“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” - PowerPoint PPT Presentation
Your patient is here! A review of the transfer process
Your patient is here!A review of the transfer process
UNM Hospitalist Best Practices1/7/11
ObjectivesFamiliarize 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
Brief history of PALS1988 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
A few changes since 1996Medical databases (i.e. Up to Date)More
specialties, proceduresAmionNM population increased 20%*
*1990-2000 US Census Data
PALS 2011Supervisor: Keith DrummondManager: Deborah Gonzales
Operators: 9 FTE + 1 PRN60,000 calls/year30,000
consultations4000 transfers
- PALS does not manage patients at home -
Flow of Information for TransferReferring
ProviderPALSAcceptingProviderAdministrative SupervisorPatient
PlacementakaBed Control
Bed Waitlist Priority1. UNM ED/Clinics2. Non-UNM Clinic3.
Patients at home4. Transfers
A patient is dischargedCharge NurseAdministrative
SupervisorPALSReferring ProviderAcceptingProvider
The transfer patient is comingAdministrative
SupervisorAdmittingButt in BedAcceptingProvider
Discussion PointsUpdate at time of transfer
Advance admissions
