There are misperceptions of acuity levels and types of diagnoses that PLC can accommodate. To ensure that these misperceptions are not reinforced, care with patient acuity must be taken especially during the initial phases of the project: success builds success.
From ED perspective: process must be “autopilot” ie not require extra work. Diagnosis as a tool may work well for ED. Concern from PLC is that restricting diagnosis creates a unit with many patients of the same diagnosis at PLC this is not best for trainees or attendings. As a result: Diagnosis should be a tool rather than the focus of the project.
Questions Raised/ ACTION Required:
Data: we have Statit Data for PLC and ACH unit occupancy, transfers both from ED to PLC and from PLC back to ACH inpatients. We need to ensure occupancy at PLC is calculated similarly to ACH. : Michelle will look at occupancy data and ensure data is optimal. Also will see if data re: time of admit can be obtained via STATIT.
ED needs to have accurate information on PLC\ bed availability on an ongoing basis that is updated frequently. : Rob will check on current practice. Steve will look at how bed availability is determined at PLC and what “reserve” is needed for jaundice and for NICU patients.
Direct referral of patients to PLC via SARCC would also be helpful: : Once “criteria” are developed they will be shared with SARRC
Messages used, ED process for determining patients for PLC and appropriate use of diagnoses all need to be finalized and agreed upon by all parties. : see draft below – for comment.
Timeline: aim for Oct/Nov 2008 as long as PLC coverage allows us to proceed. : Department to be informed of the project and its dependence on PLC coverage. Final start date to be set in September 2008.
“ Best Place for Your Child’s Care”,
“Child Health: One Program, Two Sites”
“Right Patient in Right Bed at the Right Time”