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
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.
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.
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