Retrocession was defined as a transfer to a smaller, less specialized hospital as part of acute care hospitalization. An algorithm using both the volume of the emergency department (ED) and the name government trauma status was used to identify the retrocessions. First, hospitals were classified by the ED`s annual census. Then the level of trauma of hospitals was examined, and higher level hospitals (for example. B Level 2 hospitals), classified as lower-level hospitals (. B for example, Level 3 hospitals), were put on the list, so that the name of the trauma level was maintained. Back transfers were patients transferred from a larger hospital to a smaller hospital, which required an interval of at least 5 levels down in the ordered list. The 5-step threshold was chosen after careful consideration by two independent auditors. Hospitals in the 5 stages were considered non-distinct in medical capacity. For the purposes of this manuscript, the “large” hospital is defined as having a higher annual volume and/or name and/or the “small” hospital is defined as having a lower annual ED volume and/or a trauma name. Investigators found that all returns came from five major hospitals in Iowa. The data set was still limited to these five hospitals.
Demographics, diagnoses, procedures, insurance status, rural patient stay and geographic variables were identified. 4. Mackie B, Kellett U, Mitchell M, Tonge A. The experience of rural and isolated families participating in an inter-hospital transfer to a tertiary intensive care unit: an airtight study. Aust Crit Care. 2014;27 (4):177-182. doi: 10.1016/j.aucc.2014.04.004. Retrocession has previously been described for some patient populations. In Europe and Canada, the practice is used for cardiac patients after percutaneous angiography and coronary intervention (PCI) in specialized centres.7-10 Matteau et al. but return (or “repatriation”) is used for the continuation of post-neonatal care in a tertiary neonatal intensive care unit.11,12 For adult populations in the United States, this concept has not been widely studied and the application of this transfer practice has not been studied. An institution must demonstrate its good intentions in order to obtain a transfer contract with a hospital.
If a hospital that has reached the facility refuses to accept a transfer contract, check to see if the facility is speaking to other hospitals. 7. JG Andersen, Kléw NE, Johansen O.