Level of care hierarchy: Difference between revisions

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* PCH or home
* PCH or home
=== When to use the Levels of Care ===
=== When to use the Levels of Care ===
When the intent is to move the patient from a higher level of care to a lower level of care, transfer ready date and time has to be entered corresponding to the physical location  where the decision was made.  
When the intent is to move the patient from a higher level of care to a lower level of care, transfer ready date and time has to be entered corresponding to the physical location  where the decision was made. The entries are done following the guidelines in the [[Boarding Loc]] and [[Transfer Ready DtTm tmp entry]].
 
=== Special case - ER, OR and PACU ===
=== Special case - ER, OR and PACU ===
These are considered the highest level of care collected by that program. So,  
These are considered the highest level of care collected by that program. So,  

Revision as of 11:22, 2021 February 12

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

When to use the Levels of Care

When the intent is to move the patient from a higher level of care to a lower level of care, transfer ready date and time has to be entered corresponding to the physical location where the decision was made. The entries are done following the guidelines in the Boarding Loc and Transfer Ready DtTm tmp entry.

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)
  • SMW


  • Cargo


  • Categories

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