The specific person(s) who participate or are expected to participate in the care team.

Data Element

Additional Information

Care Team Member(s)

Comment

Clarification re specificity of Care Team Members' names

  • Does this data element require the specification of first, last, and/or middle names/initials for every individual identified as a member of a patient's care team? 
  • Does this apply only to clinicians providing direct care to the patient? 
  • Does it include administrative staff such as schedulers, coders, billers, utilization management staff, patient/customer service representatives, etc.?
Concerns have been raised by hospital nurses, in particular, who have historically to protect their personal safety and privacy by not having their last names displayed on name badges.  Similar concerns have been registered by those involved in making administrative decisions, e.g., regarding care or payment provided. 

Clarification needed

Due to the confusion that results from the data elements included within the care team member data class, we ask ONC to confirm that care team member is applicable to the individual, and not the organization. We also suggest that ONC significantly clarify this data element. For instance, questions arise that include:
  • Would care team member include a physical therapist assistant working under the supervision of a physical therapist?
  • Would care team member include support personnel working under the direction and supervision of a physical therapist?
  • If an interdisciplinary therapy team is involved in the patient’s care, would each clinician and support personnel be identified?
  • Would care team members include non-licensed personnel or caregivers? If so, how would ONC expect them to be identified?

Clarification requested / For your consideration ...

I echo the comment(s) above:  Does this data element require the specification of first, last, and/or middle names/initials for every individual identified as a member of a patient's care team?  There is concern from nursing staff regarding the nurse's name (first and last) being visible to the patient.  Currently only first name is displayed on their name badges as a safety measure.  Nurses tend to spend a significant amount of time with patients compared to providers and establish different relationships with their patients, which may put them at a safety risk.

Clarification requested-Consider clinical staff safety

I also echo the comment(s) above:  Does this data element require the specification of first, last, and/or middle names/initials for every individual identified as a member of a patient's care team?  There is concern from nursing staff regarding the nurse's name (first and last) being visible to the patient.   Nurses tend to spend a significant amount of time with patients compared to providers and establish different relationships with their patients, which may put them at a safety risk. Staff have voiced valid concerns for safety.

NCPDP Comment

NCPDP supports the use of provider NPI.

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