Level of care hierarchy

We use the concept of a level of care hierarchy in the context of Transfer Delays. See Transfer Delay to understand how it is used. Level of care applies to a patient's combination of Boarding Loc item and comment entry (which together define a physical location). Which location has which level of care is stored in the s_level_of_care table.

Levels of Care

The actual levels of care are:

• WRHA ICU, same level of care includes: MICU, SICU, CICU, ACCU, CCU

We need a level for PACU/Recovery; with our new scheme, someone could conceptually be ready for a lower level of care than PACU but be stuck there. C I think that level would be same as ICU. Thoughts? Might be a question for Allan. For now I am setting this the PACUs as a level same as ICU; if OK please update this page accordingly, if needs discussion, please make it happen. Ttenbergen 19:22, 2020 October 15 (CDT)

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We need a level for ER; with our new scheme, someone could conceptually be ready for a lower level of care than ER but be stuck there. Certainly for GRA who uses it for ICU. I think that level would be between ICU and IICU. Thoughts? Might be a question for Allan. For now I am setting this ER as a level between ICU and IICU; if OK please update this page accordingly, if needs discussion, please make it happen. Ttenbergen 19:18, 2020 October 15 (CDT)

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• Other MB RHA ICU or Other Province ICU
• WRHA IICU
• WRHA HOB ward
• WRHA regular ward (CTU or NTU)
• WRHA lower acuity ward in acute care hospital, whatever flavour of the month word they use for this

we are confused about the distinction with "lower level of care" with NTU... how do we resolve that? Ttenbergen 14:50, 2020 October 19 (CDT)

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• ward outside WRHA
• PCH or home
• morgue (e.g. in case of Brain death)

I populated most of the s_level_of_care table; for the rest I would need a list of all locations tracked in comment and what level of care we would attribute to them. List needs to be pulled from CFE, and then levels added, and I don't know what those would be, so we need someone (Lisa?) to help us fill that in. This will be needed by Julie for reporting, but not for collectors to be able to work tomorrow, so I am leaving this for now. It if becomes important before I get back to it, catch me. Ttenbergen 19:35, 2020 October 15 (CDT)

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