Reporting And Data

MBQIP - Emergency Department Transfer Communication (EDTC)

Latest Update: August 11, 2020

Reporting Information

Part of the Medicare Beneficiary Quality Improvement Project (MBQIP), the Emergency Department Transfer Communication (EDTC) quality measure is National Quality Forum (NQF) endorsed (NQF #291), and relevant to small rural hospitals. This measure is being implemented by critical access hospitals (CAHs) in the Medicare Beneficiary Quality Improvement Project (MBQIP) because small rural hospitals frequently transfer a higher proportion of emergency department (ED) patients than larger urban facilities. It is an important goal of MBQIP to help hospitals improve care transitions, including ED transfers, in order to reduce preventable hospital readmissions and adverse events in hospitals.

Responsible Party

Who Must Report?

Critical Access Hospitals (CAHs)


When Do I Report?

Quarterly: January 31, April 30, July 31, and October 31


How Do I Report?

The Nevada Office of Rural Health will collect this information on a quarterly basis and report to CMS.

Utilize the Stratis data collection tool (note: download the appropriate tool for your version of Excel for each calendar year; you may need to enable macros for this tool to work properly).


Contact Information

Becky Bayley, MBA
Director of Strategic Initiatives

Nevada Rural Hospital Partners
4600 Kietzke Lane, Suite I-209
Reno, NV 89502

Phone: (775) 827-4770


Laima Etchegoyhen, MPH
Outreach and Technical Assistance Coordinator
Nevada Flex Program Coordinator

Office of Statewide Initiatives
University of Nevada, Reno School of Medicine
604 West Moana Lane, MS 3150
Reno, Nevada 89509

work-phone: 775-682-8471
cell-phone: 775-338-9841

website: https://med.unr.edu/statewide


Why Should I Report?

Potential loss of Flex grant funding for not meeting eligibility requirements.


The legal mandate requiring reporting

MBQIP Memorandum of Understanding (MOU)


Any other pertinent information

The Emergency Department Transfer Communication (EDTC) measure includes one composite and eight elements:

  • All EDTC Composite
  • Home Medications
  • Allergies and/or Reactions
  • Medications Administered in ED
  • ED provider Note
  • Mental Status/Orientation Assessment
  • Reason for Transfer and/or Plan of Care
  • Tests and/or Procedures Performed
  • Test and/or Procedure Results

For more information go to: https://stratishealth.org/toolkit/emergency-department-transfer-communication/

Although many of these requirements apply to individual medical professionals and other types of hospitals and health care facilities, the information is presented solely to support Critical Access Hospitals. The reporting requirements and legal mandates on this site are not an exhaustive list and Nevada Rural Hospital Partners, Inc. bears no responsibility or liability for any hospitals' or providers' failure to comply with Federal or State laws or regulations.