I've done a little digging...probably a big mistake.
CMS defines a "Clinical Summary" as follows:
"An after-visit summary that provides a patient with relevant and actionable information and instructions containing the patient name, provider?s office contact information, date and location of visit, an updated medication list, updated vitals, reason(s) for visit, procedures and other instructions based on clinical discussions that took place during the office visit, any updates to a problem list, immunizations or medications administered during visit, summary of topics covered/considered during visit, time and location of next appointment/testing if scheduled, or a recommended appointment time if not scheduled, list of other appointments and tests that the patient needs to schedule with contact information, recommended patient decision aids, laboratory and other diagnostic test orders, test/laboratory results (if received before 24 hours after visit), and symptoms."
http://www.cms.gov/EHRIncentivePrograms/Downloads/13ClinicalSummaries.pdfThe "Continuity of Care Document" (CCD) is different from the Clinical Summary. CCD is a "an XML-based markup standard intended to specify the encoding, structure and semantics of a patient summary clinical document for exchange." (Wikipedia) As I understand it, the CCD is supposed to include all the patient's information. The way AC seems to use the term "CCD" differently. In AC the CCD info only includes certain info and not others.
It doesn't appear that the AC "Print Instructions" process with/without the CCD doesn't seem to meet all the criteria for a "Clinical Summary."
