NY0388 · 78M

Telemetry · Medicine · Septicemia
Worklist
NY0388 Elevated
78M · Medicine
Septicemia
Telemetry · from ED · Dual
LOS vs expected (GMLOS)
+1.0d
day 7 · GMLOS 6.0d · predicted d8
Barrier families
CL Clinical readiness
AU Authorization
TR Logistics
Prediction
Day 7–8
Medium confidence
risk 0.424 · 1d remaining
Why this window
No strong drivers in administrative data.
Patient-flow timelineadmission → resolution → window
  • Day 0
    Admission
    ED → Medicine, Telemetry. Dx: Septicemia. From ED.
  • Day 0
    Prediction
    Elevated excess-LOS risk · risk 0.424 · conf 0.652. Drivers: none.
  • Day 0
    Barriers detected
    PT/OT clearance (p=0.6, ETA 1.0d); Insurance prior-auth (p=0.6, ETA 2.0d); 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 2
    Action routed → Utilization-Review Nurse
    Insurance prior-auth: Open prior-auth; submit clinical docs to payer; track determination. [Open]
  • Due Day 1
    Action routed → Case Manager
    DME / equipment: Confirm DME need; place order; verify delivery before discharge. [Open]
  • Day 7–8
    Projected discharge window
    Operational estimate (synthetic). Not a clinical claim.
Route actions0/3 closed
PT/OT clearanceOpen
→ Rehab Coordinator · due d1
Insurance prior-authOpen
→ Utilization-Review Nurse · due d2
DME / equipmentOpen
→ Case Manager · due d1
De-identified NY SPARCS · admin-baseline model · not a clinical claim · calibration gap disclosed · fairness gate →