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“Your patient is here!” A review of the transfer process

“Your patient is here!” A review of the transfer process. UNM Hospitalist Best Practices 1/7/11. Objectives. Familiarize faculty with the history and functions of UNM PALS (Physician Access Line Service) Review the flow of patient information involved with a “PALS transfer”

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“Your patient is here!” A review of the transfer process

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  1. “Your patient is here!”A review of the transfer process UNM Hospitalist Best Practices 1/7/11

  2. Objectives • Familiarize faculty with the history and functions of UNM PALS (Physician Access Line Service) • Review the flow of patient information involved with a “PALS transfer” • Describe the process of “Patient Placement” • Discuss potential improvements

  3. Brief history of PALS 1988 “Mini-PALS” designed by Dr. Ben Curet (MFM OB) for rural NM support/tranfers 1996 Expanded under UPA to provide telephone consultation with all UNM SOM specialty faculty • Several departmental incentives initially tied to response time

  4. A few changes since 1996 • Medical databases (i.e. Up to Date) • More specialties, procedures • Amion • NM population increased 20%* *1990-2000 US Census Data

  5. PALS 2011 • Supervisor: Keith Drummond • Manager: Deborah Gonzales • Operators: 9 FTE + 1 PRN • 60,000 calls/year • 30,000 consultations • 4000 transfers - PALS does not manage patients at home -

  6. Flow of Information for Transfer Referring Provider Accepting Provider PALS Administrative Supervisor Patient Placement aka Bed Control

  7. Bed Waitlist Priority 1. UNM ED/Clinics 2. Non-UNM Clinic 3. Patients at home 4. Transfers

  8. A patient is discharged… Referring Provider Charge Nurse PALS Accepting Provider Administrative Supervisor

  9. The transfer patient is coming Administrative Supervisor “Butt in Bed” Accepting Provider Admitting

  10. Discussion Points • Update at time of transfer • Advance admissions

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