Chapter 5: Escalated Referrals and Inter-District Support

1. Purpose#

To resolve escalated critical referrals where district SLAs expired or local facilities lack specialty capability, re-routing patients across district lines to tertiary centers.

2. Scope#

All inter-district and tertiary emergency referral transfers statewide.

3. Responsibility#

State Referral Nodal Officer and 108 State Dispatch Coordinators.

4. Prerequisites#

State escalated referral console access and priority inter-district communications line.

5. Procedure#

1. Access the Escalated Referral Queue at `/state/dashboard`.

Click to Zoom

ID: state/s07_escalated_referrals

📅 Screenshot Date: 27 Sep 2026

Review red-flagged tickets where district-level SLAs have breached 100%.
Identify available ICU and ventilator capacity in adjacent districts or regional government medical colleges.
Execute State Administrative Allocation to force reservation and re-route the attending 108 ALS ambulance.

6. Timelines / SLA#

State-level re-allocation executed within 15 minutes of queue breach.

7. Troubleshooting and Escalation#

If regional government teaching hospitals are at capacity, mandate emergency cashless admission at an empanelled private tertiary center.

8. Records Kept#

State escalation logs, inter-district transfer orders, and 108 ambulance coordination audits.