Overstay Predictor Project

Overstay Predictor Project for Medicine - collection team meeting discussion

• Primary Investigator: Dr. Dan Roberts

Instructions

For every medicine patient at the Grace hospital, as soon as possible, but definitely within 48 business hrs of admission:

• find the new "Overstay" form on the chart
• for the first 6 check boxes on the form, create a record for each in tmp entries and check the checkbox if the answer is Yes. (one to one from the form, no interpretation necessary)
• (I will add a picture of the form here once we have a final version)
• Also, enter at least all the following as part of minimal dataset
  • DOB
  • Admit Date
  • ADLs
  • whether there was any CVA or Dementia as a comorbid
  • whether there was a stroke as an admit diagnosis

• Click the new “Overstay” button on the patient viewer form next to the notes field and it will turn a colour:
  • GREEN, YELLOW or RED - based on an underlying algorithm
  • GRAY- if some data is missing
  • If the chart already has a sticker the same colour then you are done
  • if the colour in the program is different from the one on the chart put a sticker of the program colour over the sticker on the chart. Stickers will be supplied.

If you can't find data

• I have emailed Linda to please fill in who the collector should talk to if there are problems with the Overstay form or the other data required for the project in a timely manner.Ttenbergen 14:45, 2012 April 23 (CDT)

Questions

1. What does Red mean, not really clear to me in algorithm.Trish Ostryzniuk
2. Where on the chart will this new form be and will it be a colored form?Trish Ostryzniuk 10:43, 2012 April 24 (CDT)

Purpose

A small number of patients overstays for a significant amount of time after they are medically ready for discharge. Though the number of patients is small, a significant proportion of bed-days is wasted in the process. We are piloting a process at the Grace where an "overstay coordinator" will be assigned to patients at risk of overstaying. Whether a patient is at risk is determined by the ward nurse assessing risk factors on a form, and by an assessment algorithm that takes into account the values mentioned as mandatory above; the combination of these results in a chart being assigned a colour sticker, and the transition coordinators monitor these chart stickers.