KH07 - Demand for Elective Admission: Position at the End of the Quarter (Provider Based)
Part 1: Ordinary Admissions - continued
Part 1 of KH07 should be completed for intended ordinary admissions.
Main Specialty Function and Code
ELECTIVE ADMISSION LIST ENTRY should be counted by TREATMENT FUNCTION CODE.
Patients waiting for admission
A count of PATIENTS with an ELECTIVE ADMISSION LIST ENTRY who have been classified as booked admissions or waiting list admissions. This count excludes planned admissions or Suspended Patients. In addition, note that PATIENTS waiting for an organ transplant or an unrelated bone marrow transplant are classified as Suspended Patients and should be excluded.
Patients waiting for admission by months waiting
The waiting time for each PATIENT on the ELECTIVE ADMISSION LIST is calculated as the time period between the ORIGINAL DECIDED TO ADMIT DATE and the date at the end of the applicable period for the return. This is still the case if the PATIENT is transferred to another provider, where both providers agree to the transfer (e.g. to speed up treatment, ensure continuity of care etc.), and please note that the waiting time is then made the responsibility of the receiving provider.
If the PATIENT has been suspended at all during this time, the period(s) of suspension should be subtracted from the total waiting time. If the PATIENT is transferred to another provider the WAITING PERIOD EXCLUSIONS (their aggregate suspended and/or self-deferred periods) will be carried with them, except where the transfer is initiated by the PATIENT.
If the PATIENT initiates a transfer between providers themselves, where there is no agreement for the transfer between the providers, the waiting time is re-set from the DECIDED TO ADMIT DATE for the new provider. Also, any WAITING PERIOD EXCLUSIONS from before the re-set waiting time date will be annulled, and therefore, should not be used for any further waiting time calculations.
Patients with an ADMISSION OFFER OUTCOME of National Codes 4 'Patient failed to arrive' or 2 'Admission cancelled by, or on behalf of, the patient' (deferred admissions) are included in the count but the waiting time is calculated differently. After the OFFERED FOR ADMISSION DATE has passed, the waiting time is calculated as the difference between the date at the end of the period and the OFFERED FOR ADMISSION DATE that the PATIENT turned down or failed to keep. Therefore, the ORIGINAL DECIDED TO ADMIT DATE will no longer be used to calculate the start of the waiting time, and any WAITING PERIOD EXCLUSION from before the re-set waiting time date will be annulled, and should not be used for any further waiting time calculations.
Time Periods
The periods listed - 3-5 months, 6-8 months and so on - refer to completed whole months, not partially completed ones. For example, in a case where the waiting time is between 5 and 6 months, the 3-5 months box should be used, not the 6-8 months one. Make sure that the hospital computer system does not round up time periods, as this could give misleading counts.
Page total
The total by column of all patients waiting admission and patients waiting for admission by months waiting for all the TREATMENT FUNCTION CODES appearing on the page.
FINAL TOTAL
The total by column of all ordinary admission patients waiting admission and patients waiting for admission by months waiting for all the TREATMENT FUNCTION CODES.