UMMS Access Center One-Call Workflow Comparison
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8/18/20
Abbreviation Key:
•
Epic Modules
– Transfer Center,
Unit Manager,
•
TC
– Transport Coord.
•
ACP
– Access Center Physician
•
CIP
– Central Intensivist Physician
•
NS
– Nursing Supervisor
•
NC-
Nursing Coordinators
•
CN
– Charge nurse
•
LOC
– Level of Care
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B
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)
Sending provider
initiates consult by
calling AC
#410-328-1234
Critical Care
Transfer
Coordinator (CCTC)
opens a ticket in
Epic “Transfer
Center” & obtains
pt. demographic/
clinical info
Telehealth
consult occurs
S
t
a
r
t
CCTC gives
report to CN
Telehealth consult
recommended prior to
accepting patient for
transfer
Transfer
accepted
Transfer not
recommended,
alternate care
identified
CCT
C connects the
sending provider,
receiving provider,
and ACP
CCT
C gathers
care needs, LOC,
consultant needs
Sending provider,
receiving provider,
and ACP discuss
case
S
t
o
p
Pt. rec’d. to
remain at
sending
facility with
Telehealth
support
CCTC
discusses bed
availability &
assignment
with the
accepting
hospital
nurse
coordinator
Charge
RN (CN)
assigns bed at
receiving
hospital; bed for
behavioral
health will only
be assigned if
prior
authorization
has been
obtained from
sending hospital.
The CCTC will
document prior
auth
in EPIC
CCTC places
pt. on “Unit
Manager” so
that receiving
hospital
can
see bed
request
CCTC documents
destination & unit
in an Epic intake
encounter
Transfer
recommended
based on
consult
accepted
If the patient is being
transferred from Laurel,
Bowie, Laurel 345, or
Capitol
Regional the
CCTC will set-up
transport; if any other
hospital will follow normal
transfer process for UMAC
* See Transport Process
Patient arrives and patient
is transported to their room
assigned & bed board is
updated
S
t
o
p
Nurse to nurse
report given to the
accepting unit
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s
Patient
needing to be
transferred from
capitol regional,
laurel, or bowie
Transport Form
completed for
procare and faxed,
must include for
behavioral health
flight risk
information #
410-
410-
574-4723
574-4723
S
t
a
r
t
CCT
C provides
ETA
information to
sending and
receiving facility
CCTC calls
Procare to confirm
transport form
received, ETA
received.#
410-
410-
823-0030
823-0030
S
t
o
p
Procare will transport all
patients for capitol
regional, and will vend
MA calls
Does the
patient’s
acuity require
flight?
Determined
by send MD
Yes
CCTC calls Medstar for flight, if not available they will call Stat Med t air, if flight is
not available and patient is acutely ill determine if 911 needs to be activated,
otherwise follow process below for ground transportation
Medstar 1800-824-6814;
Stat Med 800-633-7828
No
Patient accepted for
flight
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s
f
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f
l
o
w
–
T
o
/
F
r
o
m
a
n
y
U
M
M
S
H
o
s
p
i
t
a
l
(
S
T
E
M
I
)
Sending provider
initiates consult by
calling AC
#410-328-1234
CCTC opens a
ticket in Epic
“Transfer Center”
& obtains pt.
demographic/
clinical info
S
t
a
r
t
CCTC gives
report to CN
Call hospital
operator
and
notify of STEMI
Retur
n to non-
STEMI transfer
flow map
CCTC connects the
sending provider,
receiving provider,
and ACP
CCTC gathers
care needs, LOC,
consultant needs
Is the patient a
STEMI?
S
t
o
p
CCTC
arranges
transportation
see
transportation
flow map; flight
is first option
Charge RN (CN)
assigns bed at
receiving
hospital
CCTC documents
destination & unit in
an Epic intake
encounter
Patient arrives and patient
is transported to their room
assigned & bed board is
updated
S
t
o
p
Nurse to nurse
report given to the
accepting unit
No
CCTC places
pt. on “Unit
Manager” so
that receiving
hospital
can
see bed
request
U
M
M
S
A
c
c
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s
C
e
n
t
e
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T
r
a
n
s
f
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r
W
o
r
k
f
l
o
w
–
B
e
h
a
v
i
o
r
a
l
H
e
a
l
t
h
L
a
u
r
e
l
3
4
5
Sending provider
initiates consult by
calling AC
#410-328-1234
Critical Care
Transfer
Coordinator
(CCTC)
opens a
ticket in Epic
“Transfer Center”
& obtains pt.
demographic/
clinical info
S
t
a
r
t
Transportation is
set-up,
see
transportation flow
map
Transfer
accepted
Transfer not
recommended,
alternate care
identified
CCT
C
will call PLC
at Laurel 345
-
#301-
362-2103
CCT
C requests
sending hospital
to send clinical
information,
and
once received will
fax to 301-617-
8630
PLC will determine
if patient
is
appropriate for
Laurel 345
S
t
o
p
Once bed is available, CCTC
will notify sending facility of
bed. Prior to setting up
transportation
, prior
authorization information must
be received and given to flow
coordinators at Laurel 345 and
placed in EPIC
CCTC will call
flow
coordinator to
notify of accepted
transfer
CCTC
notifies sending of
acceptance and need for prior
authorization to be completed
Patient arrives and patient
is transported to their room
assigned & bed board is
updated
S
t
o
p
Nurse to nurse
report given to the
accepting unit
No
Yes
CCTC documents
destination & unit
in an Epic intake
encounter
CCTC places
pt. on “Unit
Manager” so
that receiving
hospital
can
see bed
request
UMMS Access Center and One-Call Workflow Comparison detailing the process for transferring patients to and from UMMS hospitals, involving various healthcare professionals such as Critical Care Transfer Coordinators, nurses, and providers. The workflow includes steps for initiating consultations, arranging transfers, documenting patient information, coordinating with accepting hospitals, and ensuring proper transportation for patients. The process ensures efficient and coordinated care for patients requiring transfers to different facilities within the UMMS system.
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Presentation Transcript
UMMS Access Center & One Call Work Flow Comparison Abbreviation Key: Epic Modules Transfer Center, Unit Manager, TC Transport Coord. ACP Access Center Physician CIP Central Intensivist Physician NS Nursing Supervisor NC- Nursing Coordinators CN Charge nurse LOC Level of Care 8/18/20
UMMS Access Center Transfer Workflow To / From any UMMS Hospital (non-STEMI and Capitol Regional Behavioral Health; this is not for Laurel 345 BH) Critical Care Transfer Coordinator (CCTC) opens a ticket in Epic Transfer Center & obtains pt. demographic/ clinical info Sending provider, receiving provider, and ACP discuss case CCTC connects the sending provider, receiving provider, and ACP Sending provider initiates consult by calling AC #410-328-1234 CCTC gathers care needs, LOC, consultant needs CCTC Transfer not recommended, alternate care identified discusses bed availability & assignment with the accepting hospital nurse coordinator Transfer accepted CCTC places pt. on Unit Manager so that receiving hospital can see bed request CCTC documents destination & unit in an Epic intake encounter Telehealth consult recommended prior to accepting patient for transfer Telehealth consult occurs S t o p Charge RN (CN) assigns bed at receiving hospital; bed for behavioral health will only be assigned if prior authorization has been obtained from sending hospital. The CCTC will document prior auth in EPIC Transfer recommended based on consult accepted Pt. rec d. to remain at sending facility with Telehealth support If the patient is being transferred from Laurel, Bowie, Laurel 345, or Capitol Regional the CCTC will set-up transport; if any other hospital will follow normal transfer process for UMAC * See Transport Process CCTC gives report to CN Patient arrives and patient is transported to their room assigned & bed board is updated Nurse to nurse report given to the accepting unit S t o p 2 U N I V E R S I T Y O F M A R Y L A N D M E D I C A L S Y S T E M
UMMS Access Center Transfer Workflow Transportation Transfer Process CCTC calls Medstar for flight, if not available they will call Stat Med t air, if flight is not available and patient is acutely ill determine if 911 needs to be activated, otherwise follow process below for ground transportation Medstar 1800-824-6814; Stat Med 800-633-7828 Patient accepted for flight Yes Transport Form completed for procare and faxed, must include for behavioral health flight risk information # 410- 574-4723 Does the patient s acuity require flight? Determined by send MD CCTC calls Procare to confirm transport form received, ETA received.# 410- 823-0030 No CCTC provides ETA information to sending and receiving facility Patient needing to be transferred from capitol regional, laurel, or bowie S t o p Procare will transport all patients for capitol regional, and will vend MA calls 3 U N I V E R S I T Y O F M A R Y L A N D M E D I C A L S Y S T E M
UMMS Access Center Transfer Workflow To / From any UMMS Hospital (STEMI) CCTC opens a ticket in Epic Transfer Center & obtains pt. demographic/ clinical info CCTC connects the sending provider, receiving provider, and ACP Is the patient a STEMI? Sending provider initiates consult by calling AC #410-328-1234 CCTC gathers care needs, LOC, consultant needs No Call hospital operator and notify of STEMI Return to non- STEMI transfer flow map CCTC arranges transportation see transportation flow map; flight is first option CCTC places pt. on Unit Manager so that receiving hospital can see bed request CCTC documents destination & unit in an Epic intake encounter S t o p Charge RN (CN) assigns bed at receiving hospital Patient arrives and patient is transported to their room assigned & bed board is updated Nurse to nurse report given to the accepting unit CCTC gives report to CN S t o p 4 U N I V E R S I T Y O F M A R Y L A N D M E D I C A L S Y S T E M
UMMS Access Center Transfer Workflow Behavioral Health Laurel 345 CCTC requests sending hospital to send clinical information, and once received will fax to 301-617- 8630 Critical Care Transfer Coordinator (CCTC) opens a ticket in Epic Transfer Center & obtains pt. demographic/ clinical info PLC will determine if patient is appropriate for Laurel 345 CCTC will call PLC at Laurel 345-#301- 362-2103 Sending provider initiates consult by calling AC #410-328-1234 No Yes CCTC notifies sending of acceptance and need for prior authorization to be completed Transfer not recommended, alternate care identified Transfer accepted Once bed is available, CCTC will notify sending facility of bed. Prior to setting up transportation, prior authorization information must be received and given to flow coordinators at Laurel 345 and placed in EPIC CCTC places pt. on Unit Manager so that receiving hospital can see bed request CCTC documents destination & unit in an Epic intake encounter CCTC will call flow coordinator to notify of accepted transfer S t o p Patient arrives and patient is transported to their room assigned & bed board is updated Transportation is set-up, see transportation flow map Nurse to nurse report given to the accepting unit S t o p 5 U N I V E R S I T Y O F M A R Y L A N D M E D I C A L S Y S T E M
