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BAPTIST MEDICAL CENTER
CONTENT OF RECORD: DISCHARGE SUMMARY
Tag No.: A0468
Based on medical record review and interview, the hospital did not meet the requirement because the medical record for Patient #1 did not include a discharge summary.
Findings Include:
Review of the medical record for Patient #1 on 07/12/21 at 10:00 a.m. with S#1 in a conference room revealed that the medical record for Patient #1 who was discharged from the hospital on 12/04/20 did not contain a discharge summary.
During a telephone interview with S#9 and in the presence of S#1 on 07/12/14 at 10:16 a.m., S#9 confirmed that the medical record for Patient #1 who was discharged from the hospital on 12/04/20 did not contain a discharge summary.