Beds occupied by transferrable patients (Critical Care)

Beds Occupied by Transferable Patients is the average number of ICU bed per day being occupied by the patient no longer requiring the intensity of care provided in an ICU setting. Another term used to call it is Wasted beds.

Indicators
Indicator:	Beds occupied by transferrable patients (Critical Care)
Created/Raw:	Created
Program:	Critical Care
Start Date:	Jan 1 2013
End Date:
Reports:	Critical Care Program Quality Indicator Report, Directors Quarterly and Annual Report (Critical Care)
Data Dependencies(Reports/Indicators/Data Elements):

• Cargo

• Helper template:

• Cargo

• Categories

none

• Default form: none, this is populated by Template:Report and Template:Reporting Indicators and their respective forms.

• SMW:

• Categories

• Default form:

Also see Avoidable Days for a similar concept.

QI domain

• Efficient

Significance

Beds Occupied by Transferable Patients is the average number of ICU bed occupied per day by patients no longer requiring the intensity of care provided in an ICU setting. It can identify and quantify issues around flow out of the ICU.

Sampling Plan / Procedure

Inclusion Criteria

100% of all patients physically present in an ICU bed awaiting transfer out of the ICU and having a date value on the Transfer Ready DtTm field

• For the Critical Care Report in 2018 , the Directors and QIT agreed to have two transfer delay calculation
  • when patient went to IICU or H6
  • when patient went to home, to other wards, to outside hospital ward, rehab, PCH and those who died

Frequency

• Recorded Transfer Delay per patient
• Monthly, quarterly or yearly basis based on either ICU Admission Dates or ICU Dispo DtTm.

For the Directors Quarterly and Annual Report (Critical Care), the Dispo DtTm is used as the time of reference. The record's ICU Dispo DtTm, or the linked ICU Hospitalization's Dispo DtTm?

• SMW

• Cargo

• Categories

Definition and Derivation

• Refer to the definition of Transfer Ready DtTm and Transfer Delay (Critical Care)

Numerator

Num = Total Transfer Delay (Critical Care) in a given time frame

Denominator

Denom =number of calendar days in a given time

Formula

Beds Occupied by transferable patient = Num / Denom

Example

• Time Reference: Discharge Dates from Jan 1, 2021 to March 31, 2021
• Total Transfer Delays for patients who went to Ward/Home= 200 days
• Beds Occupied by Transferable Patients to Ward/Home = 200 / 90 = 2.22 beds
• Total Transfer Delays for patients who went to IICU or H6 = 50 days
• Beds Occupied by Transferable Patients to Ward/Home = 50 / 90 = 0.55 beds

Data Sources

• Per patient Transfer Delay (Critical Care)
  • July 1988 to Sept 2020 : derived from Transfer Ready DtTm field and Dispo DtTm field.
  • Starting Oct 1, 2020: derived from the first transfer ready date and time in the Transfer Ready DtTm tmp entry and Dispo DtTm field .

SAS Program

• S:\MED\MED_CCMED\Julie\SAS_CFE\CFE_macros\logphi.sas
• S:\MED\MED_CCMED\Julie\SAS_CFE\CFE_macros\prep_Tmp_BoardServiceTransfer_15Sept2021.sas

Data Integrity Checks

• Query check long transfer delay

Report Users

• Critical Care Directors and Site Managers
• Critical Care Quality Improvement Team (QIT)

Change Log

• Starting March 22, 2023, transfer delays will be reported based on actual delay times with no more allowances of less than n hours as per agreed in JALT Meeting March 22, 2023.
• From July 1, 2018 to March 21, 2023 - Definition changed "Avoidable days is defined as the total time from date/time of transfer ready to date/time transfer out of ICU (in hours) less 2.0 hours (and divided by 24 to give yield total avoidable days)" from 4 hrs as per instruction by p:Jodi Walker Tweed.