Suggested Data Elements for Inclusion on Inter-Facility Transfer Forms

January 15, 2016
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Suggested Data Elements
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To facilitate patient movement that may be required due to an emergency incident, GNYHA is disseminating the attached document, which contains a list of data elements suggested for inclusion on hospital inter-facility transfer forms and patient face sheets. These recommended data elements were developed through an extensive collaborative effort co-led by the New York City Department of Health and Mental Hygiene and GNYHA that convened clinicians, emergency managers, health information technology (HIT) specialists, transfer center leadership, and others from 10 hospitals and health systems, as well as government agencies, including the New York State Department of Health, and medical transport organizations.

We are hopeful this initiative will contribute to the availability of key clinical and demographic information to aid with patient staging, transport, and triage, as well as initial care during emergency incidents that necessitate large-scale patient evacuation.

The attachment contains additional information about how the recommendations were developed, as well as a suggested internal process for assessing current variables and making modifications to existing forms, for those facilities that choose to do so. Staff from clinical leadership, transfer center staff, HIT specialists, and emergency managers will likely be involved in the modification process.