MGB ED Transfer Tool

MGB & Community Admission Guide (Updated Workflow)

1. Select Originating Academic Center
Please select the hospital where the patient is currently located.
2. Is the patient Unstable or Critical?
Includes: Active unstable MICU/SICU/CCU needs, unstable BiPAP, or Active Resuscitation.
Note: Stable ICU needs (such as hypoxic respiratory failure on stable vent settings or hypotension on 1 pressor) are no longer excluded from transfer.
3. Do any Exclusion Criteria apply?
  • Transplant: General exclusion for all transplant patients
  • OB: Pregnancy >20wks
  • Cardiology: STEMI, Ablation, LVAD, Code PE, Packemaker implantation
  • Oncology: Active treatment (Leukemia/BMT)
  • Heme: Sickle Cell Crisis, Plasma Exchange
  • Procedures: Pacemaker requiring MRI
4. Is the patient eligible for Home Hospital?
Diagnoses & Characteristics: CHF, COPD, Diverticulitis, PNA, UTI, Cellulitis.
Logistics: Patient lives in catchment area AND Home Hospital Nurse Navigator accepts.
5. Community Transfer Selection
Patient is stable for transfer. Use the guide below to determine the appropriate MGB site.