A2121. Provision of Current Reconciled Medication List to Subsequent Provider at Discharge, Step-by-Step

Step-by-Step Coding Guide for A2121: Provision of Current Reconciled Medication List to Subsequent Provider at Discharge

Steps for Assessment and Coding:

1. Determine Eligibility:

   • This item should be completed only if A0310H = 1 and A2105 = 02-12, indicating that the resident is being discharged to a specific subsequent provider.

2. Understanding the Importance:

   • The transfer of a current and reconciled medication list at discharge is crucial for subsequent providers to manage and reconcile medications, potentially mitigating adverse drug events.

3. Assessment Process:

   • Review the discharge location per item A2105 to identify if the resident is being discharged to a setting that qualifies as a subsequent provider.
   • Verify whether your facility has provided a current reconciled medication list to the subsequent provider at the time of discharge.

4. Coding Instructions:

   • Code 0 (No): If the facility did not provide a current reconciled medication list to the subsequent provider at discharge, or if the resident was not discharged to a subsequent provider.
   • Code 1 (Yes): If the facility provided a current reconciled medication list to the subsequent provider at discharge.

5. Identify the Subsequent Provider:

   • The subsequent provider is based on discharge locations defined in A2105, including various healthcare settings like nursing homes, hospitals, and hospice care.

6. Means of Providing the Medication List:

   • The method of transmitting the medication list can be active (e.g., electronically, by mail) or passive (e.g., through a shared electronic health record).

7. Guidelines for Medication List Content:

   • The medication list should include prescribed and over-the-counter medications, supplements, and any pertinent information like dosages and administration instructions. Facilities should adhere to current standards and regulations in determining the content of the medication list.

8. Examples and Rationale:

   • The manual provides examples to clarify situations where a current reconciled medication list is shared with the subsequent provider, emphasizing the importance of this practice for safe and effective care transitions.

The Step-by-Step Coding Guide for item A2121in MDS 3.0 Section A is based on the Long-Term Care Facility Resident Assessment Instrument 3.0 User’s Manual, Version 1.18.11, dated October 2023. Healthcare guidelines, policies, and regulations can undergo frequent updates. Therefore, healthcare professionals must ensure they are referencing the most current version of the MDS 3.0 manual. This guide aims to assist with understanding and applying the coding procedures as outlined in the referenced manual version. However, in cases where there are updates or changes to the manual after the mentioned date, users should refer to the latest version of the manual for the most accurate and up-to-date information. The guide should not substitute for professional judgment and the consultation of the latest regulatory guidelines in the healthcare field.