AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits

Electronic Reports

Table 6. Sample Monthly Summary of Transfers by Facility or Nursing Unit

Average Daily Census	30	TOTAL Transfers (In/out, no returns)	16
Resident Days (including bed holds)	900	Total Residents	15

		Reason for Transfer
Transfers That Result in Observation Stays or ED Visits or Hospital Visits	Total Counts	Mental/ Psychiatric/ Neurological Symptoms	Cardiac/ Circulatory Symptoms	Pneumonia/ Respiratory Symptoms	Gastro- intestinal/ Genitourinary Symptoms	Endocrine/ Nutritional/ Metabolic Issues	Musculo- skeletal/ Joint Symptoms	Wound or Skin Issues
Observation Stays	10%
# Observations	2				2
# Residents	2				2
ED Visits	43%
# ED Visits	9			2	1
% Total Transfers				22	11
# Residents	8			2	1
Top 5 (Rank Order)				2	3
Hospitalizations	14%
# Hospitalizations	3		2	1
% Total Hospitalizations			67	33
# Residents	3		2	1
Top 5 (Rank Order)			1	2
Transfers Out, No Return	10%
# Transfers	2		1
% Total Transfers			50
# Residents	2		1
Top 5 (Rank Order)			1
Transfers In/Out Prior Month	24%
# Transfers	5		2					3
% Total Transfers			40					60
# Residents	3		1					2
Top 5 (Rank Order)			2					1
Unit Totals
TOTAL Transfers (in/out, no returns)	21	0	5	3	3	0	0	3
Total Residents	18	0	4	3	3	0	0	2

Table 6 (continued)

		Reason for Transfer
Transfers That Result in Observation Stays or ED Visits or Hospital Visits	Fall-Related Injury	Non-Fall-Related Injury	Abnormal Lab	Fever/Possible Infection	Malaise/Fatigue	Potential Surgical Complication	Treatment Unavailable at Facility
Observation Stays
# Observations
# Residents
ED Visits
# ED Visits		1	3	1			1
% Total Transfers		11	33	11			11
# Residents		1	2	1			1
Top 5 (Rank Order)		3	1	3			3
Hospitalizations
# Hospitalizations
% Total Hospitalizations
# Residents
Top 5 (Rank Order)
Transfers Out, No Return
# Transfers			1
% Total Transfers			50
# Residents			1
Top 5 (Rank Order)			1
Transfers In/Out Prior Month
# Transfers
% Total Transfers
# Residents
Top 5 (Rank Order)
Unit Totals
TOTAL Transfers (in/out, no returns)	0	1	4	1	0	0	1
Total Residents	0	1	3	1	0	0	1

Table 6 (continued)

		Discharge Diagnosis: Potentially Preventable
Transfers That Result in Observation Stays or ED Visits or Hospital Visits	Total Counts	Congestive Heart Failure	Pneumonia	Urinary Tract Infection	Sepsis or Fever or Infection	Skin Ulcers or Cellulitis	Dehydration or Metabolic Issues	Chronic Obstructive Pulmonary Disease
Observation Stays	10%
# Observations	2			1
# Residents	2			1
ED Visits	43%
# ED Visits	9				1		3
% Total Transfers					11		33
# Residents	8				1		2
Top 5 (Rank Order)					3		1
Hospitalizations	14%
# Hospitalizations	3	2	1
% Total Hospitalizations		67	33
# Residents	3	2	1
Top 5 (Rank Order)		1	2
Transfers Out, No Return	10%
# Transfers	2
% Total Transfers
# Residents	2
Top 5 (Rank Order)
Transfers In/Out Prior Month	24%
# Transfers	5
% Total Transfers
# Residents	3
Top 5 (Rank Order)
Unit Totals
TOTAL Transfers (in/out, no returns)	21	2	1	1	1	0	3	0
Total Residents	18	2	1	1	1	0	2	0

Table 6 (continued)

		Discharge Diagnosis: Potentially Preventable
Transfers That Result in Observation Stays or ED Visits or Hospital Visits	Total Counts	Asthma	Circulatory Problems	Hypertension	Gastroenteritis	Angina	Falls/Trauma	Anemia	Diabetes
Observation Stays	10%
# Observations	2				1
# Residents	2				1
ED Visits	43%
# ED Visits	9	2						1	1
% Total Transfers		22						11	11
# Residents	8	2						1	1
Top 5 (Rank Order)		2						3	3
Hospitalizations	14%
# Hospitalizations	3
% Total Hospitalizations
# Residents	3
Top 5 (Rank Order)
Transfers Out, No Return	10%
# Transfers	2
% Total Transfers
# Residents	2
Top 5 (Rank Order)
Transfers In/Out Prior Month	24%
# Transfers	5
% Total Transfers
# Residents	3
Top 5 (Rank Order)
Unit Totals
TOTAL Transfers (in/out, no returns)	21	2	0	0	1	0	0	1	1
Total Residents	18	2	0	0	1	0	0	1	1