CMS SOM App. A, Tag A-1674

psychiatric hospitals.

(f) Standard: Electronic notifications. If the hospital utilizes an electronic medical

records system or other electronic administrative system, which is conformant with the

content exchange standard at 45 CFR 170.205(d)(2), then the hospital must demonstrate

that –

(1) The hospital has made a reasonable effort to ensure that the system sends the

notifications to all applicable post-acute care services providers and

suppliers, as well as to any of the following practitioners and entities, which

need to receive notification of the patient's status for treatment, care

coordination, or quality improvement purposes:

(i) The patient's established primary care practitioner;

(ii) The patient's established primary care practice group or entity; or

(iii) Other practitioner, or other practice group or entity, identified by

the patient as the practitioner, or practice group or entity, primarily

responsible for his or her care.

Interpretive Guidance §482.61(f)(5):

The psychiatric hospital is expected to make every attempt to send notifications to post-acute providers and suppliers, in addition to the patient’s primary care practitioner,

primary care group, or practitioner or group that is identified by the patient that may be

responsible for the patient’s care. For example, a patient may request that these

admission, discharge, and transfer notifications be sent to a specialist responsible for

their care, that is not their primary care provider. This requirement does not limit the

hospital’s ability to notify additional entities based on hospital policy, such as ACO

attribution lists.