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ECIP: Difference between revisions

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→How to identify critical care /MICU ECIPs in EPR Reports: Much easier to catch these in Cognos, so eliminating the EPR instruction.
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'''E'''mergency '''C'''ritical Care '''I'''n'''P'''atient.  
'''E'''mergency '''C'''ritical Care '''I'''n'''P'''atient.  


== ECIPs related to MICUs / under one of the Critical Care services ==
A critical care / MICU ECIP is a patient who was under the care of a Critical Care service in the ER and never made it to the MICU (see [[EMIP]] for scenarios). See [[Cognos_SubServices table]] in [[CCMDB.accdb]] for list.
{{Discuss |
* Actually I am not sure if "* Critical Care / *" would always be MICU, the list includes "HSC Critical Care / Orthopedics" and "HSC Critical Care / Plastics", what does that even mean? Ttenbergen 15:36, 2020 October 6 (CDT)
}}


Such a patient will show up in the [[Cognos Report Integrator]] listings just like an [[EMIP]] patient.  
{{LegacyContent
{{Discuss |
| explanation=They are really just a special case of a Critical Care patient whose only [[Boarding Loc]] entry is that site's ER. See [[Change from Service Location to Service, Boarding Loc and Transfer Ready DtTm tmp entry]], [[2020-10 EMIP changes]].
* Are collectors finding these in [[Cognos Admitter]] / [[Patient Viewer Tab Cognos ADT]]?
| successor=[[Boarding Loc]]
| content=
== Entering an ECIP ==
They are really just a special case of a Critical Care patient whose only [[Boarding Loc]] entry is that site's ER. See [[Change from Service Location to Service, Boarding Loc and Transfer Ready DtTm tmp entry]], [[2020-10 EMIP changes]].
 
=== "But I never had an ECIP code" ===
No one had an ECIP code. This sort of thing was not collected until now, and we used to think it doesn't exist. It exists now. However, since we no longer use special codes for these, no ECIP codes were generated.
 
=== Collection Instructions  ===
 
*ECIPs under MICU service to Medicine units enter the following for the Medicine profile:
** For [[Previous Location]] enter <site> MICU, for GGH enter GH_CC
** For [[Pre-admit Inpatient Institution]] enter <site> MICU, for GGH enter GH_CC
** For [[Previous Service]] enter critical care


* How are these entered when they are found?
== Identifying an ECIP ==
}}
=== ECIPs related to '''MICUs''' / under one of the Critical Care services ===
A critical care / MICU ECIP is a patient who was under the care of one of the Critical Care service(s) in the ER and never made it to the MICU (see [[EMIP]] for scenarios). See [[s_Cognos_Services table]] in [[CCMDB.accdb]] for list.


== ECIPs related to SICUs / '''not''' under one of the Critical Care services ==
A surgical / SICU ECIP is a patient who...
{{Discuss |
* what would even be the actual definition of a surgical / SICU ECIP? There is no surgical equivalent to a "Critical Care service" it seems. Ttenbergen 15:36, 2020 October 6 (CDT)
}}


A patient who is '''not''' under the care of one of the Critical Care services (see [[Cognos_SubServices table]] in [[CCMDB.accdb]] for list) may show up in the [[Cognos Report Integrator]] listings if they were under one of a set of services we identified (see "* Surgery /*" in [[Cognos_SubServices table]] in [[CCMDB.accdb]] for list). However, we have no way to tell a patient under e.g. a surgery service who then went to a unit (or home) from a patient under such service who should have gone to ICU but didn't get there.
Such a patient will show up in the [[Cognos Report Integrator]] listings just like an [[EMIP]] patient.  


{{Discuss |
== ECIPs related to SICUs ==
* As per email discussion with Lisa: "We could also have a safety net where by the other ICU collectors could email the collectors at HSC when they receive an admission from HSC ER?"
A critical care surgical / SICU ECIP is a patient who was under the care of one of the Critical Care Surgical Service(s) in the ER and never made it to the SICU.  In COGNOS this will appear in the CSS as a critical care Trauma service, or Critical care Plastic surgery service, or Critical care Neurosurgery service etc
**  If others receiving an admission from HSC ER would be a filter, we might actually have that info in Cognos, it just would not be showing up in your (ie HSC’s) data at this time. But that would mean collectors would always need to review patients who went to another ICU from the HSC ER (and likely the same for the STB ER, possibly even the GRA one...), so that seems like a lot of overhead. Are we OK to just identify SICU ECIPs as a population we likely usually don't capture? Ttenbergen 15:36, 2020 October 6 (CDT)
*On the online  Bed Board  (https://whiteboard.manitoba-ehealth.ca/whiteboard/icu), there is a column OFF_service Patients which means any patient overflowing to either Resuscitation room in ED, PACU/PARR, ICCS, etc. and entry is real time.  For HSC SICU, the common overflow  location is PACU (haven’t seen any at ER).  Only  GRA ICU shows overflows in ER. This may give us a clue for possible ECIP but not sure how DC will crosscheck the online bed board if the timing won't synchronized.  maybe we just have to ignore  SICU ECIP if there is such a thing. --[[User:JMojica|JMojica]] 16:27, 2020 October 6 (CDT)


}}


== Collecting this info under [[Boarding Loc]] ==
A patient who is '''not''' under the care of one of the Critical Care services (see [[s_Cognos_Services table]] in [[CCMDB.accdb]] for list) may show up in the [[Cognos Report Integrator]] listings if they were under one of a set of services we identified (see "* Surgery /*" in [[s_Cognos_Services table]] in [[CCMDB.accdb]] for list). However, we have no way to tell a patient under e.g. a surgery service who then went to a unit (or home) from a patient under such service who should have gone to ICU but didn't get there.
{{Discuss |
* a lengthy discussion was had re. SICU ECIP's which we have not ever had, but could still in theory happen.  I am confident that COGNOS would capture these under the critical care service, the likelihood of this happening is very small, as a patient who requires an emergent surgery would go to the OR and either SICU/PACU post op or to a surgical ward.  COGNOS should capture the critical care surgical service.  We routinely capture the SICU overflow in PACU through COGNOS, SICU has not overflow in the ER [[User:Lkaita|Lisa Kaita]] 11:08, 2024 March 12 (CDT)  
*Somewhere on this page it said "Currently any ECIP are documented in CCMDB TMP project [[Boarding Loc]]." How so? The only [[Boarding Loc]] entry for this I can find is "GRA_ER". There is a discussion about this under [[Boarding_Loc#Special_Case_-_EMIP.2FECIP]] but it is incomplete. Ttenbergen 15:36, 2020 October 6 (CDT)
}}


== ECIPs in other locations ==
{{Discuss |
2020 Feb 18:  Allan thoughts were not to add ECIP, call it NCIP because they are not only in ER.  I think he was not clear about what this is suppose to be. Not resolved.
** So where else would these be? We already collect the PACU ones as boarding, but are there other locations at HSC? Eg does someone get accepted on H6 and then remains there instead of coming to the unit? Ttenbergen 15:36, 2020 October 6 (CDT) }}


== How to identify ECIPs in [[Cognos EPR Report]] ==
== How to identify ECIPs in [[Cognos EPR Report]] ==
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== Related articles ==  
== Related articles ==  
{{Related Articles}}
{{Related Articles}}
}}




[[Category: Hospital EPR]]
[[Category: Overflow]]
[[Category:EMIP]]
[[Category:EMIP]]
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