Start Date

5-15-2025 9:30 AM

End Date

5-15-2025 11:30 AM

Description

Background

  • Thomas Jefferson University Hospital Center City (TJUH CC) campus is the predominant referral center for patients with hematologic malignancy in parts of PA, DE, and NJ
  • Patients accepted for transfer to TJUH under Medical Oncology, often have longer than anticipated time to transfer (time from transfer acceptance to patient physical arrival)
  • Long transfer times delay potentially lifesaving diagnostics and treatment; this can be most concerning for patients with aggressive hematologic malignancies given need for subspecialist management
  • Data review from 2023-2024 showed patients with aggressive hematologic malignancy (defined as acute leukemia, chronic myeloid leukemia in blast crisis, diffuse large B cell lymphoma, and Burkitt lymphoma) had a mean transfer time of 24.6 hours; institutional goal transfer time for patients these patients is 12 hours
  • Nearly 1-2 patients with aggressive hematologic malignancy are transferred to TJUH CC per wee

Keywords

outside hospital transfer, transfer time, priority, bed management, accepted for transfer, system

Comments

Presented at the 2025 Jefferson Health Equity and Quality Improvement (HEQI) Summit.

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May 15th, 9:30 AM May 15th, 11:30 AM

Time to Transfer - The Clock is Ticking: A Quality Improvement Project

Background

  • Thomas Jefferson University Hospital Center City (TJUH CC) campus is the predominant referral center for patients with hematologic malignancy in parts of PA, DE, and NJ
  • Patients accepted for transfer to TJUH under Medical Oncology, often have longer than anticipated time to transfer (time from transfer acceptance to patient physical arrival)
  • Long transfer times delay potentially lifesaving diagnostics and treatment; this can be most concerning for patients with aggressive hematologic malignancies given need for subspecialist management
  • Data review from 2023-2024 showed patients with aggressive hematologic malignancy (defined as acute leukemia, chronic myeloid leukemia in blast crisis, diffuse large B cell lymphoma, and Burkitt lymphoma) had a mean transfer time of 24.6 hours; institutional goal transfer time for patients these patients is 12 hours
  • Nearly 1-2 patients with aggressive hematologic malignancy are transferred to TJUH CC per wee