{"version":"0.38.0","built_at":"2026-10-24T19:53:00.313Z","license":"CC BY 4.0 © Mike Reams","canonical":"https://catalog.mikereams.com","value_stream":{"id":"VS-490","name":"Admit-to-Discharge","industries":["healthcare"],"description":"Carry a patient through an inpatient stay or episode: admit to a bed, assess and document, order and give care, including surgery and medicines, keep the patient safe, then plan and complete a discharge with a handoff to the next caregiver. Billing for the stay is Encounter-to-Cash.","outcome":"The patient leaves at the right time with a complete record, safe medicines and a handoff the next caregiver can act on.","trigger":"A patient is admitted from the emergency department, a referral or a scheduled procedure.","aliases":["Inpatient Episode","Admission-to-Discharge","ADT Flow","Episode of Care"],"stages":[{"id":"VS-490.10","order":1,"name":"Admit","description":"Admit the patient, assign a bed, confirm identity and coverage and notify the payer of the stay.","capability_ids":["BC-1820.50","BC-1810.20","BC-1810.30","BC-1810.40"],"events":[]},{"id":"VS-490.20","order":2,"name":"Assess & Plan","description":"Assess the patient, record findings and agree the plan of care with the care team.","capability_ids":["BC-1820.10","BC-1820.30"],"events":[]},{"id":"VS-490.30","order":3,"name":"Treat","description":"Order and deliver treatment, procedures and surgery, with the instruments and supplies they need.","capability_ids":["BC-1820.20","BC-1830.40","BC-1830.50"],"events":[]},{"id":"VS-490.40","order":4,"name":"Medicate","description":"Prescribe, dispense and administer medicines and reconcile them at each transition.","capability_ids":["BC-1820.40","BC-1830.30"],"events":[]},{"id":"VS-490.50","order":5,"name":"Keep Safe","description":"Prevent infections and harm, and report and learn from any safety event.","capability_ids":["BC-1850.20","BC-1850.30"],"events":[]},{"id":"VS-490.60","order":6,"name":"Discharge & Hand Off","description":"Plan the discharge, complete the record and send the summary to the next caregiver.","capability_ids":["BC-1820.30","BC-1820.50","BC-1880.10","BC-1880.30"],"events":[]},{"id":"VS-490.70","order":7,"name":"Measure & Improve","description":"Measure the stay against quality measures and feed what was learned into improvement work.","capability_ids":["BC-1850.10"],"events":[]}]}}