NY0333 · 40F

ICU · Medicine · OB-related trauma to perineum and vulva
Worklist
NY0333 Elevated
40F · Medicine
OB-related trauma to perineum and vulva
ICU · from ED · Medicaid
LOS vs expected (GMLOS)
+2.0d
day 4 · GMLOS 2.0d · predicted d4
Barrier families
AU Authorization
Prediction
Day 4–4
Medium confidence
risk 0.422 · 0d remaining
Why this window
No strong drivers in administrative data.
Patient-flow timelineadmission → resolution → window
  • Day 0
    Admission
    ED → Medicine, ICU. Dx: OB-related trauma to perineum and vulva. From ED.
  • Day 0
    Prediction
    Elevated excess-LOS risk · risk 0.422 · conf 0.656. 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 4–4
    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 →