Slide 2 Your patient is here! A review of the transfer process
UNM Hospitalist Best Practices 1/7/11 Slide 3 Objectives
Familiarize faculty with the history and functions of UNM PALS
(Physician Access Line Service) Review the flow of patient
information involved with a PALS transfer Describe the process of
Patient Placement Discuss potential improvements Slide 4 Brief
history of PALS 1988 Mini-PALS designed by Dr. Ben Curet (MFM OB)
for rural NM support/tranfers 1996 Expanded under UPA to provide
telephone consultation with all UNM SOM specialty faculty Several
departmental incentives initially tied to response time Slide 5 A
few changes since 1996 Medical databases (i.e. Up to Date) More
specialties, procedures Amion NM population increased 20%*
*1990-2000 US Census Data Slide 6 PALS 2011 Supervisor: Keith
Drummond Manager: Deborah Gonzales Operators: 9 FTE + 1 PRN 60,000
calls/year 30,000 consultations 4000 transfers - PALS does not
manage patients at home - Slide 7 Flow of Information for Transfer
Referring Provider PALS Accepting Provider Administrative
Supervisor Patient Placement aka Bed Control Slide 8 Bed Waitlist
Priority 1. UNM ED/Clinics 2. Non-UNM Clinic 3. Patients at home 4.
Transfers Slide 9 A patient is discharged Charge Nurse
Administrative Supervisor PALS Referring Provider Accepting
Provider Slide 10 The transfer patient is coming Administrative
Supervisor Admitting Butt in Bed Accepting Provider Slide 11
Discussion Points Update at time of transfer Advance admissions
