Worklist
NY0392
Elevated
78F · Medicine
Septicemia
6 Tower · from ED · Dual
Septicemia
6 Tower · from ED · Dual
LOS vs expected (GMLOS)
+1.0d
day 7 · GMLOS 6.0d · predicted d8
Barrier families
AU Authorization
Prediction
Day 7–8
Low confidence
risk 0.428 · 1d remaining
Why this window
No strong drivers in administrative data.
Patient-flow timelineadmission → resolution → window
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Day 0AdmissionED → Medicine, 6 Tower. Dx: Septicemia. From ED.
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Day 0PredictionElevated excess-LOS risk · risk 0.428 · conf 0.644. Drivers: none.
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Day 0Barriers detectedInsurance prior-auth (p=0.6, ETA 2.0d)
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Due Day 2Action routed → Utilization-Review NurseInsurance prior-auth: Open prior-auth; submit clinical docs to payer; track determination. [Open]
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Day 7–8Projected discharge windowOperational 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 →