Census Sharing
Box folder with resident orientation files for Float and Swing shifts
Resources for MOD
Patient Lists: Create an admissions list using the "ZSFG New Medicine Admit" system list (found under Zuckerberg Hospital → ZSFG New Consults - Admissions → ZSFG New Medicine Admit). Useful columns to include on your patient list:
- Age of Order: allows you to quickly locate latest patient placed on list (you must select the system list under your patient list to see this column, rather than your entire patient list; you can set your list to sort by this column by default)
- Pt Assigned Clinic: allows you to quickly identify if a patient is an FMIS patient
- DoCC/UM Comment(s): allows you to see if the CCRN is recommending observation services for this patient
- Census Sharing Guidelines: here
- Census Management Guidelines: here
- Site-Based Jeopardy Contingency (Backup Admitting): here
- FMIS clinics: Family Health Center | Maxine Hall Health Center | Ocean Park Health Center | Potrero Hill Health Center | Silver Avenue Health Center | Southeast Health Center | Patients with no listed PCP and no recent outpatient visits but assigned to an FMIS clinic should still be admitted by FMIS.
- Admission agreements with surgical services (review for patients w/ cellulitis, GI conditions, pregnancy): Orthopedic Admitting Guidelines | Surgery Admitting Guidelines | Hand Admitting Guidelines | OB Gyn Admitting Guidelines | IR Admitting Guidelines
- Transfers: In general, transfers from other services must be approved by FIS Green. If approved, MOD should be contacted. If MOD is being held by swing/night, patient should be transferred in the morning via holdover to avoid multiple handoffs. | LLOC Transfer Policy | SICU to Medicine Transfer Guidelines
Resources for Nights
For FIS Night:
- Start setting up the distribution email early to avoid delays as the early mornings can be unexpectedly hectic and the email takes some time to put together
- Distro Algorithm | Distro Calculator | Readmission policy | Distro Email Template
- Use the RIS Schedules folder to help set up the email (Rainbow tells you call schedule and caps, roster tells you resident assignments)
For Res Night, please send an email to FIS Night by 6am with the following info:
- Names and contact numbers for you, the night intern, and the cards admitter if they admitted medicine patients (banana phone preferred)
- One-liners for all the patients in the following format: Last Name MRN | Admitter Name | One liner
- Please flag bouncebacks.
- Please flag patients with <48h LOS, or patients with low educational value, as these pts will be preferentially distributed to FIS if possible.
- Please flag if the patient was very active overnight or requires >2 consults to be called in the morning, to avoid giving one team multiple active patients.
- For early morning admissions, please indicate if you need some more time to work on the admission, and to preferentially distribute these patients to RIS (as FIS signs out at 7:30)
For handoffs:
- Please use this guide for handoffs.
- Night res/intern team
- Night FIS
- Night res/intern team
- Night FIS
- Cards NF resident (unless they've already gotten ≥2 cards admits)
- Night res/intern team
- Night FIS
- Cards NF resident (unless they've already gotten ≥3 cards admits)
- ...etc until cap (FIS cap 5, solo res cap 5, res/int team cap 6)
Disclaimer: This is a tool designed to help MOD identify census sharing situations, but is not the official source of truth for triage agreements. Please refer to the links provided for the official census documents.
Feedback? Suggestions? Inaccuracies? For inquiries related to this tool itself, please contact amy.ou@ucsf.edu. For inquiries related to the actual census sharing agreements and admitting guidelines, please contact your department leadership.
Last updated 07/12/2023 10:50