Direct Admit Policy

MassGeneral Hospital for Children direct admit policy, including same day or urgent admissions and elective or non-urgent admissions.

MassGeneral Hospital for Children has a direct admit policy for Partners/PCHI Pediatricians and Subspecialist with Patients in the office  as well as within MGHfC Procedural Areas.  This Policy extends to physicians in the Community with patients in the Emergency Room or inpatient care units who wish to transfer their patient to MGHfC as well. 

The Direct Admit Policy allows patients to be admitted without having to go through the Emergency Room. This can  happen as an urgent or same day admission as well as for elective or non-urgent admissions. Direct Admissions are admitted to either our Pediatric Hospitalist Service or to a Subspecialist’s Service.   The links below will guide you through the process of directly admitting your patient into MGHfC.

Same Day or Urgent admissions

Partners/PCHI Pediatricians and Subspecialists requesting to directly admit from the office

Patient Eligibility for urgent/same day direct admit from the office:

  • Patient meets age criteria as per MGHfC policy (intranet)
  • Patient has been seen by one of the Pediatric groups listed above on the calendar day of admission.
  • Patients are clinically stable, not in need of: oxygen, immediate IV fluids or antibiotics, or urgent imaging. ** Oncology patients with fever and neutropenia are the only exception to this rule.
  • As a general guideline, direct admissions should arrive before 4:00 pm to assure the best communication between the admitting physician and admitting team

Admit to Hospitalist

  • Call the Hospitalist on call at 617-726-2000 # 21900 to discuss the admission. The hospitalist will need demographic and clinical information about the patient.
  • If appropriate for a direct admission, the Hospitalist will arrange for placement of the patient and the referring physician will be called back (normally within 30 minutes) about when and where to send the patient.
  • If not deemed appropriate for a direct admission, the Hospitalist will direct the referring physician to the Emergency Department referral line.

Admit to own service

  • Call the Mass General admitting office at 617-726-3393 with patient information, age, diagnosis, and whether isolation or a single room is needed. Admitting will call referring physician back with the floor to which the patient is to be admitted.
  • Call the Pediatric admitting senior to discuss the patient and plans for admission. 617-726-2000 Pager #22522. Information should include: patient weight, allergies, diagnostic studies and all medications.
  • Call admitting floor Resource RN (Admitting will call referral with the floor patient is to be admitted. Ellison 17 617-724-5710, Ellison 18 617-724-5810.
  • Resource RN will let the referring physician know when the patient can be sent over.
  • Advise the family that one parent will need to go to the Admitting Office to sign forms after the child is on the floor.

Inpatient Care Unit / Emergency Room from the Community Hospital

  • Call the Referral Access Line at 1-877-644-8988 and choose option 3 for general care admissions. This will connect you to the department within admitting that will conference in the Hospitalist. If the Hospitalist accepts your patient as a direct admission to the floor, the admitting staff person will need to know some general demographic information to complete the transfer process.
  • If transferring to Subspecialist,, call the main number 617-726-2000 and ask the operator to page the Service to accept your Patient.  The Subspecialist will return your call within 30 minutes or sooner.  The accepting physician will book the bed with admitting
  • The admitting office will inform the referring physician on specific details of transfer, and give information to facilitate RN to RN sign-out.

Procedural Area within MGH

  • Patient meets age criteria as per MGHfC policy (intranet)
  • As a general guideline, direct admissions should arrive before 4:00 pm to assure the best communication between the admitting physician and admitting team
  • To admit to the Hospitalist:  Call the page operator att 617-726-2000 and ask to have beeper  21900 paged. The hospitalist will return your page and will need  an MRN and some  clinical information about the patient.
  • To admit to Subspecialist:  Call the page operator and ask the service you wish to admit the patient be paged
  • If appropriate for a direct admission, the Hospitalist or Subspecialist will arrange for placement of the patient and the referring physician will be called back by admitting (normally within 30 minutes) about when and where to send the patient.

Elective or Non-urgent admissions

As a rule, planned direct admits should have been seen by the referral in the office within the previous 30 days.

Admitting to the Hospitalist’s Service

  • Call the Hospitalist on call at 617-726-2000 # 21900 to discuss the patient and plans for admission. The hospitalist will need name and DOB or MRN, clinical information about the patient and plan for admission. If more demographic information is needed, admitting will contact the referrals office for this information.
  • The Hospitalist will book the patient with admitting and discuss plans for admission with the admitting senior.

Admitting to Referrals own Service

  • Call the Mass General admitting office at 617-726-3393 with patient information, age, diagnosis, and whether isolation or a single room will be needed.
  • On the day of admission, prior to the patient arriving to the floor; an admission note needs to be in LMR and/or a call to the admitting senior to discuss plans for admission. The admitting senior can be reached at 617-726-2000 Pager # 22522
  • Advise the family that one parent will need to go to the Admitting Office to sign forms after the child is on the floor.

 

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Team approach

At MassGeneral Hospital for Children, members of the patient’s care team work together to provide coordinated, multidisciplinary treatment.

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Explore CARMA

The Child & Adolescent Resource Materials website (CARMA), created and maintained by MassGeneral Hospital for Children, provides primary care pediatric providers with easily accessible web-based resources to support their practice of high quality, evidence-based medicine.