LOS Medicine per ward stay: Difference between revisions
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*AG THOUGHTS -- given the variability in where a ward patients is/goes and which service takes care of them, dealing with this issue requires us to know what the powers that be want as respect to how we keep track of LOS. Do they WANT by physical ward, or service, or something else?}} | *AG THOUGHTS -- given the variability in where a ward patients is/goes and which service takes care of them, dealing with this issue requires us to know what the powers that be want as respect to how we keep track of LOS. Do they WANT by physical ward, or service, or something else?}} | ||
{{DiscussTask | ward LOS vs Service LOS - Val Penner - HSC-D5 | {{DiscussTask | | ||
* ward LOS vs Service LOS - Val Penner - HSC-D5 follo~w up from May 7 task meeting- May 16.19 | |||
** Julie will update, as per Task meeting 2021-01-20 [[User:Ttenbergen|Ttenbergen]] 11:51, 2021 January 20 (CST)}} | |||
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Revision as of 11:51, 20 January 2021
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Hi Dr. Garland,A thought came up after the last Task meeting related to the discussion on using Service LOS vs. Physical bed LOS (location). We also have A/D/H service patients go to the ward D5. This ward is typically less acute and patients will transfer to D5 from all of the medicine wards (A4/H4/D4/B3/H7). The patients retain their service (A/D/H) while they are on D5, some patients will switch attending (to the D5 Attending), others will stay with the same Attending they had prior to arrival on D5, but the service will remain the same. The Attendings on D5 do not have a specific service and, there is no rule as to which patients switch to the D5 attending. Some patients will be discharged from D5 still under the same Attending that cared for them prior to arrival on D5. When patients leave A4/D4/H4/B3/H7 their profiles are completed (discharged) by the designated ward collector and a new profile is created by the D5 collector.Thanks, Val Penner, May 16.19
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| INDICATOR: | LENGTH OF STAY PER MEDICINE WARD ADMISSION |
| SIGNIFICANCE: | Length of stay (LOS) is influenced by many factors, but safe and effective care should result in shorter length of stay. |
| DEFINITIONS: | Average LOS reported for each ward in the region. |
| SPECIFICATION: | |
| Inclusion Criteria: | All ward admissions in the Medicine Database (MedTMS). Admissions from Emergency Department are considered a "new" ward admission when patient is admitted to the medicine service. If transfers occur across wards or another service within the same hospital, this will be reported as 3 individual length of stays in the ward and not one cumulative LOS. |
| Exclusion Criteria: | None |
| Required Variables (Definition of Terms) : | Ward admit date/time – the date and time the patient is admitted to a ward. Go to: Definition of Admission date and time for Medicine patients. |
| Ward discharge date/time – the date and time the patient was discharge to a ward. | |
| Calculation Procedure: | LOS per admission per ward = Ward discharge date/time – Ward admit date/time (expressed in days). |
| Average LOS Per Ward = average LOS from all admissions to a ward where discharge date is between the beginning and the ending of the Reporting time. | |
| WHERE & WHEN REPORTED: | Quarterly report and Annual report in Fiscal Year of Activity Summary. |
| PRESCRIBED BY: | p:Dr. Dan Roberts |
| TARGET: | None yet. |
| COMMENT: |
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