Transfer Ready DtTm tmp entry: Difference between revisions

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[[Level of care hierarchy]]

Comment from Julie

* This is my dilemma with our definition, it is the '''intent''' which I cannot qualify thru the data. if I see an entry in transfer ready date but the physical transfer location is the same or higher level of care, I have to consider that transfer ready date to be valid. I rely that the entry is correct. I rather have the definition to be consistent with the level of care (except for Deaths) so I can quality check the transfer date entry and remove the '''intent''' as part of the definition. The goal is to measure bed wastage and when the patient moves to the same or higher level of care, that is not bed wastage to me. --[[User:JMojica|JMojica]] 10:18, 2020 October 16 (CDT)

** When the patient was deemed transfer ready, additional time in the ward was "wasted time" - if we could have sent them elsewhere we would have. If the patient later crashes, that doesn't make it not-wasted time - they could have crashed anywhere. So the interpretation that a pt moving to a higher level of care after transfer ready is not wasted time is not right. We discussed this repeatedly at task. The only way this makes sense is if it is done by intent. Ttenbergen 15:16, 2020 October 16 (CDT)}}

== Purpose ==

The purpose is to determine the '''avoidable days or bed wasted''' by patients who are '''deemed ready to leave the unit or ward''' and then '''either move to a lower level of care or leave the hospital'''. This is used as part of the concept [[Avoidable Days in ICU]].

What is being sought here is the ''intent'' to send someone to a lower level of care only. Thus, it doesn’t matter what actually happened after this intent occurs (e.g. patient getting sicker and the transfer intent cancelled).

Any of these criteria, for a patient going to a '''lower''' level of care, as per hierarchy below:

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 [[Level of care hierarchy]]
+Comment from Julie
+* This is my dilemma with our definition, it is the '''intent''' which I cannot qualify thru the data. if I see an entry in transfer ready date but the physical transfer location is the same or higher level of care, I have to consider  that transfer ready date to be  valid. I rely that the entry is correct. I rather have the definition to be consistent with the level of care (except for  Deaths) so I can quality check the transfer date entry and remove the '''intent'''  as part of the definition. The goal is to measure bed wastage and  when the patient moves to the same or higher level of care, that is not bed wastage to me. --[[User:JMojica|JMojica]] 10:18, 2020 October 16 (CDT)
+** When the patient was deemed transfer ready, additional time in the ward was "wasted time" - if we could have sent them elsewhere we would have. If the patient later crashes, that doesn't make it not-wasted time - they could have crashed anywhere. So the interpretation that a pt moving to a higher level of care after transfer ready is not wasted time is not right. We discussed this repeatedly at task. The only way this makes sense is if it is done by intent. Ttenbergen 15:16, 2020 October 16 (CDT)}}
+== Purpose ==
+The purpose is to determine the '''avoidable days or bed wasted''' by patients who are '''deemed ready to leave the unit or ward''' and then '''either move to a lower level of care or leave the hospital'''. This is used as part of the concept [[Avoidable Days in ICU]].
+What is being sought here is the ''intent'' to send someone to a lower level of care only. Thus, it doesn’t matter what actually happened after this intent occurs (e.g. patient getting sicker and the transfer intent cancelled). <!-- Clarified at the 11Sept2017 Steering Committee meeting -->
 Any of these criteria, for a patient going to a '''lower''' level of care, as per hierarchy below: