Direct admit: Difference between revisions

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m Legacy, since normal instructions now cover this case.
 
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{{LegacyContent
|explanation=Used to have special instructions, but with collection instructions as of 2022-02 this is now collected just like everything else. No more special instructions.
|successor=[[Previous Location]], [[Previous Service]], [[Pre-admit Inpatient Institution]]
|content=


Direct admissions are patients who are accepted from another site (within region or from out-of-town) and come directly to the next site.
Direct admissions are patients who are accepted from another site (within region or from out-of-town) and come directly to the next site.


Usually, these patients should go straight to the accepting ward at the second site. However they occasionally move through the ER and are sometimes delayed there. In that case, they need to be collected as [[Parked in ER]].  
These patients can go straight to the accepting ward at the second site, or they can be admitted via the ER.


== Collection Instruction ==
*There are '''two types of Direct admits:'''  
*There are '''two types of Direct admits:'''  
**'''already an Inpatient'''  
**'''already an Inpatient''' - the [[Pre-admit Inpatient Institution]] and the [[Previous Location]] will be the same
**'''not an Inpatient'''
**'''not an Inpatient''' - the [[Pre-admit Inpatient Institution]] would be not applicable and the [[Previous Location]] would be their last physical location  e.g. Thompson ER


== Collection Instruction ==
* The [[Visit Admit DtTm field]] and the first [[Service tmp entry]] will be the same
* The [[Visit Admit DtTm field]] and the [[Accept DtTm field]] will be the same
** The COGNOS service time is often later than the [[Visit Admit DtTm field]] so the first [[Service tmp entry]] must be changed to = [[Visit Admit DtTm field]]
* in Tmp [[Boarding Loc]] enter <site>_ER, the date and time will be the same as the [[Visit Admit DtTm field]] and the [[Accept DtTm field]]
* For First [[Boarding Loc]] with the same date/time as the first [[Service tmp entry]]
{{Collapsable
** if via ER, enter  own <site>_ER for first [[Boarding Loc]]  
| always= The rest is the same as for any other patient, expand to see details.
** if direct to Ward, enter own <site>  physical location for first [[Boarding Loc]]
| full=
* [[Previous Location field]], enter the previous physical location of the patient
**From an inpatient location- the [[Pre-admit Inpatient Institution]] and the [[Previous Location]] will be the same
**Not from an inpatient location- the [[Pre-admit Inpatient Institution]] would be not applicable and the [[Previous Location]] would be their last physical location  e.g. Thompson ER
* [[Service/Location]] would be <site>_Med, <site>_CC, [[STB_MICU]], [[STB_ICCS]], [[STB_ACCU]], [[HSC_IICU]].
* [[Previous Service field]], enter the sending service, otherwise enter ''Unknown'' or ''not applicable'' or ''other known but not on list''
* in [[Service tmp entry]] enter the accepting service, with the same date/time as the [[Accept DtTm field]]
* First boarding location =ER, with the same date/time as the [[Accept DtTm field]]
* If the patient is transferred to another ward/unit of same service, add another line in the Tmp [[Boarding Loc]] for the next location ( this would be boarding location #2 and the date/time is the same as the [[Arrive DtTm field]]  ).
{{Discuss | how could a second, third, etc location's time be the same as the Arrive DtTm field? [[User:Ttenbergen|Ttenbergen]] 17:27, 2021 August 3 (CDT)}}
If they are transferred to a different service which we are collecting then a new profile. 
* in Tmp enter [[Transfer Ready DtTm tmp entry]] if applicable, if not transfer ready check off column B
}}


== Data use / Reporting ==
== Data use / Reporting ==
What reports use this?
inter facility transfers report (semi annual and Fiscal year) given to Critical Care Admin Director and Quality Officer.
*[[Critical Care Inter-facility Transfer Report]]
*Start Date - April 2003,  End Date - March 2020
inter facility transfers report (semi annual and Fiscal year) given to Critical Care Admin Director and Quality Officer.  
*Patient Flow - where patient were have been admitted FROM
*Patient Flow - where patient were have been admitted FROM


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=== Data to be Reported ===
=== Data to be Reported ===
* for Inpatient direct admit  
* Counts for Inpatient direct admit  
** Site Ward via ED  
** Site Ward via ED  
** Site ICU via ED
** Site ICU via ED


* For Non Inpatient direct Admit (e.g. Emergency, Ambulatory Clinic, PCH, Home, Nursing Station)
* Counts For Non Inpatient direct Admit (e.g. Emergency, Ambulatory Clinic, PCH, Home, Nursing Station)
** Site Emergency via ED
** Site Emergency via ED
** Site Ambulatory via ED
** Site Ambulatory via ED
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** Nursing Station via ED
** Nursing Station via ED


* Time spent at ED before transfer to Ward or ICU


== Legacy ==
== Legacy ==
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This used to be collected as [[Parked in ER tmp entry]], and prior to that as '''<hosp> - ER (parked)''' entries in  [[s_dispo table]]. Changed as of [[PatientFollow_Project#Transition_dates]] .
This used to be collected as [[Parked in ER tmp entry]], and prior to that as '''<hosp> - ER (parked)''' entries in  [[s_dispo table]]. Changed as of [[PatientFollow_Project#Transition_dates]] .


Content of the article was deleted 2016-06-30 so it doesn't inadvertently show up in searches. See article history if needed.
Content of the article was deleted 2016-06-30 so it doesn't inadvertently show up in searches. See article history if needed.
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== Related articles ==  
== Related articles ==  
{{Related Articles}}
{{Related Articles}}
}}

Latest revision as of 10:36, 2022 February 9

Legacy Content

This page contains Legacy Content.

Click Expand to show legacy content.

Direct admissions are patients who are accepted from another site (within region or from out-of-town) and come directly to the next site.

These patients can go straight to the accepting ward at the second site, or they can be admitted via the ER.

Collection Instruction

Data use / Reporting

inter facility transfers report (semi annual and Fiscal year) given to Critical Care Admin Director and Quality Officer.

  • Start Date - April 2003, End Date - March 2020
  • Patient Flow - where patient were have been admitted FROM

How is it used?

  • To distinguish the reason of transfer due to bed management reason
  • To distinguish the reason of transfer due Medical Necessity reason
  • To determine the flow of patients from teaching hospital to teaching hospital, teaching to community, community to teaching, community to community, from outside city/province facility to regional hospital.

Data to be Reported

  • Counts for Inpatient direct admit
    • Site Ward via ED
    • Site ICU via ED
  • Counts For Non Inpatient direct Admit (e.g. Emergency, Ambulatory Clinic, PCH, Home, Nursing Station)
    • Site Emergency via ED
    • Site Ambulatory via ED
    • PCH via ED
    • Home via ED
    • Nursing Station via ED
  • Time spent at ED before transfer to Ward or ICU

Legacy

Collection for this was changed as part of the 2016 Time and Place changes.

This used to be relevant to ER Wait and ICU Var 4 - Parked in ER, Parked in ER tmp entry.

This used to be collected as Parked in ER tmp entry, and prior to that as <hosp> - ER (parked) entries in s_dispo table. Changed as of PatientFollow_Project#Transition_dates .

Content of the article was deleted 2016-06-30 so it doesn't inadvertently show up in searches. See article history if needed.

Related articles

Related articles:
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