Level of care hierarchy

We use the concept of a level of care hierarchy in the context of Transfer Delays. See Transfer Delay to understand how it is used. Level of care applies to a patient's combination of Boarding Loc item and comment entry (which together define a physical location). Which location has which level of care is stored in the s_level_of_care table.

Levels of Care

The actual levels of care are:

• WRHA ICU, same level of care includes: MICU, SICU, CICU, ACCU, CCU (also for PACU or OR)
• Other MB RHA ICU or Other Province ICU
• WRHA IICU
• WRHA HOB Medicine ward (examples: HSC_HOBS, STB_IMCU as of 2020-10)
• WRHA regular Medicine ward (CTU or NTU)
• 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
• ward outside WRHA
• PCH or home

Special case - ER, OR and PACU

These are considered the highest level of care collected by that program. So,

• for a medicine patient on a med laptop, an ER/OR/PACU location is considered the same level of care as a HOBS unit
• for a critical care patient on a cc laptop, an ER/OR/PACU location is considered the same level of care as an MICU/SICU

Actual listing of care levels for different Boarding Locs

The s_level_of_care table in CCMDB.accdb (and automatically linked into CFE contains a mapping of our Boarding Locs to their level of care.

I populated most of the s_level_of_care table; for the rest I would need a list of all locations tracked in comment and what level of care we would attribute to them. List needs to be pulled from CFE, and then levels added, and I don't know what those would be, so we need someone (Lisa?) to help us fill that in. This will be needed by Julie for reporting. I have added the table to re-connecting so it will show in CFE as of version 2021-02-04. Ttenbergen 13:06, 2021 February 4 (CST) Thank you. I have looked at the s_level_of_care and the column for ‘level_of_care’ has entries lower level number (10) for higher acuity(ICUs) and higher level number (30) for lower acuity (wards) – shouldn’t we make this higher level number (30) for higher acuity (ICU)and lower level number (10) for lower acuity (wards) - so more consistent. If you will look at S-dispo, we have a column label acuity level, e.g. ICU has 9, IICU has 7 and ward has 6 . I will list down the entries at the COMMENT and identify the relevant ones and let you know. --JMojica 16:25, 2021 February 11 (CST)

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