Level of care hierarchy: Difference between revisions
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These are considered the highest level of care collected by that program. So, | These are considered the highest level of care collected by that program. So, | ||
* for a medicine patient on a med laptop, an ER/OR/PACU location is considered the same level of care as a HOBS unit | * for a medicine patient on a med laptop, an ER/OR/PACU location is considered the same level of care as a HOBS unit | ||
{{Discuss| To clarify the above, are medicine collectors required to enter a transfer ready Dt/tm for every medicine patient that transfers from ER to a medicine unit? Transfers from ER to a medicine unit usually depend upon bed availability on a medicine unit and not whether the patient is "transfer ready" The tmp entry will almost always (there are exceptions) be "not available" with check box. | {{Discuss| To clarify the above, are medicine collectors required to enter a transfer ready Dt/tm for every medicine patient that transfers from ER to a medicine unit? Transfers from ER to a medicine unit usually depend upon bed availability on a medicine unit and not whether the patient is "transfer ready" The tmp entry will almost always (there are exceptions) be "not available" with check box. Or should the entry be "not transfer ready" as the patient is transferring from a higher lever of care to a lower with the exception of IMCU at STB? Is a Dt/tm entered by medicine collectors? If so, is the actual transfer date/time that is the same as the medicine unit start date/time to be used? Thank you }} | ||
* for a critical care patient on a cc laptop, an ER/OR/PACU location is considered the same level of care as an MICU/SICU | * for a critical care patient on a cc laptop, an ER/OR/PACU location is considered the same level of care as an MICU/SICU | ||
<!-- as per meeting with Allan 2020-10-27 --> | <!-- as per meeting with Allan 2020-10-27 --> |
Revision as of 12:02, 5 February 2021
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 (also for PACU or OR)
- Other MB RHA ICU or Other Province ICU
- WRHA IICU
- WRHA HOB ward (examples: HSC_HOBS, STB_IMCU as of 2020-10)
- WRHA regular ward (CTU or NTU or other ward where we do not collect e.g. surgery, family med, OB, etc)
- WRHA lower acuity ward in acute care hospital, whatever flavour of the month word they use for this, incl. rehab, geri-rehab, palliative care unit, etc
- ward outside WRHA
- PCH or home
- morgue (e.g. in case of Brain death)
Special case - ER, OR and PACU
These are considered the highest level of care collected by that program. So,
- for a medicine patient on a med laptop, an ER/OR/PACU location is considered the same level of care as a HOBS unit
- for a critical care patient on a cc laptop, an ER/OR/PACU location is considered the same level of care as an MICU/SICU
Actual listing of care levels for different Boarding Locs
The s_level_of_care table in CCMDB.accdb (and automatically linked into CFE contains a mapping of our Boarding Locs to their level of care.
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