Level of care hierarchy: Difference between revisions
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* ward outside WRHA | * ward outside WRHA | ||
* PCH or home | * PCH or home | ||
=== When to use the Levels of Care === | |||
When the intent is to move the patient from a higher level of care to a lower level of care, transfer ready date and time has to be entered corresponding to the physical location where the decision was made. | |||
=== Special case - ER, OR and PACU === | === Special case - ER, OR and PACU === | ||
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, | ||
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{{Discuss | who = Julie | | {{Discuss | who = Julie | | ||
* 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. I have added the table to re-connecting so it will show in CFE as of version 2021-02-04. [[User:Ttenbergen|Ttenbergen]] 13:06, 2021 February 4 (CST) | * 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. I have added the table to re-connecting so it will show in CFE as of version 2021-02-04. [[User:Ttenbergen|Ttenbergen]] 13:06, 2021 February 4 (CST) | ||
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== Related articles == | == Related articles == | ||
Revision as of 10:10, 12 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 Medicine ward (examples: HSC_HOBS, STB_IMCU as of 2020-10)
- WRHA regular Medicine ward (CTU or NTU)
- WRHA non-Medicine (e.g. surgery, family med, OB, etc) AND 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
When to use the Levels of Care
When the intent is to move the patient from a higher level of care to a lower level of care, transfer ready date and time has to be entered corresponding to the physical location where the decision was made.
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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