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    03 — Value stream · VS-490

    Admit-to-Discharge

    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.

    • Inpatient Episode
    • Admission-to-Discharge
    • ADT Flow
    • Episode of Care
    // FIG. 03 · Stage flow
    1Admit2Assess & Plan3Treat4Medicate5Keep Safe6Discharge & Hand …7Measure & Improve
    1. 01

      Admit

      VS-490.10

      Admit the patient, assign a bed, confirm identity and coverage and notify the payer of the stay.

    2. 02

      Assess & Plan

      VS-490.20

      Assess the patient, record findings and agree the plan of care with the care team.

    3. 03

      Treat

      VS-490.30

      Order and deliver treatment, procedures and surgery, with the instruments and supplies they need.

    4. 04

      Medicate

      VS-490.40

      Prescribe, dispense and administer medicines and reconcile them at each transition.

    5. 05

      Keep Safe

      VS-490.50

      Prevent infections and harm, and report and learn from any safety event.

    6. 06

      Discharge & Hand Off

      VS-490.60

      Plan the discharge, complete the record and send the summary to the next caregiver.

    7. 07

      Measure & Improve

      VS-490.70

      Measure the stay against quality measures and feed what was learned into improvement work.