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== Collection Instruction == === surviving patients === * Enter: {{PrePrevDispo listing}} * see [[Visits to temporary locations]] for dispo to temporary locations, ie. OR, dialysis, procedure suites of all types, imaging suites/radiology * [[HSC Stepdown Units]] * [[AMA]] see also [[BedHeldEnd DtTm]] ===Home=== * Includes: **hotel **rooming house **boarding home ==== Additional options similar to "Home" ==== We have several "Home" like discharge options that may appear in [[Cognos2 Unit Starter]]. If the entry from ADT doesn't align with what is found in the chart then correct the entry to what you think is correct: * '''Home with Support Services''' - Discharged to a private residence or apartment with support from the community at home or referred to services. example home care, [[Alternative Integrated Accommodation (AIA) | AIA]]. '''Note''' a patient with instructions to return for follow-up or referral to a specialist (as part of a routine discharge order) is '''NOT''' considered discharge home with support service/referral ** includes people on Home O2, they are part of the Home Oxygen home care program ** includes CIVP ** excludes: GPAT/GMAT assessments * '''TRSF Group/Supportive housing''' ** includes group home ** excludes [[Assisted Living]] facilities {{DiscussTask | JALT ** includes Virtual Ward, as they are sent home and followed by a Physician and monitored *** Is that how it is used in EPR or a decision we are making for our data? }} {{DiscussTask | JALT * does this include patients who are discharged home with private nursing service? (steph) ** With "this" do you mean "TRSF Group/Supportive housing"? I would not have thought so. If you mean "Home with Support Services", good question. How would HIS use it (aside from getting it wrong at times)? We should probably stick with their definition for consistency. Convince me otherwise. Julie also might have thoughts on how we would use this entry, will flag for her. [[User:Ttenbergen|Ttenbergen]] 01:02, 24 October 2025 (CDT) }} {{DiscussTask | JALT I thought we had decided at [[JALT Meeting - Rolling Agenda and Minutes 2025#JALT 2025-03-11 |JALT]] to collect this as presented by EPR... do I remember this wrong? I had already added it in [[CCMDB.accdb Change Log 2025#2025-03-11-1]]. [[User:Ttenbergen|Ttenbergen]] 22:52, 11 March 2025 (CDT) * Yes, I saw that, come to think of it I don't think we decided, not in my notes, but we can use it and I will change the wiki instructions [[User:Lkaita|Lisa Kaita]] 11:25, 13 March 2025 (CDT) * If we are going to collect this detail for dispo, should we consider whether or not to also look at SH in preadmit living situation?, currently lumped with community facility with support. [[User:Lkaita|Lisa Kaita]] 14:45, 16 April 2025 (CDT) * The entry name includes "TRSF" - is the entry for the previous location equivalent in EPR? [[User:Ttenbergen|Ttenbergen]] 23:30, 16 April 2025 (CDT) * no because the previous location would usually be <site>_ER [[User:Lkaita|Lisa Kaita]] 09:53, 28 May 2025 (CDT) ** Sorry, I should have asked about "pre-hospital location in ADT". [[User:Ttenbergen|Ttenbergen]] 16:21, 28 May 2025 (CDT) }} * '''TRSF to Residential Care'''- Includes transfer to long-term care home (24 hour nursing), mental health and/or addiction treatment center or hospice/palliative care facility. ** for PCH use [[Dispo]] PCH options ** for hospice, see [[Hospice]] ** for palliative care use the appropriate palliative care options ** for mental health or addiction treatment center use [[Dispo]] '''Home with Support Services''' ===LAU (low acuity unity)=== see [[LAU]] ===Geri Rehab wards=== see [[Geri Rehab]] ==== [[Homeless]] patients ==== *If a homeless patient is discharged, either to a place like Siloam Mission, shelter or even without a specific plan, then code them as discharged to '''home'''. Consider whether they might have left [[AMA]]. * If discharged to an [[Alternative Integrated Accommodation (AIA)|Alternative Integrated Accommodation]] with services use '''home with support services''' ==== [[Prison / Jail / Correctional Institution]] ==== If a patient is '''discharged to prison, jail or a correctional institution''', code this as "TRSF to Correctional Facility" as dispo to be consistent with EPR See [[Prison / Jail / Correctional Institution]] for additional coding instructions that may apply. ==== [[Chronic Health Facility]] ==== This is somewhat messy and fluid, so see [[Chronic Health Facility]] ==== Discharged to ER or [[Urgent Care]] ==== This is a case of [[Patients who appear to transfer from in-patient situation to Emergency Room]]. If a patient is discharged to the ER or Urgent Care at your own site you can't enter this in the