Referral, Access, Advice, Placement, Information & Destination (RAAPID)

RAAPID is a central point of contact for prescribers seeking access to urgent consultation, transfer for assessment, transfer for admission, or coordination of repatriations to sending facilities.  While consultations between prescribers can be quick, transfers often involve complex logistics. These need to be managed such that patients are seen at the right location, by the right service at the right time.

When to Involve RAAPID

Transfers to a higher level of care

Consultation is initiated with a RAAPID Service Request order entered into Connect Care or, for urgent transfers, a RAAPID call to facilitate discussion with a potential receiving consultant. 

Transfers to a lower level of care ("repatriation")

Consultation is initiated by a RAAPID Service Request order entered into Connect Care

Transfers to emergency care

All emergency department to emergency department transfers must involve RAAPID and can be initiated using the RAAPID Service Request order, as described in the ED to ED Transfers section of this Manual.

If in doubt, call RAAPID

RAAPID Service Request Orders for Repatriation and Non-Emergent Transfer

Patients transferred from one facility to another for advanced or specialty care may be expected to return to the original facility when the requested services have been completed. For example, stabilized patients may safely convalesce at a site closer to their home destination. These "repatriation" transfers are facilitated by entering a RAAPID Service Request order

Rapid Service Request orders are also used when non-emergent consultation or transfer is needed and there are no immediate transportation implications.

For urgent/emergent requests, call RAAPID.

Documentation by RAAPID in Connect Care automatically generates a pending admission at the receiving site – setting up the patient for immediate arrival and access to the Connect Care chart.  If the transfer is coordinated outside of RAAPID (i.e., this workflow is not followed), the receiving site must call patient registration to create a pending admission. 

RAAPID Workflows and Encounters

The RAAPID service manages all consultation requests within Connect Care. When a service request event is initiated, RAAPID creates a single Connect Care “Intake Encounter”, available to participating consultant(s) to facilitate documentation and communication. This spares each consultant from having to create and manage separate “Phone Call” encounters. 

Access to and use of Intake encounters differs somewhat for emergency medicine and for specialty consultants:

Inter-Facility Direct Admit - Incoming

Patients accepted from other facilities (non-Connect Care) require a RAAPID service consultation with the proposed admitting service, and a RAAPID-facilitated arrangement for receipt of the patient to an appropriate inpatient unit. RAAPID ensures that appropriate connections are effected between sending and receiving providers, as well as the receiving facility bed management. The admitting service is notified when the patient arrives and proceeds with admission orders and documentation.