NY0320 · 78F

6 Tower · Pulmonary · Respiratory failure; insufficiency; arrest
Worklist
NY0320 Elevated
78F · Pulmonary
Respiratory failure; insufficiency; arrest
6 Tower · from ED · Dual
LOS vs expected (GMLOS)
+2.0d
day 6 · GMLOS 4.0d · predicted d6
Barrier families
AU Authorization
Prediction
Day 6–6
Medium confidence
risk 0.407 · 0d remaining
Why this window
No strong drivers in administrative data.
Patient-flow timelineadmission → resolution → window
  • Day 0
    Admission
    ED → Pulmonary, 6 Tower. Dx: Respiratory failure; insufficiency; arrest. From ED.
  • Day 0
    Prediction
    Elevated excess-LOS risk · risk 0.407 · conf 0.687. 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 6–6
    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 →