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| This article is about [[Multiple Encounter]] patients who have not been discharged in between encounters. | | This article is about [[Multiple Encounter]] patients who have not been discharged in between encounters. |
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| == Definition == | | == Medicine Definition == |
| A pair of records for the same patient is a continuous stay if: | | A continuous stay for a patient per site is having the same [[Visit Admit DtTm]] for the multiple encounters. |
| * discharge1 and admit2 are 5[[Transfer time rule| *]] minutes - '''''x''''' {{discuss | how many minutes is the max }} apart in the same hospital
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| {{Discuss | who = Julie | This will likely have changed when we eliminated the 5 minute rule for local transfers; Julie, could you confirm that this was also changed wherever it has an impact? }}
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| * discharge1 and admit2 are 30[[Transfer time rule| *]] minutes - 48 hrs apart in different hospitals
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| * the combination of [[Admit From & Discharged To|discharge-to]] and [[Med Var 2 - Discharge-to Ward]] field in the first the [[location field]] in the second match
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| * the [[Admit From & Discharged To|admit-from field]] in the second and the [[location field]] in the first match
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| * the first admission doesn't end with [[Med Var 6 - AMA]] resp [[ICU Var 6 - AMA]]
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| === Continuous encounter with intermission at non-collected ward ===
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| If all of
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| * [[Discharge to]] and [[Admit from]] are both <local hospital>
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| * [[Var 2 - Discharge-to Ward]] on the first record is the same as [[Var 1 - Admit-from Ward]] on the second
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| * the two vars are not a collected ward
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| then this is likely a continuous stay.
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| === Continuous encounter with intermission in OR ===
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| For ICU patient transferring to another ICU area Or ICU patient who went to OR and/or comes from OR or Recovery to an ICU between same or different hospital, the max time to consider a continuous link is <= 2days (48 hours). If more than 2 days, the next ICU admission is considered as new admission and not a transfer.
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| {{discuss |
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| * would it make sense to take out the ICU requirement for this? The same might be rarer for Medicine patients but would still be true. I will implement [[Encounter processing]] like that for now unless I hear otherwise. Ttenbergen 12:06, 2015 January 22 (CST)
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| * Glad you put that in Tina, I was going to make a similar comment.--[[User:CMarks|CMarks]] 12:48, 2015 January 22 (CST) }}
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| === Reports using this concept === | | === Reports using this concept === |
| Which ones?
| | Used in [[Directors Quarterly and Annual Report (Medicine)|Directors Quarterly and Annual Report]] |
| | | == Critical Care Definition == |
| === Definition used in SAS (ie in reports) === | | *Currently, the multiple encounters of an ICU episode from same or different site is not being done or reported. |
| As per email from Julie:
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| The program in Med is defining the conditions of new admission and if not TRUE will all be categorized as continuous stay (the cut off values are consulted and approved by Dr Roberts). Yours is the other way around, you are defining the continuous stay and if not TRUE will be a new admission. | |
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| Criteria for new admission per hospital:
| | *if to be done in the future, Dr. Allan Garland prescribed it based on the paper he did (Sept 7, 2012). |
| 1. Pts who have first and only admission
| | ** Link one or more ICU whether same or diff hospitals. |
| 2. AMA Patient from prior admission
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| 3. Patient is transferred to a different hospital, the admission for that hospital ends and the patient becomes a new admission to the second hospital
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| (a) except if reason is lab test and stay in the second hospital <1 day '''[[Bed holds|bec bed is usually put on hold]]''' on the first hospital
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| 4. Pts with previous encounters and admitted from ER, Home, Outside City or Province or previously discharged to Home, Outside City or Province
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| 5. Pts with previous encounters and admitted from unit within the hospital but the prior encounter was discharged to Home, Outside City or Province
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| 6. Pt discharge to or admit from OR/ RR but more than 7 days
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| 7. Pt discharge to Ward or then admit from OR/ RR but more than 30 days
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| 8. Pt discharge to Ward or then admit from Ward but var1 is not same as previous var2
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| 9. None of the above but has gap > 90 days then consider new admission
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| Critical Care is different and much simple. Allan Garland prescribed it based on the paper he did. Link one or more ICU whether same or diff hospitals.
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| Sept 7, 2012 Dr Allan Garland definition if linked ICU
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| 1. Gap <= 24 hr and (TO=blank or from=blank) | | 1. Gap <= 24 hr and (TO=blank or from=blank) |
| 2. Gap <= 48 hr and previous to = ICU/OR/PACU and from = ICU/OR/PACU | | 2. Gap <= 48 hr and previous to = ICU/OR/PACU and from = ICU/OR/PACU |
| 3. I added the cases discharge to CCU but database has no HSC CCU prior May 1999 **; | | 3. the cases discharge to CCU but database has no HSC CCU prior May 1999 **; |
| From= CCU/OR/PACU and previous to= CCU and 2 < diff < 20 | | From= CCU/OR/PACU and previous to= CCU and 2 < diff < 20 |
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| Julie
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| == Related articles == | | == Related articles == |
| {{Related Articles}} | | {{Related Articles}} |