Transfer Ready DtTm tmp entry: Difference between revisions

Line 23:

***BUT in the absence of some clear indication (a discharge order, or a progress note, or one of the 2 items immediately above), do NOT try to guess at the transfer ready timing. For example, if there is no such order, and no note saying that the patient was ready to leave or ready for transfer to a lower level of care, but the patient was discharged or transferred, in this case assign the transfer ready timing as the actual [[Dispo DtTm]] or the date and time of the next [[Boarding Loc]]

** for '''lateral moves''' ie. acute medicine ward to another medicine ward, or ICU to ICU there would be no [[Transfer Ready DtTm]] so the checkbox would be checked

~~***~~ '''For purposes of transfer ready the following services are considered to be a lower level of care''':

'''For purposes of transfer ready the following services are considered to be a lower level of care:'''

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

* 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

To be clear here, we DO consider these locations "lower" levels than are Medicine wards, and the reason is that a major purpose of the levels is to be able to count up "wasted" bed-days in ICUs or Medicine wards. But of course the care provided in some of these other locations are not truly lower levels.

* To be clear here, we DO consider these locations "lower" levels than are Medicine wards, and the reason is that a major purpose of the levels is to be able to count up "wasted" bed-days in ICUs or Medicine wards. But of course the care provided in some of these other locations are not truly lower levels.

See [[Level of care hierarchy]] for further information.

@@ Line 23: / Line 23: @@
 ***BUT in the absence of some clear indication (a discharge order, or a progress note, or one of the 2 items immediately above), do NOT try to guess at the transfer ready timing.  For example, if there is no such order, and no note saying that the patient was ready to leave or ready for transfer to a lower level of care, but the patient was discharged or transferred, in this case assign the transfer ready timing as the actual [[Dispo DtTm]] or the date and time of the next [[Boarding Loc]]
 ** for '''lateral moves''' ie. acute medicine ward to another medicine ward, or ICU to ICU there would be no [[Transfer Ready DtTm]] so the checkbox would be checked
-*** '''For purposes of transfer ready the following services are considered to be a lower level of care''':
+'''For purposes of transfer ready the following services are considered to be a lower level of care:'''
-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
+* 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
-To be clear here, we DO consider these locations "lower" levels than are Medicine wards, and the reason is that a major purpose of the levels is to be able to count up "wasted" bed-days in ICUs or Medicine wards. But of course the care provided in some of these other locations are not truly lower levels.
+* To be clear here, we DO consider these locations "lower" levels than are Medicine wards, and the reason is that a major purpose of the levels is to be able to count up "wasted" bed-days in ICUs or Medicine wards. But of course the care provided in some of these other locations are not truly lower levels.
 See  [[Level of care hierarchy]] for further information.