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Importance of Complete Discharge Summaries

June 7, 2021

Physicians and other practitioners need to know the details about the care a patient receives during an inpatient hospital stay. Discharge summaries are an invaluable resource that may improve patient outcomes by providing for continuity and coordination of care and a safe transition to other care settings and providers.

Communications via the discharge summary provides a smooth and long-lasting transition of the patient to the next level of care and avoid miscommunication or delays in care that may lead to poor outcomes.

Provider Survey Results: The Blue Cross and Blue Shield of Texas (BCBSTX) Provider Satisfaction Survey includes questions about PCPs' satisfaction with hospital discharge summaries. In 2020, we saw an increase in overall satisfaction with continuity of care and PCPs reported receiving hospital discharge summary had adequate information about medications compared to 2019. Of those received, the timeliness remained consistent. The results demonstrate opportunities for improvement, but most importantly making sure the PCP receives a discharge summary.

BCBSTX Provider Satisfaction Survey – Hospital Discharge Summary Feedback

Survey Questions

Goal

2019

2020

Overall satisfaction with continuity of care

90%

75%

79%

When you receive hospital discharge information, does it contain adequate information about medications at discharge?

86%

90%

When you receive hospital discharge information, does it reach your office within a timely manner (within 10 business days)?

83%

82%

When your patients are admitted to a hospital, are you sent summary information after the discharge?

67%

66%

Improving the Discharge Process: In an effort to improve the exchange of patient information between health care settings and practitioners responsible for follow-up care, CMS has implemented the Interoperability and Patient Access Rule to go into effect in 2021.  This electronic event notification is critical in avoiding miscommunication or delays in care while providing patients better access to their medical information and being better informed. More information can be found on the CMS Interoperability and Patient Access Fact Sheet Learn more about third-party links.

We applaud practitioners that have adopted a structured approach to discharge summaries.