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| **PCH or home | | **PCH or home |
| === level of care of the ED === | | === level of care of the ED === |
| *The ED is unique as it can take on various different levels of care
| | '''We consider the ER to be at the standard level of care for the [[Service tmp entry | Service]] taking care of the patient''' i.e. regular med ward for Medicine service patients, and regular ICU (ie not IICU) |
| *When the patient’s care is taken over in ED (either Medicine or ICU) and then the patient goes to Medicine or ICU --> consider the time in ED as being the SAME level of care as where the person goes to (i.e. Medicine or ICU).
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| **In the unusual circumstance that Medicine ward team takes over care while the patient is still in the ED, but before going to a Medicine ward the decision is made to send the person to a level of care lower than Medicine wards (e.g. home, back to PCH, change in ACP to C, etc) then consider the time in ED as being that of a Medicine ward.
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| {{DiscussTask | JALT
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| This is kind of awkwardly worded. Is it equivalent to:
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| * if discharged to level lower than ward, ED level is ward
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| ** wording above says this is true only for a med pt, but would it be true if an ICU pt was ever discharged home from ED?
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| ** further, what if it isn't a decision but an AMA?
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| * if discharged to ward, ED level is ward
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| * if discharged to ICU, ED level is ICU
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| TT: paraphrase the rule to be about the service rather than where the pt goes, and this confusion will go away. Or not... discussion continued after this... [[User:Ttenbergen|Ttenbergen]] 13:40, 2022 July 27 (CDT)
| | These definition is relevant for decisions about the [[Transfer Ready DtTm tmp entry]] and consequently about reporting [[Transfer Delay]]. |
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| | {{Discuss | |
| | * We had discussed making this "the level of care of where the pt goes" but the problem in this definition is pts who are discharged or AMA from or die in ER. So I have instead made it about the patient's service. Would that work as a definition? This would also remove the concept of "where the patient actually went" from the definition and might finally eliminate some of the confusion that comes from that. [[User:Ttenbergen|Ttenbergen]] 12:37, 2022 August 3 (CDT) |
| }} | | }} |
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| {{DiscussTask | JALT
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| * I wonder if the above clause is where the confusion keeps coming from that it matters to Transfer Delay where a patient actually goes. Where is the above distinction supposed to be applied, and how? Is it only to apply to when a collector would enter a transfer ready dttm, or also to what Julie might do in reporting after? The former would make some sense, since collectors would have access to additional info. Just changing it in reporting would not make sense, though. If it is the former, then the info is really related to whether it is counted as a transfer ready decision, not what level of care something is. So it should be clarified and moved to [[Transfer Ready DtTm tmp entry]] and clarified. [[User:Ttenbergen|Ttenbergen]] 09:17, 2022 May 19 (CDT) }}
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| === When to use the Levels of Care === | | === When to use the Levels of Care === |