ICU Interfacility Transfer
Percent of live ICU discharges that are transferred to an ICU located at a different hospital.
| Indicators | |
| Indicator: | ICU Interfacility Transfer |
| Created/Raw: | Created |
| Program: | Critical Care |
| Start Date: | Oct 2016 |
| End Date: | |
| Reports: | Critical Care Program Quality Indicator Report |
Usually used in aggregate form as "per location" and/or "per timeframe", e.g. by day/month/quarter/year x Ward/Unit x Hospital.
See more details on the different scenario of transfer in ICU Interfacility Report .
QI domain
- Efficient
Significance
Reasons for transfer may be either to manage ICU beds or access to a required medical service. Bed management transfers can increase the efficiency of ICU bed numbers within a region. Patient transfers may increase the time to appropriate management and may place patients at risk.
Sampling Plan / Procedure
Inclusion Criteria
100% patients who survived and left ICU
Exclusion Criteria
- Patients transferred to a home hospital (i.e. not for medical or bed access reasons);
- patients not formally evaluated by the ICU team;
- patients admitted to a critical care unit within the same geographic site.
Frequency
Month, quarter or year based on ICU discharge dates.
Definition and Derivation
Percent of live ICU discharges that are transferred to an ICU located at a different hospital.
Numerator
Num = Number of live ICU discharges that are transferred to an ICU located at a different hospital
Denominator
Denom = Number of Live ICU discharges
Formula
Percent of live ICU discharges that are transferred to an ICU located at a different hospital = Num / Denom
Background
A similar thing used to be reported for transfer "for medical reasons" vs. "for bed management". That indicator isn't used by any current reports, but we would be able to break that information out in a report if needed.
Data Sources
SAS Program
- S:\MED\MED_CCMED\Julie\SAS_CFE\CFE_macros\InterfacilityReasonMed.sas - list the diagnosis (old coding and ICD10 codes) that defines a medical reason for transfer
- S:\MED\MED_CCMED\Julie\SAS_CFE\CFE_macros\InterfacilityInOut.sas
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