Transfer Process

Request to Transfer to Outside Facility Physician requests transfer to Emory Transfer coordinator notifies facility of request for transfer Transfer Coordinator or AOD notified Physician must initiate the transfer request to Emory 404 686 8334 Transfer coordinates faxes requesting documents to facility for review Face sheet and Clinicals faxed as requested Transfer coordinator contacts Emory transfer coordinator MD to MD communication facilitated MD completes Inter-facility, consent and Non VA Care Consult Accepted Transfer coordinator enters transportation and writes note in CPRS Transfer coordinator facilitates nurse to nurse handoff Transfer coordinator requests a bed Transfer coordinator call Hospitalist to request a Team

Transfer Coordinator Tonja Board x 470 585 5293 (M-F 8-4) Transfer Coordinator or AOD notified Transfer Coordinator Tonja Board x 470 585 5293 (M-F 8-4) UM x5060 if Tonja is out AOD after hours x 7465

Physician requests transfer to Emory Physician must initiate the transfer request to Emory 404 686 8334 Transfer coordinator contacts Emory transfer coordinator

Physician requests transfer to Emory Attending calls Emory Transfer Service 404 686 8334 Requests transfer gives history Emory transfer service will call back with accepting MD VA Attending gives physician to physician report to Emory Notify UM of accepting attending Emory will call back with a bed Physician requests transfer to Emory

Physician requests transfer to Emory YOU MUST CALL EMORY TRANSFER SERVICE EVEN IF YOU ALREADY HAVE AN ACCEPTING ATTENDING. IF YOU DO NOT TALK TO THE TRANSFER SERVICE YOUR PATIENT WILL NOT GET A BED! Physician requests transfer to Emory

WHAT NEED TO BE COMPLETED CONSENT TO TRANSFER TEAM RESIDENT, NP OR INTERN INTERFACILITY TRANSFER FORM* TEAM RESIDENT, NP OR INTERN FEE CONSULT TEAM RESIDENT, NP OR INTERN BENEFICIARY TRAVEL NOTE/ TRASPORTATION REQUEST AOD/UM NURSE TRANSFER SUMMARY/DC TEAM RESIDENT/INTERN NOTES PRINTED/IMAGES PSA ON UNIT/RADIOLOGY BURNED *THIS IS A NOTE IN CPRS

CONSENT THIS IS A HARD COPY FORM PATIENT OR DESIGNEE SIGN MD SIGNS THIS GETS SCANNED INTO CHART THE CLERK SHOULD HAVE THIS THE ED HAS THIS

INTERFACILITY TRANSFER FORM THIS IS A NOTE NOTE TITLE “INTERFACILITY . . . CHECK BOX BY CONSENT CHECK BOX BY DEPARTMENT OF VETERANS AFFAIRS REASON IS “SERVICE NOT PROVIDED” OUR FACILITY IS VISN 7 ATLANTA

FEE CONSULT This must be entered or VA will not pay This is a consult for non-VA care (fee) Emergency care Non-VA care inpatient This is done by team regardless of reason for transfer For emergency requests you must contact the clinical reviewer or Chief of Staff

TRAVEL Beneficiary travel note Special mode Answer “yes” to Inter-facility transfer question Hit finish Consult will pop up Fill out consult – make sure you put in clinical info (monitor, vent, 02, IV drips etc)

This is blank you need to fill in what you need – ACLS vs BLS unit, This is blank you need to fill in what you need – ACLS vs BLS unit, ? Vent, ? Monitors, ? Drips, etc

What goes with the patient? Transfer Summary - should be written by intern or resident on primary team Copy of H&P and pertinent records (consults, labs, notes etc) – PSA should copy Images – you do not need to go thru medical records call x5660 let them know you have a transfer emergently need images burned on disk

WHAT NOW? Wait for a bed If not bed when you leave sign this out and let AOD know Once you have a bed need to DC pt and get transport Central takes up to 45 min If you need to in an emergency call 911

Helpful Numbers Radiology – x6750, x2786, x5660 CT AOD - x 7465 Transfer Coordinator - 470 585 5293 Emory Transfer Ctr - 404 686 8334 ED – x7614 ED SW (MH SW) x 7591