1. PATIENT MOVEMENT WORKGROUP October 22, 2015

2. 1. Update on revised standardized bed category document for sending facilities & receiving facilities + piloting tools 2. Finalizing recommendations document for inclusion of data elements in hospital inter-facility transfer forms & patient face sheets + feedback on member letter 3. Streamlining emergency credentialing – feedback on guidance document outline Today’s Agenda 2

3. □ Since last meeting □ Met with FDNY-EMS and REMSCO on transport-related questions raised at last meeting □ Next steps □ Make additional revisions to sending facility form □ Re-work receiving facility form □ Pilot with Mt. Sinai, Lenox Hill; others interested? Standardizing Bed Definitions 3

4. Sending Facility Receiving Facility Sharing Critical Medical Information 4 Sending Facility Receiving Facility LEVEL 1: Best source of minimum clinical information (likely in paper format) to facilitate patient transfer and stabilization (i.e. downtime report, transfer form) LEVEL 2: Ensure access to full (electronic) medical record to support ongoing care of patient once transferred

5. □ Since last meeting □ Made minor adjustments to recommendations document based on feedback received □ Drafted complementary cover letter to be sent to CEOs □ Have continued preliminary discussions with ONC about pilot project to support development of an EHR template containing our recommended standard data elements □ Next steps □ Disseminate cover letter, recommendations document and process workflow document to NYC region members Facilitating Sharing of (Limited) Critical Medical Information During Transfer Process 5

6. □ Since last meeting □ Revised guidance document outline based on group discussion □ Setting up follow up conversation with medical staff specialist leadership at NYU, North Shore and Mt. Sinai □ Next Steps □ Further refine outline based on feedback from subject matter experts □ Share outline with SDOH and HANYS □ Begin drafting document Streamlining Emergency Credentialing for Providers Moving from One Hospital to Another During a Prolonged Emergency Incident 6

7. Sending Facility Receiving Facility Sharing Critical Medical Information 7 Sending Facility Receiving Facility LEVEL 1: Best source of minimum clinical information (likely in paper format) to facilitate patient transfer and stabilization (i.e. downtime report, transfer form) LEVEL 2: Ensure access to full (electronic) medical record to support ongoing care of patient once transferred

8. □ Currently no clear work products related to facilitating access to full medical record during emergency incidents □ Potential pilot project with ONC would help with this □ Tremendous amount of work happening in this area related to DSRIP □ How to close out this topic area for the Patient Movement Workgroup? □ Identify highest priority gaps that hamper emergency incident medical record access & best venues to address/work on these gaps (i.e. separate workgroup, regional priority setting body, existing Health IT work groups) Ensuring Access to the Full Medical Record 8

9. □ Cyberattack (with an emphasis on cyber impacts that affect patient care) is the theme for the 2015-2016 Emergency Preparedness Symposia series □ 10/19 meeting featured a cybersecurity panel and break out sessions □ Goal is to help NYC hospitals develop cyberattack emergency operations plans over the course of the next year □ Key strategy is to bring emergency managers and Health IT professionals together for joint planning □ GNYHA offering programming related to cybersecurity □ Will work to ensure that emergency manager community is included in outreach for this programming Efforts Related to Health IT 9

10. □ Thursday, November 19 th – 9:30-11am □ Wednesday, December 16 th – 9:30-11am Upcoming Meetings 10