Level of care hierarchy: Difference between revisions

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**When the patient’s care is taken over in ED (either Medicine or ICU) and then the patient goes to Medicine or ICU --> consider the time in ED as being the SAME level of care as where the person goes to (i.e. Medicine or ICU).

**In the unusual circumstance that Medicine ward team takes over care while the patient is still in the ED, but before going to a Medicine ward the decision is made to send the person to a level of care lower than Medicine wards (e.g. home, back to PCH, change in ACP to C, etc) then consider the time in ED as being that of a Medicine ward.

{{DiscussTask | JALT

* I wonder if the above clause is where the confusion keeps coming from that it matters to Transfer Delay where a patient actually goes. Where is the above distinction supposed to be applied, and how? It it only to apply to when a collector would enter a transfer ready dttm, or also to what Julie might do in reporting after? The former would make some sense, since collectors would have access to additional info. Just changing it in reporting would not make sense, though. If it is the former, then the info is really related to whether it is counted as a transfer ready decision, not what level of care something is. So it should be clarified and moved to [[Transfer Ready DtTm tmp entry]] and clarified. [[User:Ttenbergen|Ttenbergen]] 09:17, 2022 May 19 (CDT) }}

=== When to use the Levels of Care ===

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 **When the patient’s care is taken over in ED (either Medicine or ICU) and then the patient goes to Medicine or ICU --> consider the time in ED as being the SAME level of care as where the person goes to (i.e. Medicine or ICU).
 **In the unusual circumstance that Medicine ward team takes over care while the patient is still in the ED, but before going to a Medicine ward the decision is made to send the person to a level of care lower than Medicine wards (e.g. home, back to PCH, change in ACP to C, etc) then consider the time in ED as being that of a Medicine ward.
+{{DiscussTask | JALT
+* I wonder if the above clause is where the confusion keeps coming from that it matters to Transfer Delay where a patient actually goes. Where is the above distinction supposed to be applied, and how? It it only to apply to when a collector would enter a transfer ready dttm, or also to what Julie might do in reporting after? The former would make some sense, since collectors would have access to additional info. Just changing it in reporting would not make sense, though. If it is the former, then the info is really related to whether it is counted as a transfer ready decision, not what level of care something is. So it should be clarified and moved to [[Transfer Ready DtTm tmp entry]] and clarified.  [[User:Ttenbergen|Ttenbergen]] 09:17, 2022 May 19 (CDT) }}
 === When to use the Levels of Care ===