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ECIP: Difference between revisions

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'''E'''mergency '''C'''ritical Care '''I'''n'''P'''atient.  
'''E'''mergency '''C'''ritical Care '''I'''n'''P'''atient.  


{{LegacyContent
| 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]].
| successor=[[Boarding Loc]]
| content=
== Entering an ECIP ==
== 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]].
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]].
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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.  
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.  


=== Instructions for STB? ===
=== Collection Instructions ===
{{Discuss |
 
* For STB: ECIPs under MICU service to Medicine units enter the following for the Medicine profile:
*ECIPs under MICU service to Medicine units enter the following for the Medicine profile:
** For [[Previous Location]] enter STB_MICU
** For [[Previous Location]] enter <site> MICU, for GGH enter GH_CC
** For [[Pre-admit Inpatient Institution]] enter STB_MICU
** For [[Pre-admit Inpatient Institution]] enter <site> MICU, for GGH enter GH_CC
** For [[Previous Service]] enter critical care
** For [[Previous Service]] enter critical care
* Is that really specific to STB, or even specific at all? Doesn't that just mean following the usual instructions for these three fields? If so, we don't want to duplicate them here, because if anything about them changes, we would miss this spot in any updates. Ttenbergen 12:42, 2020 November 10 (CST)
}}


== Identifying an ECIP ==
== Identifying an ECIP ==
=== ECIPs related to '''MICUs''' / under one of the Critical Care services ===
=== 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 [[s_Cognos_Services table]] in [[CCMDB.accdb]] for list.  
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.  
{{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)
** '''Collectors, would those always be CC patients? Ttenbergen 12:50, 2020 November 10 (CST)
}}


Such a patient will show up in the [[Cognos Report Integrator]] listings just like an [[EMIP]] patient.  
Such a patient will show up in the [[Cognos Report Integrator]] listings just like an [[EMIP]] patient.  


== ECIPs related to SICUs / '''not''' under one of the Critical Care services ==
== ECIPs related to SICUs ==
A surgical / SICU ECIP is a patient who...
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
{{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 [[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.
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.
* 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)


{{Discuss |
* 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?"
**  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)
}}


== 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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