team assignment algorithm

Most updated team algorithm on Managing Senior page

Floor and Bed assignments are determined by the nursing staff in collaboration with the Logistics/Admitting office. Team assignments are then determined by Managing Senior, after a bed has been assigned. If there are questions or concerns about floor assignments that require physician input, nursing leadership should contact the chief residents, PHM attending “Managing Senior Back-up” (listed in amion), or Pat Hametz.

• All teams (other than Heme/Onc team) have a maximum of 16 total patients, with maximum of 14 PHM patients

• The following criteria will be used to assign a patient to a team (in this order of priority in general):

  • Primary subspecialty team

    • Adolescent, Endo  → Blue

    • cardiology, GI  → Silver

    • liver, renal, rheum  → Purple

    • post op ortho  → Pink

    • neuro, pulm, genetics  → Green

  • For PHM patients, consider geographic location, particularly for patients who are acutely ill (‘watchers’) or have the potential to be high acuity

    • CHAM 6  → Blue, Pink, Purple, Green

    • CHAM 8 → Green, Pink, Silver

    • CHAM 9  → Purple

  • Teams should not have patients on more than 2 floors, and no more than 4 teams per floor

  • surgical patients by subspecialty

  • number of patients per team (ideally within a range of 2 or 3 in general), taking into consideration patient acuity/complexity and team staffing