Bed Classification

This page attempts to answer the question about Bed classification. It presents information about what others are already doing with respect to Bed Classification and is based on data that has been made publicly available and widely shared.

Four data sets are compared below:

1. HAvBED2 Bed Classification
2. Epic: COVID-19 Metric Specifications (download pdf
3. Cerner: data to report to CDC on behalf of consenting organizations (download pdf).
4. CDC: COVID-19 Patient Impact & Hospital Capacity Module
   • Importing COVID-19 Patient Module Denominator data for Patient Safety Component - includes the specific definitions for CDC attribute names in the Data Sets Available table below.
   • Instructions for Completion of the COVID-19 Patient Impact and Hospital Capacity Module Form (CDC 57.130)- includes further definitions.

Analysis

Clearly the level of detail requested by HAvBED2 is not immediately available through current vendor initiatives, but is available at a coarser level of granularity.

Bed Classification by HAvBED2 precoordinates properties such as

• Patient Age Restrictions (Adult, Pediatric, Neonate),
• Additional services (Psychiatric, Isolation, Burn Treatment)

With broader classifications of ICU vs. Acute vs. ED

This suggests that the major classification (ICU/Acute/ED) be a required characteristic, and that patient age restrictions and additional service properties may be provided by those facilities with additional information detail.

One concern with this approach is that counting ICU beds should generally be approached as counting Non-Neonatal ICU Beds. From a classification perspective, to claim that a NICU bed is an ICU bed is accurate, but would not generally considered such in general conversation unless the context of the discussion was specifically addressing Neonatal care.

A similar concern arises in the classification of Burn Treatment Units. While a Burn Unit might have similar treatment and monitoring equipment as an ICU, as is suggested by HAvBED2, that same specification clarifies that these beds should not be reported with ICU beds. This suggests that the a Burn Unit should be a specialized classification at the same level as ICU/Acute/ED beds, rather than as a specialization of ICU.

Data Sets Available

HAvBED2	Cerner	Epic	CDC
			Number of Total Beds (numTotBeds)
	Hospital Beds
ED
	Emergency Department Beds Conventional
	Emergency Department Beds Expansion
			Number of of Inpatient Beds (numBeds)
AdultICU
	Acute Critical Care Beds Licensed
	Acute Critical Care Beds Conventional
	Acute Critical Care Beds Expansion
Pediatrics
PediatricICU
	Pediatric Critical Care Beds Licensed
	Pediatric Critical Care Beds Conventional
	Pediatric Critical Care Beds Expansion
NeonatalICU
	Neonatal Critical Care Beds Licensed
	Neonatal Critical Care Beds Conventional
	Neonatal Critical Care Beds Expansion
MedicalSurgical
	General Acute Care Beds Licensed
	General Acute Care Beds Conventional
	General Acute Care Beds Expansion
	Sub-Acute Care Beds Licensed
	Sub-Acute Care Beds Conventional
	Sub-Acute Care Beds Expansion
OperatingRooms
	Operating Rooms Licensed
	Operating Rooms Conventional
	Operating Rooms Expansion
	Inpatient Room census
			Number of Beds Occupied (numBedsOcc)
		Open ICU Beds
		Open Non-ICU Acute Beds
		COVID-19 Occupied ICU Beds	Number of ICU Beds Occupied (numICUBedsOcc)
	Adult Critical Care Beds Available
	Adult Critical Care Beds Occupied
	Adult Critical Care Beds COVID
	Pediatric Critical Care Beds Available
	Pediatric Critical Care Beds Occupied
	Pediatric Critical Care Beds COVID
	Neonatal Critical Care Beds Available
	Neonatal Critical Care Beds Occupied
	Neonatal Critical Care Beds COVID
	General Acute Beds Available
	General Acute Beds Occupied
	General Acute Beds COVID
	Sub-Acute Beds Available
	Sub-Acute Beds Occupied
	Sub-Acute Beds COVID
	ED Beds Available
	ED Visits
RehabLongTermCare
Psychiatric
Burn
NurseryBeds
NegativeFlowIsolation	Isolation room census, Respiratory Isolation Room capacity and usage
OtherIsolation
	Ventilator usage
		Total Number of Ventilators	Number of Ventilators (numVent)
		Number of Ventilators Available
	Total Number of Ventilators in Use
	Total Number of Ventilators in Use for COVID-19
	Rooms containing PUI and COVID-19 positive test patients