A2122: Route of Current Reconciled Medication List Transmission to Subsequent Provider

Step-by-Step Coding Guide for A2122: Route of Current Reconciled Medication List Transmission to Subsequent Provider

Introduction

The accurate documentation of the transmission route for the current reconciled medication list to subsequent providers is essential in ensuring continuity of care and medication safety during transitions between care settings.

Steps for Assessment

1. Identify Transmission Routes: Determine all methods used to transmit the current reconciled medication list to the subsequent provider, including electronic, verbal, paper-based, or other methods.

2. Review Documentation: Confirm the transmission route(s) utilized is documented in the resident's medical record or facility's discharge protocols.

3. Consultation: If necessary, consult with the healthcare team involved in the resident's discharge planning to verify the transmission method(s).

Coding Instructions

• Electronic Health Record (EHR): Mark this option if the medication list was transmitted through the facility's EHR system.
• Health Information Exchange (HIE): Select if the HIE was used for transmission.
• Verbal: Indicate if the medication list was communicated verbally (in-person, phone, or video conferencing).
• Paper-Based: Use this option for printouts, faxes, or mailed lists.
• Other Methods: Specify if any other transmission methods were employed (email, texting, CDs).

Common Errors to Avoid

• Overlooking a transmission route used during the discharge process.
• Failing to document the transmission route in the resident's medical record.

Practical Application

Utilize the identified transmission method(s) to ensure the subsequent provider has the necessary medication information for the incoming resident, facilitating a safer and more efficient transition of care.

The Step-by-Step Coding Guide for item A2122 in 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. Please note that 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.