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Name of Manual - Blue Cross and Blue Shield of Minnesota

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Quality Improvement<br />

Written Policies<br />

(continued)<br />

Continuity <strong>and</strong><br />

Coordination <strong>of</strong> Care<br />

Policy Required Recommended Risk Management Elements<br />

Medication<br />

Management<br />

Non-Medical<br />

Emergency<br />

Policy<br />

Treating<br />

Unaccompanied<br />

Minors Policy<br />

Rationale:<br />

• Mechanism in place for procuring, storing,<br />

controlling <strong>and</strong> distributing medications<br />

• Narcotics addressed, even if to say they are<br />

not kept at the facility<br />

• Recalls addressed<br />

• Emergency <strong>and</strong> sample drugs addressed<br />

• Sign-out log covered<br />

• Prescription pad accessibility addressed<br />

• Mechanism in place for responding<br />

• Include power outages, weather<br />

emergencies, bomb threats, <strong>and</strong> both fire<br />

<strong>and</strong> fire drills<br />

• Minor defined, exceptions covered<br />

• Scheduling appointments addressed<br />

• Mechanism in place to respond when an<br />

unaccompanied minor calls/arrives asking to<br />

be seen<br />

• Sample <strong>of</strong> authorization to consent to<br />

treatment <strong>of</strong> a minor is provided<br />

Patient continuity <strong>and</strong> coordination <strong>of</strong> care (COC) across settings<br />

such as inpatient <strong>and</strong> ambulatory care <strong>and</strong> transition from specialty<br />

to primary care, is critical in ensuring the best care for our<br />

members <strong>and</strong> your patients. All providers share a joint<br />

responsibility to ensure continuity <strong>and</strong> coordination <strong>of</strong> care.<br />

Guidelines:<br />

Health Records:<br />

• Establish a consistent location(s) for external communications<br />

from facilities <strong>and</strong>/or consultants including but not limited to<br />

discharge summaries or notes, consult letters, progress notes,<br />

<strong>and</strong> test or lab results.<br />

• Communication is maintained in a chronological order.<br />

<strong>Blue</strong> <strong>Cross</strong> <strong>and</strong> <strong>Blue</strong> <strong>Shield</strong> <strong>of</strong> <strong>Minnesota</strong> Provider Policy <strong>and</strong> Procedure <strong>Manual</strong> (08/11/11) 3-11

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