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. Each context (e.g. Pre-Admission Clinic, Intra-procedure, Recovery, operating room, ICU) may represent a different “Phase of Care”.

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 transitions. Orders, as a form of clinical task management, can be particularly transition-sensitive because they can be phase-of-care-tagged to ensure that they are activated in the right location and care context.

There is no simple workflow 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 more challenging care transitions are addressed in sub-sections:

Resources

The following resources compile guidance about patient movement and care transitions. Prescribers should focus on transitions that they most frequently encounter; being be sure to review just the relevant bits of the Patient Movement Guide. The Guide is very long. The first few pages allow the user to select a 'from' and a 'to' context and so jump to the relevant section of the Guide.