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Decision to Admit Patient
| YES
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Will treatment exceed >2 midnights?
Also consider clinical presentation:
Patient History; Comorbidities; the Severity of Signs and Symptoms; Current Medical Needs; Risk of an Adverse Event
| NO
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Order "Admit to" Observation Services
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Utilization Management Review (within 24 hours)
Is Observation status appropriate?
| YES
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Discharge Patient
or
UM reassessment next day
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YES
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NO
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1) Enter "Admit to Inpatient" Order in IMPACT
Residents/Fellows; CRNPs/PAs; and RNs*
* - RNs per verbal order from attending physician
2) Attending Physician add "Inpatient Admission Auto-Text" to admission H&P. Fill in required fields with pertinent clinical information.
3) Signature of Attending Physician authenticates Inpatient Order and Certification.
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UM will send for level of care determination
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| YES
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Utilization Management Review (per protocol)
Is Inpatient status still appropriate?
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Is Inpatient Admission appropriate?
| NO
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NO
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UM will send for level of care determination
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UM contacts physician for change in status correction.
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