Overstay Predictor Project

From CCMDB Wiki
Jump to navigation Jump to search

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

Project Contact Person Project Coordinator

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

Pilot Information

Start Date

Grace Hospital 5 North (N5) start date: July 23rd 2012 ???Grace Hospital 3 South start date: Tentative start date September 3rd tentative. Template:Discussion. Do you mean N3

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 beside the transition coordinator on call for the time period of the patients admission. The transition coordinators will be assigned to cover between Friday to Monday, the next shift will go to Wednesday, the last will be Wednesday to Friday. If the designation is made after 1500 on the day of entry, the assignment will be deferred to the next day's coordinator. 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.

Overstay Predictor Diagnosis Code Used