FIRST ATTENDANCE EFFECTIVE WAIT START DATE

The ORIGINAL REFERRAL REQUEST RECEIVED DATE should normally be the date used as the start point from which an effective waiting time for a first Out-Patient Appointment is calculated. However, when a PATIENT refuses a reasonable APPOINTMENT DATE OFFERED for a first APPOINTMENT or did not attend a first APPOINTMENT, the point from which the effective waiting time is calculated changes.

To take account of a PATIENT instigated resets, the FIRST ATTENDANCE EFFECTIVE WAIT START DATE should be used as the start point from which the effective waiting time is calculated.

When a REFERRAL REQUEST is created and recorded, FIRST ATTENDANCE EFFECTIVE WAIT START DATE should be initialised with the same date used to record the ORIGINAL REFERRAL REQUEST RECEIVED 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 calculated or a change to the ORIGINAL REFERRAL REQUEST RECEIVED DATE.

FIRST ATTENDANCE EFFECTIVE WAIT START DATE should be updated when:

 a.the PATIENT refuses a reasonable appointment offer. The FIRST ATTENDANCE EFFECTIVE WAIT START DATE should be overwritten with the earliest APPOINTMENT DATE OFFERED of the APPOINTMENT OFFERS for the SERVICE REQUEST.
  For a verbal appointment offer, as indicated by APPOINTMENT OFFER VERBAL OR WRITTEN, to be deemed reasonable, the PATIENT should be offered a minimum of two APPOINTMENT DATES OFFERED on different days with at least three weeks notice before the first APPOINTMENT DATE OFFERED.
  For a written appointment offer, as indicated by APPOINTMENT OFFER VERBAL OR WRITTEN, to be deemed reasonable, the PATIENT should be offered an APPOINTMENT DATE OFFERED with a minimum of three weeks notice before the first APPOINTMENT DATE OFFERED 
or  
 b.the PATIENT failed to attend the APPOINTMENT, whether giving advance notice or not, the FIRST ATTENDANCE EFFECTIVE WAIT START DATE should be overwritten with the APPOINTMENT DATE of the APPOINTMENT not attended
  ATTENDED OR DID NOT ATTEND records whether the PATIENT failed to attend
or  
 c.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 REFERRAL REQUEST RECEIVED DATE of the new provider will be used to record the ORIGINAL REFERRAL REQUEST RECEIVED DATE. This will exclude any period of wait before the transfer took place and re-initialise the FIRST ATTENDANCE EFFECTIVE WAIT START DATE accordingly.
 

This attribute is also known by these names:
ContextAlias
pluralFIRST ATTENDANCE EFFECTIVE WAIT START DATES