struggled because we knew they would not be making medication changes or diagnosis changes on the problem list. But they do create a plan of care and they do need to know the patient history....... Now the actual CCDA and it's value that is a whole nother story or rather CHUG post.
Posted : November 11, 2015 7:57 am
