For hospitals that use Joint Commission accreditation for deemed status purposes:

(1)

For hospitals that use Joint Commission accreditation for deemed status purposes: The hospital demonstrates that its electronic health records system's (or other electronic administrative system's) notification capacity is fully operational and is used in accordance with applicable state and federal laws and regulations for the exchange of patient health information.

(2)

For hospitals that use Joint Commission accreditation for deemed status purposes: The hospital demonstrates that its electronic health records system (or other electronic administrative system) sends notifications that include, at a minimum, the patient’s name, treating licensed practitioner’s name, and sending institution’s name.

(3)

For hospitals that use Joint Commission accreditation for deemed status purposes: In accordance with the patient’s expressed privacy preferences and applicable laws and regulations, the hospital’s electronic health records system (or other electronic administrative system) sends notifications directly, or through an intermediary that facilitates exchange of health information, at the following times, when applicable: - The patient’s emergency department registration - The patient's inpatient admission

(4)

For hospitals that use Joint Commission accreditation for deemed status purposes: In accordance with the patient’s expressed privacy preferences and applicable laws and regulations, the hospital’s electronic health records system (or other electronic administrative system) sends notifications directly, or through an intermediary that facilitates exchange of health information, either immediately prior to or at the time of the patient’s discharge or transfer from the hospital’s emergency department or inpatient services.

(5)

For hospitals that use Joint Commission accreditation for deemed status purposes: The hospital makes a reasonable effort to confirm that its electronic health records system (or other electronic administrative system) sends the notifications to all applicable post–acute care service providers and suppliers, as well as any of the following who need to receive notification of the patient’s status for treatment, care coordination, or quality improvement purposes: - Patient’s established primary care licensed practitioner - Patient’s established primary care practice group or entity - Other licensed practitioners, or other practice groups or entities, identified by the patient as primarily responsible for the patient's care Note: The term “reasonable effort” means that the hospital has a process to send patient event notifications while working within the constraints of its technology infrastructure. There may be instances in which the hospital (or its intermediary) cannot identify an applicable recipient for a patient event notification despite establishing processes for identifying recipients. In addition, some recipients may not be able to receive patient event notifications in a manner consistent with the hospital system’s capabilities.