dispo field. The reason is that this should not happen. If it really does happen: * enter '''Not Canada or USA - unknown/other''' (this is a very rare entry so when we see it, we can question it. Put a note in to the [[Notes field]] so Pagasa can check there first.) * email Pagasa so she can enter your ER / Urgent Care location as dispo. We don't want ER to be available in the dropdown because it had been mistakenly entered a number of times. If it turns out there are a lot of legitimate ''discharges'' to ER we will make the option available. ===Manitoba Nursing Station=== * use ''"Outside City - unknown/other"'' {{Discuss | If this is actually done then why don't we just make the nursing stations available? We already have [[s_dispo table]] entries for them. 35 entries since 2016, 6 in the last 12 months. Are there other things for which this entry is used? Checked for reasons for this decision but they don't appear documented [[User:Ttenbergen|Ttenbergen]] 19:42, 13 March 2025 (CDT) }} === [[Deceased patients]] === See * [[Deceased patients#General instructions for deceased patients]] * [[Guideline for coding organ donation after death]] * [[Visits to temporary locations]] {{Location dropdown cleanup}} == Data Use / [[Indicators]] == * [[Unit Mortality]] * [[ICU Interfacility Transfer]]/[[Length of Time for Transfer from ED to ICU within same facility]]/[[Transfer Delay (Critical Care)]]/[[Transfer Delay (Medicine)]] * Discharges out of hospital * Organ donor rate * AMA Rate * Linking admissions * [[Readmission Rate to ICU]]/[[Readmission to MedWard]] == Cross checks == {{Data Integrity Check List}} == Implementation == The field is populated with options from the [[s dispo table]]. == Related Articles == {{Related Articles}} == Log/Legacy == Also see info in the various [[CCMDB.accdb_Change_Log]]s over time. * [[CCMDB.accdb_Change_Log_2025#2025-03-11-1 | 2025-03-11]] ** added granularity Discharged to community: "TRSF Group/Supportive housing", "TRSF to Correctional Facility", "Home with Support Services" ** one other option in EPR for discharge to was "TRSF to Residential Care" - we decided not to switch to this because we currently record more detailed information. {{DL | That more detailed info included things like [[HSC Lennox Bell]]; we discussed whether or not we need to document the details of this. If so, the following is likely a starting point: * Home * Home with support * Institution NOS * TRSF Group/Supportive housing * TRSF to Correctional Facility * any [[Hospice]]s * GH-Transitional care * HSC - Transitional care * Misericordia - Transitional care * STB - Transitional care * VIC - Transitional care * HSC Lennox Bell * Manitoba Adolescent Treatment Center - unknown/other ** what is this about again? we already collect these with the exception of the transitional care units, which don't exist, at GH, HSC, SBGH and VIC, but there is a TCU at Miseri and DLC [[User:Lkaita|Lisa Kaita]] 21:18, 6 September 2025 (CDT) *** we discussed whether we should shift to EPR's "TRSF to Residential Care" and decided not to because our data is more granular. But we should be able to compare to their TRSF, so should understand which of our data would compare to theirs, and how. I ''think'' the above is a list of what we have in dispo, so which of those correspond do what listing in EPR? [[User:Ttenbergen|Ttenbergen]] 10:31, 8 September 2025 (CDT) }} ** added locations for [[LAU Collection Project]]: VGH_LAU, VGH_Geriatrics, COH_LAU, SOH_LAU, SOH_Geriatrics * 2025-03-07 ** started to collect "TRSF to Correctional Facility" as dispo to be consistent with EPR; for [[Previous Location]] continue to use the old entry "Institution, NOS" {{Change to collecting prison as "Institution NOS"}} === earlier legacy info === This field is part of the [[2016 Time and Place changes]] and was affected by the [[PatientFollow_Project]]. It a combination of our previous * [[Admit From & Discharged To|Discharge To]] * [[Var 2 - Discharge-to Ward]] * [[ICU Var 6 - AMA]] * [[Survive / Expired]] Data from these fields has been back-populated to the this field so data is available from the beginning of the database. Related articles: * [[Organ Donor]]/[[Braindead]] === Very early missing Discharge-tos === There were 6762 very old ICU records who are listed as survived but didnβt have a discharge-to. This is from HSC-only days when there simply were no checks. When data was brought across from the old [[discharge to]] field the [[dispo]] fields of these records were set to 'survive(Legacy)'. [[Category:2016 Time and Place changes]] [[Category:Admit/Discharge]] [[Category:Registry Data]] [[Category:Dispo]] [[Category:Data Collection Guide]] [[Category:End-of-life related data]]
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