Is it required to print out discharge information or an after-visit summary if patients have access to their medical information online?

Any examples included in this response are for illustrative purposes only.

The practice of providing discharge instructions or after-visit summaries via the electronic medical record (i.e. patient portal) in lieu of a paper copy provided at discharge would not be prohibited by Joint Commission accreditation requirements.

Prior to providing instructions and information electronically, organizations need to consider the individual patient's ability to access electronic devices (e.g. computers, smartphone, tablet, etc.) technical ability, and overall comfort in using such devices to access electronic information. When another individual will be responsible for ensuring ongoing care of the patient, the same considerations apply. 

Organizations that have the capability to provide discharge instructions and after-visit summaries electronically, are encouraged to handle on a case-by-case basis and allow the patient to determine how to receive discharge information. If your organization has a written policy or procedure on your requirements for providing discharge information, consider including this process in that document.