Transfer Delay
| Data Element (edit) | |
| Field Name: | Transfer Delay |
| CCMDB Label: | not stated |
| CCMDB tab: | not stated |
| Table: | Created_Variables_Common table |
| Data type: | number |
| Length: | single |
| Program: | Med and CC |
| Created/Raw: | Created |
| Start Date: | 1999-01-15 |
| End Date: | 2300-01-01 |
| Sort Index: | 7 |
Transfer Delay is the difference between Dispo_DtTm and Transfer_Ready_DtTm in decimal days. Other terms use to call it are Beds Occupied by transferable patients, Wasted Beds, Avoidable Days.
Before Oct 1, 2020, it is calculated by Created_Variables_Common_maker query and stored in Created_Variables_Common table in CFE. Starting Oct 1, 2020, it will be added but haven't started.
|
are you planning to add the updated calculation based on the new process in the created variables ? --JMojica 16:55, 2021 June 11 (CDT) |
We report the following in days:
- Transfer Delay Over 2 hours for Critical Care (ie subtract 2 hrs from transfer delay)
- Transfer Delay Over 4 hours for Medicine (ie subtract 4 hrs from transfer delay)
Use
- The purpose is to determine the amount of time the patient is occupying a bed in an ICU or an IICU or a High Observation ward or a regular ward setting when the patient is no longer needing that level of care (also refer as wasted bed) from the Transfer Ready DtTm until the Dispo DtTm.
Which Transfer Ready DtTm To Use?
Before Oct 1, 2020
- For each patient in ICU and Medicine ward, the transfer date and time is taken from the Transfer Ready DtTm field.
Starting Oct 1, 2020
- For each record and each boarding location in ICU and Medicine, the transfer date and time is taken from the Transfer Ready DtTm tmp entry.
- For each record, it is possible to have one or more entries of Transfer Ready DtTm corresponding to one or more boarding locations.
- if the patient moves to various locations, the first Transfer Ready DtTm from the same level of care will be used.
- For example, a Med patient stays in high obs bed and then move to regular ward bed and then another regular ward bed. There are two levels of care - one for high obs and another which is lower, for the regular ward. At least two Transfer Ready DtTm intent are expected here - first intent for high obs ready to go to a regular ward and the second intent is from a regular ward to be discharged to another lower level of care or home or PCH. Assuming that there are transfer orders both at regular ward 1 and regular ward 2 and both are with same level of care, the first Transfer Ready DtTm time will be used in calculating the wasted bed for that lower level of care. There will be another wasted bed to be calculated for the high Obs level of care from the Transfer Ready DtTm to the time the patient left the high obs bed (ie the Dispo DtTm or the next Boarding Loc start DtTm. The sum of the two scenarios will be the total wasted bed for that patient.
- if the Med patient stays in more than one regular wards (or boarding location) or a CC patient stays in more than one ICU location (or boarding ICU location), all locations are considered with the same level of care, the wasted bed is calculated from the first Transfer Ready DtTm until Dispo DtTm.
Start Date
- ICU (see infobox)
- Medicine - Oct 1, 2003
data use
- Quarter and Fiscal Year Reports of both Critical Care and Medicine Programs
- Critical Care Quality Improvement Team
- Avoidable Days in ICU
IICU and H6 Reporting
For the ICU annual and quarter reports, the transfer ready delay to the IICU and to HSC H6 (LTV) will be reported separately from the transfer delay to the other Wards and home. This imply that in addition to the total transfer delay, there will be two more derived delay variables, namely:
- to HSC IICU/H6, and
- to other wards/Home (including nursing home/long term care facility)
The Dispo location will be used to define the destination. As per Dr. Garland & Dr.Paunovic.
Calculation when transfer time missing
The following definitions are used by Julie in reporting from SAS, and by centralized_data_front_end.accdb to calculate the created_variables query.
For Critical Care if discharge time < 1000 HR then dummy=0001 HR (12:01 am), else if discharge time >= 1000 HR dummy=1000HR (10:00 am)
This was based on Critical Care Vital Sign Monitor.
For Medicine,
if discharge time < 1200 HR then dummy=0001 HR (12:01 am) ,
else if discharge time >= 1200 HR dummy=1200HR (12:00 noon)
This is as per approval by Dr. Roberts .
Data Integrity Checks (automatic list)
none found