University of Iowa
of Family Medicine
FPInfo: Resources to support patient
What is Super Triage?
The Super Triage (ST) physician is a single access point for admissions to
UI Hospitals and Clinics from our Emergency Department and from outside
physicians. An ST physician is scheduled daily from 10 a.m. until 6 p.m.
After 6 p.m., an ED physician will be designated to be the ST doctor.
What patients are involved?
Super Triage affects only adult patients not admitted to ICU’s, Burn
Center, OB, or Psych. Pediatric patients are not admitted through ST.
Medical psychiatry admissions will be admitted through ST.
Do I need ST for all
admissions? No, you
do not need Super Triage if you are admitting a patient to your own service.
You should contact ST if you wish to admit to another service.
Can I refuse a ST admission?
No, the Super Triage physician is the final arbiter of all admission
decisions to UI Hospitals and Clinics. If you are assigned a patient by
Super Triage, the patient will be admitted to your service.
What if I disagree with the
ST decision? You
will accept and care for the patient assigned. You will then have the
opportunity to submit a request for review in order to facilitate
improvements to the system. We have created a feedback loop to evaluate
these reviews in order to continually improve the ST process. After the EPIC
upgrade this weekend, there will be a “Super Triage Review” link in the
lower right corner of the home screen that you should use to request reviews
of Super Triage Decisions. This email broadcast also has a copy of the form
within it. If you need assistance please contact Dr. Theresa Brennan’s
office for a copy at 467-5700.
If I fill out a review, will
the patient be moved?
No. The review process is not an appeals process. Patients will not be moved
to another service based on the review.
What happens with the reviews?
All cases sent for review will be thoroughly evaluated by the Chief Medical
Officer and appropriate specialty physicians. A decision will be made on the
appropriateness of the admission and all parties will be informed of the
results. You will be notified of the results of the review.
Do I have to talk to outside
physicians requesting patient transfer?
In most cases, the Super Triage physician will manage all inpatient
transfers. If you are a triaging physician
for the ICU, you will be the contact
physician for that unit. You will speak with the referring physician asking all
necessary questions, and giving medically necessary recommendations as you deem
appropriate. If the beds are full in your unit, you will be instructed by the
Admission and Transfer Center whom to call to hand off the information (i.e., to
an alternative unit). The receiving/admitting physician will be provided with
the contact information for the referring physician in the rare instance that
further information is necessary. Occasionally, an outside physician will want
to speak with a consultant from a specific specialty. Such requests will
continue to be honored as they are presently.
What else will the ST
physician do? During
the heaviest admission times, 10 a.m. to 6 p.m. weekdays, the ST will have
this as their sole responsibility. The ST will, as a part of this duty,
perform a follow up call to the referring physician’s office the day after
the patient’s transfer. This will allow us to give the referring physician a
quick update on the patient’s arrival, and provide the admitting physician’s
name and his/her contact information.
Why are we doing
this? Our hospital
admission process has been consistently rated as poor by referring and internal
providers. In addition, patient quality, safety, and satisfaction will be
improved. ST will allow us to accept and, in some instances, deny patient
admissions based on thorough and consistent processes. Finally, concentration of
this responsibility with a limited number of people allows the system to be
continually improved over time.