Overstay Predictor Project: Difference between revisions

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== Instructions ==
== Instructions ==
For every '''medicine''' patient at the '''Grace''' hospital, '''as soon as possible''', but definitely within 48 business hrs of admission:  
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
* find the new "Overstay" form on the chart
*for the first 6 check boxes on the form, create a record for each in tmp entries and check the checkbox if the answer is Yes.  (one to one from the form, no interpretation necessary)  
*for the first 6 check boxes on the form, create a record for each in tmp entries and check the checkbox if the answer is Yes.  (one to one from the form, no interpretation necessary)  

Revision as of 16:59, 2012 April 23

Overstay Predictor Project for Medicine - collection team meeting discussion

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
  • for the first 6 check boxes on the form, create a record for each in tmp entries and check the checkbox if the answer is Yes. (one to one from the form, no interpretation necessary)
  • (I will add a picture of the form here once we have a final version)
  • Also, enter at least all the following as part of minimal dataset
    • DOB
    • Admit Date
    • ADLs
    • whether there was any CVA or Dementia as a comorbid
    • whether there was a stroke as an admit diagnosis
  • Click the new “Overstay” button on the patient viewer form next to the notes field and it will turn a colour:
    • GREEN - very low risk for discharge issues - answer to all questions was "YES"
    • YELLOW - slight risk for discharge issue - answer to ONE of question was "NO"
    • RED - ?
    • GRAY- if some data is missing
    • If the chart already has a sticker the same 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.

If you can't find data

  • I have emailed Linda to please fill in who the collector should talk to if there are problems with the Overstay form or the other data required for the project in a timely manner.Ttenbergen 14:45, 2012 April 23 (CDT)

Questions

What does Red mean, not really clear to me in algorithm.Trish Ostryzniuk

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.