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 and enter the content of the first 6 check boxes into tmp entries (one to one, no interpretation necessary) (I will add a picture of the form here once we have one)
• Also enter at least the following
  • DOB
  • Admit Date
  • ADLs
  • whether there was any CVA or Dementia as a comorbid
  • whether there was a stroke as an admit dx

• Click the new “Overstay” button on the patient viewer form next to the notes field and it will turn a colour.
  • If the chart already has a sticker that 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.

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.