The ORIGINAL DECIDED TO ADMIT DATE should normally be the date used as the start point from which an effective waiting time for admission from an ELECTIVE ADMISSION LIST to a Hospital Provider Spell is calculated. However, when a PATIENT refuses a reasonable OFFERED FOR ADMISSION DATE or cancels the admission or fails to arrive for admission, the point from which the effective waiting time is calculated changes.
To take account of PATIENT instigated resets, the ELECTIVE ADMISSION EFFECTIVE WAIT START DATE should be used as the start point from which the effective waiting time is calculated.
When an ELECTIVE ADMISSION LIST ENTRY is created and recorded, the ELECTIVE ADMISSION EFFECTIVE WAIT START DATE should be initialised with the same date used to record the ORIGINAL DECIDED TO ADMIT DATE. Thereafter it should only change if and due to a PATIENT action which instigates a change to the point from which the effective waiting time should be re-calculated or a change to the ORIGINAL DECIDED TO ADMIT DATE.
ELECTIVE ADMISSION EFFECTIVE WAIT START DATE should be changed and overwritten only when:
a. | the PATIENT refuses a reasonable admission date offer, this is a Self-Deferred Admission. The ELECTIVE ADMISSION EFFECTIVE WAIT START DATE should be overwritten with the earliest OFFERED FOR ADMISSION DATE. | ||
For a verbal admission offer, as indicated by OFFER OF ADMISSION VERBAL OR WRITTEN, to be deemed reasonable, the PATIENT should be offered a minimum of two OFFERED FOR ADMISSION DATES on different days with at least three weeks notice before the first OFFERED FOR ADMISSION DATE. OFFER OF ADMISSION GROUP IDENTIFIER should be the same for each individual OFFER OF ADMISSION within the set of the two or more offered dates. | |||
For a written appointment offer, as indicated by OFFER OF ADMISSION VERBAL OR WRITTEN, to be deemed reasonable, the PATIENT should be offered an OFFERED FOR ADMISSION DATE with a minimum of three weeks notice before admission. A written offer may comprise of only one offered date or a set of offered date | |||
or | |||
b. | the PATIENT failed to arrive for admission, this is a Self-Deferred Admission. The ELECTIVE ADMISSION EFFECTIVE WAIT START DATE should be overwritten with the OFFERED FOR ADMISSION DATE the patient did not arrive to attend | ||
ADMISSION OFFER OUTCOME records records whether the PATIENT failed to arrive on the OFFERED FOR ADMISSION DATE | |||
or | |||
c. | the admission was cancelled, by or on behalf of, the patient; this is a Self-Deferred Admission. The ELECTIVE ADMISSION EFFECTIVE WAIT START DATE should be overwritten with the OFFERED FOR ADMISSION DATE after that date has passed i.e. the next day | ||
ADMISSION OFFER OUTCOME records records whether the PATIENT cancelled and APPOINTMENT CANCELLED DATE records the date of cancellation | |||
or | |||
d. | the PATIENT initiates transfer themselves to another Health Care Provider and remove themselves from the waiting list of their current provider then the waiting period will reset. The DECIDED TO ADMIT DATE of the new provider will be used to record the ORIGINAL DECIDED TO ADMIT DATE and re-initialise ELECTIVE ADMISSION EFFECTIVE WAIT START DATE accordingly. |
Where two Health Care Providers agree to the transfer of a PATIENT for example to speed up treatment or provide continuity of care then this should not be treated as a PATIENT initiated transfer.
In these cases the ORIGINAL DECIDED TO ADMIT DATE and the ELECTIVE ADMISSION EFFECTIVE WAIT START DATE of the transferring provider will also become the initialised ORIGINAL DECIDED TO ADMIT DATE and the ELECTIVE ADMISSION EFFECTIVE WAIT START DATE of the new provider.
In addition, the WAITING PERIOD EXCLUSION will also be transferred to the new provider.
When two Health Care Providers merge the PATIENT elective admission details are retained and waiting times are unaffected.
This attribute is also known by these names:
Context | Alias |
---|---|
plural | ELECTIVE ADMISSION EFFECTIVE WAIT START DATES |