View source for Pre-admit Inpatient Institution field

 ''This field is currently being implemented, please check the instructions and put a discussion for anything that isn't clear. ''

The [[Pre-admit Inpatient Institution field]] identifies the '''previous inpatient location''' of patients who were already '''inpatients''' elsewhere before coming to our unit '''from a [[Previous Location field | Previous location]] that is temporary'''(such as an ER). This does not include patients who just arrived at an ER elsewhere and were not admitted as inpatient there.

For example, a patient arriving from Selkirk Hospital via the local ER would have the ER coded in the [[Previous Location field]] and Selkirk coded in the [[Pre-admit Inpatient Institution field]].

== Collection Instruction ==
If the [[Previous Location field]] does '''not contain a "temporary" location''', leave this field blank. 

If the [[Previous Location field]] '''contains a "temporary" location''' like an ER, OR or Cath Lab you will need to enter this field. In that case, for each patient, 
* enter the option that most closely matches
* if you know the situation but nothing on the list matches closely, enter '''other - known but not listed'''
* if the situation is unknown, enter '''location missing/unknown'''

If you know how we code the location exactly, you can type it. Otherwise press the "magic wand" button to take you to the [[S dispo chooser‎]] to help filter options if desired.

=== Where to find this information ===
If patient came from a different Winnipeg hospital this will be recorded in the  “Visit History” on the EPR.

=== Example ===
*ICU Vic---family medicine ward at the Vic---ED HSC---ED STB---cath lab---ICU HSC.  
**The PrevInptLocation field is: VIC_Ward

==Questions==
=== ER -> cath lab -> ward scenario ===
*If the previous location is the heart cath lab (which is a temporary location), then I should add a pre-admit inpatient institution.  However, if the patient comes to the cath lab from ER, I cannot put this location because it also is a temporary location. Currently we do not put in the heart cath lab as a place to admit from, instead we use where they were located just prior to the cath lab  (ER in this example). I thought that Julie tracked Winnipeg hospital use of ER's for Randy so if we will no longer be able to put that the pt came from ER in this setting, then this will be entirely missed.  Just checking!   --[[User:LKolesar|LKolesar]] 14:21, 2016 April 14 (CDT)

=== Grace changes requested ===
*Missing from Grace: S2, S4, S5 (unless we just put GRA_ward for all units that we currently don't collect on)
**GRA_emip is not a pre admit location
**Can we change W3 to S3 as it is no longer called W3 (unit was expanded)?[[User:Mschaffer|Mschaffer]]

=== intra-hospital transfers ===
{{discussion}}
*When we have patients moving from ward to ward, we normally do not go back to their original admission date to gather data especially as some patients have been admitted for over a year. Will it be acceptable to continue this practice?--[[User:CMarks|CMarks]] 12:39, 2016 April 11 (CDT)
** For intra-hospital transfer, code Pre-admit Inpatient Institution field as "not applicable" (I still have to make that available) Ttenbergen 11:41, 2016 April 27 (CDT)

== Data Use / Purpose ==
To document where those patients who were inpatients immediately before arriving on our ward/unit came from. 

The detailed information will allow us also to distinguish between patients who were or were not inpatients before arrival. This is relevant to a patient's risk of bad outcomes. 

The information will also give our administrators a better idea of which other hospitals are sending us patients, which they will use for planning.

== {{CCMDB Data Integrity Checks}} ==
* Records for all [[Admit from]]s in [[#Temporary locations]] need to have an entry (possibly "none")
* Records for all [[Admit from]]s ''not'' in [[#Temporary locations]] need to '''not''' have an entry
Not yet implemented Ttenbergen 14:11, 2015 May 27 (CDT)
*{{discussion}} do these make sense?  (old q from Tina) 
**YES.  if these are done, you may delete the ones I wrote above.  [[User:JMojica|JMojica]] 12:31, 2015 May 28 (CDT)

== Reports ==
{{discussion}} Which reports will this be on? Ttenbergen 10:33, 2016 March 22 (CDT)

== Implementation ==
The field is populated with options from the [[s_dispo table]].

== Legacy ==
This field is part of the [[2016 Time and Place changes]] and did not previously exist.

[[Category: 2016 Time and Place changes]]
[[Category: Admit/Discharge]]