Change from Awaiting/delayed dx codes to Transfer Ready DtTm: Difference between revisions

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We considered changing how we track where people who are awaiting are headed to store the details in [[Transfer Ready DtTm tmp entry]] instead of in a [[:Category:Awaiting/delayed transfer]] code. We found problems with the new method, which caused us to review what we are collecting and why, and we ended up reverting to the old method and then significantly limiting how many awaiting scenarios we collect at all.
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| always= Changed rolled back until we can discuss at Task, there were too many questions. Continue to collect Transfer Ready with the old entries, I will leave the new ones only to not have problems if people have already entered them. [[User:Ttenbergen|Ttenbergen]] 16:25, 2021 July 8 (CDT)
| always= Changed rolled back Continue to collect Transfer Ready with the old entries
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| full=   


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== Instructions for collectors ==
== Instructions for collectors ==
For '''any change to awaiting status''' after Jul 1, enter this as an [[Transfer_Ready_DtTm_tmp_entry#Item | Item]] of the profile's [[Transfer Ready DtTm tmp entry]]. This means a patient could have an awaiting code in the earlier part of their stay, but then use transfer ready awaiting drop-down in the later part of their stay.
'''The instructions would have been''': For '''any change to awaiting status''' after Jul 1, enter this as an [[Transfer_Ready_DtTm_tmp_entry#Item | Item]] of the profile's [[Transfer Ready DtTm tmp entry]]. This means a patient could have an awaiting code in the earlier part of their stay, but then use transfer ready awaiting drop-down in the later part of their stay.
 
== Considerations for back office ==
{{Todo
| who = Tina
| todo_added = 2021-07-08
| todo_action = 2021-07-08
| question =
* Do we want to translate the old dx codes into tmp entries, or should we keep these separate and just pull it apart in reporting? [[User:Ttenbergen|Ttenbergen]] 09:36, 2021 July 8 (CDT)
** it would be helpful if we can populate the tmp entries with the old ones.  the purpose is to validate  the transfer ready dttm entries - i.e. decision to move to a lower level of care had actually happened or not just entry errors.  --[[User:JMojica|JMojica]] 09:48, 2021 July 8 (CDT)
*** OK, I will set up a query that can run over CFE to create these entries for any ICD10 dxs where they have no yet been entered, that way we c
}}
 
=== Update Query "Update_Awaiting_Change" in [[CFE]] ===
{{Todo
| who = Tina
| todo_added = 2021-07-15 
| todo_action = 2021-08-05 <!-- task meeting -->
| question =
* Tina to make query to translate old awaiting ICD10 codes to TRDtm entries, once this is all decided. }}
Map:
* [[Awaiting/delayed transfer to home]] -> Home
* [[Awaiting/delayed transfer to long-term care/PCH inside or outside of Winnipeg]] -> LTC/PCH
* [[Awaiting/delayed transfer to lower acuity site in Winnipeg other than home or LTC/PCH]]
** -> ????
** can't translate that without assumptions where they came from, and even then it would not be clear, e.g. if an ICU pt was ready to go to HOBS or to ward
* [[Awaiting/delayed transfer to other acute care facility in Winnipeg]]
** -> can't tell at all which level that would be
* [[Awaiting/delayed transfer to any other care facility outside Winnipeg other than home or LTC/PCH]] ** -> ????
** -> can't tell at all which level that would be
 
== Remaining items for Tina ==
{{Todo
| who = Tina
| todo_added = 2021-07-08
| todo_action = 2021-08-08
| question =
* once the last ICD10 awaiting code has been removed from laptops, retire the codes
* once the last pre-Jul1 "Transfer Ready DtTm" item/value has been sent, inactivate that option
}}
 
== Cross checks ==
* No cross checks implemented right now, if we want any we need to decide on them.
{{Todo
| who = Tina
| todo_added = 2021-07-08
| todo_action = 2021-08-08
| question =
* [[Query check_ICD10_awaiting_has_Transfer_Ready_DtTm]] can be removed once the last ICD20 awaiting codes are off the laptops.
* consider if any cross checks are required, once this has been used for a bit
}}


== Related articles ==  
== Related articles ==  

Latest revision as of 11:40, 2021 October 5

We considered changing how we track where people who are awaiting are headed to store the details in Transfer Ready DtTm tmp entry instead of in a Category:Awaiting/delayed transfer code. We found problems with the new method, which caused us to review what we are collecting and why, and we ended up reverting to the old method and then significantly limiting how many awaiting scenarios we collect at all.


Changed rolled back Continue to collect Transfer Ready with the old entries   

Currently we code a patient's reason for delay as ICD10 Category:Awaiting/delayed transfer code. After that, we are coding it as a value/item under Transfer Ready DtTm tmp entry.

Instructions for collectors

The instructions would have been: For any change to awaiting status after Jul 1, enter this as an Item of the profile's Transfer Ready DtTm tmp entry. This means a patient could have an awaiting code in the earlier part of their stay, but then use transfer ready awaiting drop-down in the later part of their stay.

Related articles

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