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Improving Communication at the Transition to Home Health Care: Use of an Electronic Referral System

Weill Medical College of Cornell University, els2006{at}med.cornell.edu

Christopher M. Murtaugh, PhD

Center for Home Care Policy and Research, Visiting Nurse Service of New York

Robert J. Rosati, PhD

Center for Home Care Policy and Research, Visiting Nurse Service of New York

Theresa Schwartz, BA

Center for Home Care Policy and Research, Visiting Nurse Service of New York

Renee Razzano, MA

Weill Medical College of Cornell University

Sally Sobolewski, RN, MSN

Department of Quality Care Management, Visiting Nurse Service of New York

Mark Callahan, MD

Weill Medical College of Cornell University

Appropriate and efficient provision of services at home requires more than skilled personnel; effective communication between the primary care provider and the agency is an often overlooked but essential tool for maintaining the patient's health in the community. A method was developed to create home care orders (the "e-485") that guides the physician through the order writing process, uploads data from the electronic medical record, and creates a legible, complete order set that can be faxed quickly to the agency. This paper describes this tool and the challenges and rewards of its implementation in an academic medical center.

Key Words: transition • home care • information technology • nurse—physician communication • discharge planning

Home Health Care Management & Practice, Vol. 19, No. 4, 267-271 (2007)
DOI: 10.1177/1084822306298785


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