Among hospitals contributing 10 summaries , the median hospital dictated 69.2 % of discharge summaries on the day of discharge ( range , 0.0 % -98.0 % ; P < 0.001 ) ; documented transmission of 33.3 % of summaries to the follow-up physician ( range , 0.0 % -75.7 % ; P < 0.001 ) ; and included 3.6 of 7 Transitions of Care Consensus Conference elements ( range , 2.9-4 .5 ; P < 0.001 ) .