Patient Movement

"Patient movement" is about how information flow supports healthcare flow.

Most healthcare encounters involve transitions between teams and locations. Complex encounters have multiple overlapping transitions. This can challenge care coordination. A trauma patient can, for example, have tasks distributed among emergency, critical care, operating room, ward, interventional diagnostics and other teams. Each may have focus for a time, with context-specific orders, measures and workflows.

The Connect Care clinical information system (CIS) is designed to organize health care across person, place and time. It has tools (navigators, order sets, plans, etc.) to facilitate tricky transitions. Orders, as a form of clinical task management, can be particularly transition-sensitive because they may be held or re-activated when a new context is encountered.

There is no simple approach that addresses all care transitions. Different tips help if, for example, a patient is admitted from the emergency room versus from an outpatient clinic or hospital outpatient department. The following resources compile guidance about the more common transitions. Prescribers should focus on patient care transitions that they most frequently encounter; being be sure to review relevant sections of the Patient Movement Guide.