Clinical Assessment Unit: Difference between revisions

m Inconsistencies between Previous Location and Previous Service: All inconsistencies have been cleared up so removing this section.
 
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[http://home.wrha.mb.ca/improvement/files/models-of-care-emergency-department.pdf WRHA Models of ER Care] article (2017-10-02)
[http://home.wrha.mb.ca/improvement/files/models-of-care-emergency-department.pdf WRHA Models of ER Care] article (2017-10-02)


== Do we actually need to differentiate these from wards? ==
== Retirement of s_dispo entries ==
We used to collect the CAUs as separate locations from local wards because they used to be managed by the ER, and so could have contained [[EMIP]]s. As of 2021 they are all managed by Family Medicine, and so for our considerations are just another hospital ward where we don't collect, coded as e.g. HSC_Ward.  
We used to collect the CAUs as separate locations from local wards because they used to be managed by the ER, and so could have contained [[EMIP]]s. As of 2021 they are all managed by Family Medicine, and so for our considerations are just another hospital ward where we don't collect, coded as e.g. HSC_Ward.  


{{TT |
All *CAU entries for incomplete pts were changed to *ward entries, and the *CAU entries in [[S dispo table]] were retired.
* Emailed Collectors to change the remaining entries to local ward instead. Waiting to hear back now. [[User:Ttenbergen|Ttenbergen]] 17:03, 2021 April 1 (CDT)
* need to consider what to do with records that are in Boarding Loc.  
}}


 
On discussion with Julie it was decided to keep the s_dispo entries around and not convert them. The loc type is Ward in s_dispo which is enough when reporting - usually being  combined as <site> ward.
{{DiscussTask |
* as per Julie: "I have checked the database and there are also CAU entries  at GRA and STB in pre-admit institution, previous loc and dispo  (GRA_CAU, STB_CAU).  Do they  move location too?  Can we ask the DC?  If so, make it generic _ward. 
 
* In the tmp Boarding Loc,  there are 12 cases  GH-CAU – so it looks like Internal  med is borrowing CAU Bed.  What to do here – change to GRA boarding?
** I am not sure if the more recent entries for boarding loc would now list the actual location or still site-CAU.
 
Discussed at Task; these are now family medicine, we will start to just collect these as <local> ward. [[User:Ttenbergen|Ttenbergen]] 13:50, 2021 March 24 (CDT)
}}
{{Collapsable
| always= See sql to see boarding loc CAUs in CFE
| full=
SELECT L_TmpV2.*, L_TmpV2.Item
FROM L_TmpV2
WHERE (((L_TmpV2.Item) Like "*CAU"));
}}
 
{{Collapsable
| always= See sql to see pre-admit, previous and dispo CAUs in CFE
| full= SELECT L_Log.D_ID, s_dispo_1.location_name AS pre_admit, s_dispo.location_name AS previous, s_dispo_2.location_name AS dispo, L_Log.Accept_DtTm, L_Log.Arrive_DtTm, L_Log.Dispo_DtTm
FROM ((L_Log INNER JOIN s_dispo ON L_Log.Previous_Location = s_dispo.dispo_ID) INNER JOIN s_dispo AS s_dispo_2 ON L_Log.Dispo = s_dispo_2.dispo_ID) INNER JOIN s_dispo AS s_dispo_1 ON L_Log.Pre_admit_Inpatient_Institution = s_dispo_1.dispo_ID
WHERE (((s_dispo.location_name) Like "*CAU")) OR (((s_dispo_1.location_name) Like "*CAU")) OR (((s_dispo_2.location_name) Like "*CAU"));
}}
 
If we wanted to stop these we would need to
* tell collectors to change all pre-admit, previous, dispo, and boarding loc to site-ward
* wait till that's done
* retire the entries in s_dispo, s_tmp and on wiki
* possibly reconcile the old entries to site-ward as well
 
{{Discuss | who = Julie |
* do we want to do this?
}}
 
== pre-admit inpt... ==
A quick review of the data shows that collectors are using CAUs even now. Possibly more concerningly, when CAU is the [[Previous Location]] , about 5% coded the pre-admit location as NA/Not applicable, the rest coded it as same CAU, except for a few who are mixing CAU and ER in these.  
 
{{Discuss | who = Julie |
* do we need to do anything to get collectors to fill this out right? Or to deal with back-data? [[User:Ttenbergen|Ttenbergen]] 14:40, 2021 March 11 (CST)
}}


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