NY0321 · 78M

ICU · Neuro · Traumatic brain injury (TBI); concussion, initial encounter
Worklist
NY0321 Elevated
78M · Neuro
Traumatic brain injury (TBI); concussion, initial encounter
ICU · from home · Medicare
LOS vs expected (GMLOS)
+2.0d
day 6 · GMLOS 4.0d · predicted d6
Barrier families
CL Clinical readiness
TR Logistics
Prediction
Day 6–6
Low confidence
risk 0.49 · 0d remaining
Why this window
No strong drivers in administrative data.
Patient-flow timelineadmission → resolution → window
  • Day 0
    Admission
    direct → Neuro, ICU. Dx: Traumatic brain injury (TBI); concussion, initial encounter. From home.
  • Day 0
    Prediction
    Elevated excess-LOS risk · risk 0.49 · conf 0.52. Drivers: none.
  • Day 0
    Barriers detected
    PT/OT clearance (p=0.6, ETA 1.0d); DME / equipment (p=0.4, ETA 1.0d)
  • Due Day 1
    Action routed → Rehab Coordinator
    PT/OT clearance: Order PT/OT eval; book earliest slot; capture clearance. [Open]
  • Due Day 1
    Action routed → Case Manager
    DME / equipment: Confirm DME need; place order; verify delivery before discharge. [Open]
  • Day 6–6
    Projected discharge window
    Operational estimate (synthetic). Not a clinical claim.
Route actions0/2 closed
PT/OT clearanceOpen
→ Rehab Coordinator · due d1
DME / equipmentOpen
→ Case Manager · due d1
De-identified NY SPARCS · admin-baseline model · not a clinical claim · calibration gap disclosed · fairness gate →