Patient Movement

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

Even straightforward encounters involve transitions between teams and locations. Complex encounters have multiple overlapping transitions. This can challenge clinical task management. A trauma patient can, for example, require task coordination among emergency medical services, resource allocation (RAPPID), triage, emergency, critical care, operating room, ward, interventional diagnostics and therapeutics, rehabilitation and other care contexts. Each may have focus for a time, with unique orders, measures and workflows. Orders, as a form of clinical task management, present particular challenge because they may be held, or re-initiated, when a new context is encountered.

The Connect Care clinical information system (CIS) is designed to organize health care across person, place and time. It has tools (navigators, ordersets, protocols, plans, etc.) to facilitate tricky transitions.

There is no simple summary that covers process for all care transitions. Different tasks pertain 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 common transitions, with links to details about transitions of interest. Prescribers should tally the transitions they frequent and be sure to review relevant sections of the patient movement guide, and any linked tip sheets.