Level of care hierarchy: Difference between revisions

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**PCH or home

=== level of care of the ED ===

'''We consider the ER to be at the standard level of care for the [[Service tmp entry | Service]] taking care of the patient''' i.e. regular med ward for Medicine ~~service patients~~ (~~i.e.~~ not HOBS), and regular ICU (~~i.e.~~ not IICU).

'''We consider the ER to be at the standard level of care for the [[Service tmp entry | Service]] taking care of the patient''' i.e. regular med ward for Medicine (not HOBS) and regular ICU (not IICU).

This definition is relevant for decisions about the [[Transfer Ready DtTm tmp entry]] and consequently about reporting [[Transfer Delay]].

In Medicine, ER will be treated as regular ward because the intention to where to transfer the patient is usually unknown or not documented. ~~Therefore~~ any delay in transfer from ER is treated as a bed wasted to regular ward. If it happens that the patient with transfer ready at ER went to HOBS, the TR Dttm until the start dttm at HOBS is bed wasted '''regular ward'''. If at HOBS, patient becomes transfer ready, it is bed wasted to HOBS until the start of the different level of care. This case will have two wasted bed - one regular and one HOBS.

Rationale for Medicine - ER will be treated as regular ward because the intention to where to transfer the patient is usually unknown or not documented. Thus, any delay in transfer from ER is treated as a bed wasted to regular ward. If it happens that the patient with transfer ready at ER went to HOBS, the TR Dttm until the start dttm at HOBS is bed wasted '''regular ward'''. If at HOBS, patient becomes transfer ready, it is bed wasted to HOBS until the start of the different level of care. This case will have two wasted bed - one regular and one HOBS.

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

@@ Line 13: / Line 13: @@
 **PCH or home
 === level of care of the ED ===
-'''We consider the ER to be at the standard level of care for the [[Service tmp entry | Service]] taking care of the patient''' i.e.  regular med ward for Medicine service patients (i.e. not HOBS), and regular ICU (i.e. not IICU).
+'''We consider the ER to be at the standard level of care for the [[Service tmp entry | Service]] taking care of the patient''' i.e.  regular med ward for Medicine (not HOBS) and regular ICU (not IICU).
 This definition is relevant for decisions about the [[Transfer Ready DtTm tmp entry]] and consequently about reporting [[Transfer Delay]].
-In Medicine,  ER will be treated as regular ward because the intention to where to transfer the patient is usually unknown or not documented. Therefore any delay in transfer from ER is treated as a bed wasted to regular ward.  If it happens that the patient with transfer ready at  ER went to HOBS, the TR Dttm until the start dttm at HOBS is bed wasted '''regular ward'''.  If at HOBS, patient becomes transfer ready, it is  bed wasted to HOBS  until  the start of the different level of care.  This case will have two wasted bed - one regular and one HOBS.
+Rationale for Medicine - ER will be treated as regular ward because the intention to where to transfer the patient is usually unknown or not documented. Thus, any delay in transfer from ER is treated as a bed wasted to regular ward.  If it happens that the patient with transfer ready at  ER went to HOBS, the TR Dttm until the start dttm at HOBS is bed wasted '''regular ward'''.  If at HOBS, patient becomes transfer ready, it is  bed wasted to HOBS  until  the start of the different level of care.  This case will have two wasted bed - one regular and one HOBS.
 === When to use the Levels of Care ===