Overstay Predictor Project

See Overstay Predictor Project Collection Instructions for collection instructions for this project.

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 "transition 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.

Primary Investigator

Primary Investigator: Dr. Dan Roberts

• Overstay Predictor Project for Medicine - Dec 5.11 collection team meeting discussion item 6

Project Contact Person Project Coordinator

Linda Hathout: Phone: 391-5434 or LHathout@exchange.hsc.mb.ca

Implementation Information

Start Date

• HSC H4, H4H, A4, D4, D5 May 6th 2013 - a training session will occur May 1st 10:00 Room SMD 307
• Victoria Hospital 3S 4N 5N 5S And the overflow beds February 11 2013
• Grace Hospital N5: July 23, 2012
• Grace Hospital N3 & W3: October 1, 2012
• STB Hospital E5: November 5th 2012 (Training starting in October 23th and 24th 2012)
• STB Hospital E6: November 13th 2012 (Training starting the week of October 2012 29th)
• STB Hospital 5B: November 19th 2012 (Training starting in November 5th 2012)

End Date

There is no end date for the project at present; the committee will review results after 3 months and make adjustments at that time

Transition Coordinator Assignment

If the patient has been designated as "red" for purposes of overstay prediction, the data collector will notify a Transition Coordinator by placing the patients name on the Transition Coordinator assignment sheet in the Transition Coordinator binder. The rotation of Coordinators is made up of Home Care, Social Work, Physio, And OTs. Once assigned the transition coordinator is responsible for following that patient throughout their hospital stay.

The rotation of Coordinators is made up of Home Care, Social Work, Physio, And OTs. After assignment, that service is responsible for following that patient throughout their hospital stay. The Transition Coordinators are responsible for balancing their workload in the case that any individual is overburdened. They will also reassign patients if any Transition Coordinator is expecting to be a away for more than three business days.