NY0318 · 60M

4 West · Psych · Trauma- and stressor-related disorders
Worklist
NY0318 Elevated
60M · Psych
Trauma- and stressor-related disorders
4 West · from home · Medicaid
LOS vs expected (GMLOS)
+2.0d
day 11 · GMLOS 9.0d · predicted d11
Barrier families
AU Authorization
Prediction
Day 11–11
Low confidence
risk 0.508 · 0d remaining
Why this window
No strong drivers in administrative data.
Patient-flow timelineadmission → resolution → window
  • Day 0
    Admission
    direct → Psych, 4 West. Dx: Trauma- and stressor-related disorders. From home.
  • Day 0
    Prediction
    Elevated excess-LOS risk · risk 0.508 · conf 0.515. Drivers: none.
  • Day 0
    Barriers detected
    Insurance prior-auth (p=0.6, ETA 2.0d)
  • Due Day 2
    Action routed → Utilization-Review Nurse
    Insurance prior-auth: Open prior-auth; submit clinical docs to payer; track determination. [Open]
  • Day 11–11
    Projected discharge window
    Operational estimate (synthetic). Not a clinical claim.
Route actions0/1 closed
Insurance prior-authOpen
→ Utilization-Review Nurse · due d2
De-identified NY SPARCS · admin-baseline model · not a clinical claim · calibration gap disclosed · fairness gate →