Pre-admit Inpatient Institution field: Difference between revisions

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~~''This field is currently being implemented, please check the instructions and put a discussion for anything that isn't clear. ''~~

{{Data_element

| field_name = Pre_admit_Inpatient_Institution

~~The [[~~Pre-admit Inpatient Institution ~~field]] contains info about where a patient was hospitalized prior~~ to ~~their arrival at~~ our ~~ward/~~unit.

| CCMDB_label = Pre-admit Inpatient Institution

| CCMDB_tab = Dispo

| element_description = The most recent '''previous ''inpatient'' location''' of patients who were already '''inpatients''' elsewhere and who have been under medical care continuously before coming to our unit.

| in_table = L_Log table

| data_type = number

| datafield_length = long integer

| program_collecting = Med and CC

| created_raw = Raw

| data_element_start_date = 2016-07-01

| data_element_sort_index = 36

}}

== Collection Instruction ==

~~If the "Previous" location field contains a "temporary" location like an ER~~, ~~OR or Cath Lab you will need to~~ enter the ~~"Previous Inpatient Location" field. This will be a dropdown that allows an appropriate subset of~~ the ~~contents~~ of ~~s_dispo.~~

* For each patient, enter the most recent '''in-patient''' location where the patient has been admitted during this continuous episode of hospitalization at this or other hospitals

{{~~discussion~~}} ~~This would mean don't enter for patients from non~~-~~temporary locations; do we want it blank for those? Need to finalize detail~~.~~.. Ttenbergen 12:31, 2016 March 21 (CDT)~~

{{Ex |

~~For each patient,~~

*HSC MICU --- family medicine ward at the Vic --- HSC_ER --- STB_ER --- cath lab --- HSC_MICU.

* ~~enter~~ the ~~option that most closely matches~~

**Code the Pre-admit Inpatient Institution field as: VIC_Ward}}

* if you know the situation but nothing on the list matches closely, enter '''other - known but not listed''

* if you know the situation but nothing on the list matches closely, enter '''other - known but not listed'''

* if the situation is unknown, enter '''location missing/unknown'''

* if the patient did not come from an '''in'''patient location, enter "not applicable"

** for example if they came from home or a clinic

** the ER (at your site or elsewhere) is '''not''' an inpatient location, so enter "not applicable"

=== Where to find this information ===

If patient came from a different Winnipeg hospital this will be recorded in the “Visit History” on the EPR.

== Data Use ==

=== Ambiguous locations ===

~~This data is used for tracking~~ where ~~most of the traffic~~ on our ~~units~~/~~wards comes~~ from. ~~For starters it~~ will ~~be reported~~ to ~~Critical Care (Randy Martin),~~ who ~~was also the requestor~~ of ~~this data~~.

*The following '''ARE NOT''' considered inpatient locations, enter "NA / not applicable"

** Any PCH (see [[Chronic Health Facility]] for additional instructions)

** [[Grace Nursing Home Ward]] - We consider admissions from there as [[readmission]]s, so would be coded as if they had come from home. Consistent with that we will consider these '''not''' inpatient locations, so code them as "NA / not applicable". (As per meeting with Dr Roberts 2016-05-05)

** Day-surgery locations - use "<hosp> ambulatory care"

=== Chronic Care Facilities ===

They are a changing and complicated case, see [[Chronic Health Facility]].

=== Intra-facility and inter-facility transfers ===

If a patient gets transferred to another ward in the same or different hospital, enter <site>_Med, <site>_Ward or <site>_CC (as appropriate) as both the [[Previous Location field]] and the [[Pre-admit Inpatient Institution field]].

=== Arrivals from a borrowed bed ===

See and follow [[Previous Location field#Borrowed Bed Or Boarding Loc]]

=== Several pre-admit locations ===

If a patient travels through several pre-admit inpatient locations we will only have data on the last one. We understand that. Just to be clear.

{{Ex | Pt was on a ward as an inpatient then went to ICU, then was transferred to the ward you are collecting on. Previous location would be ICU and previous inpatient institution would also be ICU.}}

== Data Use / Purpose ==

To document where those patients who were inpatients immediately before arriving on our ward/unit came from.

The detailed information will allow us also to distinguish between patients who were or were not inpatients before arrival. This is relevant to a patient's risk of bad outcomes.

== {{~~CCMDB~~ Data Integrity ~~Checks~~}} ==

The information will also give our administrators a better idea of which other hospitals are sending us patients, which they will use for planning.

~~None as~~ of ~~11:58, 2016 March 21~~ (~~CDT~~).

* {{discussion}} Do we need any? Ttenbergen 12:31, 2016 ~~March 21~~ (CDT)

== Cross Checks ==

== Reports ==

*The information will be part of the Inter-facility transfer report (i.e. inpatients coming from other facility outside the region or within the region). Also the information will be useful for research projects where a patient will be tagged if already an inpatient before arrival to the unit or ward. [[User:JMojica|JMojica]] 11:45, 2016 June 6 (CDT)

== Implementation ==

Line 27:

Line 68:

== Legacy ==

This field is part of the [[2016 Time and Place changes]] and did not previously exist.

=== Nursing stations ===

We used to collect nursing stations in [[hospital previous]] but would not include them under the new scheme because they are not inpatient locations. Julie and Tina met with Randy Martin 2016-04 and he confirmed he doesn't need them.

== Related articles ==

[[Category: 2016 Time and Place changes]]

[[Category: Admit/Discharge]]

[[Category: Data Collection Guide]]

@@ Line 1: / Line 1: @@
- ''This field is currently being implemented, please check the instructions and put a discussion for anything that isn't clear. ''
+{{Data_element
+| field_name = Pre_admit_Inpatient_Institution
-The [[Pre-admit Inpatient Institution field]] contains info about where a patient was hospitalized prior to their arrival at our ward/unit.
+| CCMDB_label = Pre-admit Inpatient Institution
+| CCMDB_tab = Dispo
+| element_description = The most recent '''previous ''inpatient'' location''' of patients who were already '''inpatients''' elsewhere and who have been under medical care continuously before coming to our unit.
+| in_table = L_Log table
+| data_type = number
+| datafield_length = long integer
+| program_collecting = Med and CC
+| created_raw = Raw
+| data_element_start_date = 2016-07-01
+| data_element_sort_index = 36
+}}
 == Collection Instruction ==
-If the "Previous" location field contains a "temporary" location like an ER, OR or Cath Lab you will need to enter the "Previous Inpatient Location" field. This will be a dropdown that allows an appropriate subset of the contents of s_dispo.
+* For each patient, enter the most recent '''in-patient''' location where the patient has been admitted during this continuous episode of hospitalization at this or other hospitals
-{{discussion}} This would mean don't enter for patients from non-temporary locations; do we want it blank for those? Need to finalize detail... Ttenbergen 12:31, 2016 March 21 (CDT)
+{{PrePrevDispo listing}}
+{{Ex |
-For each patient,
+*HSC MICU --- family medicine ward at the Vic --- HSC_ER --- STB_ER --- cath lab --- HSC_MICU.
-* enter the option that most closely matches
+**Code the Pre-admit Inpatient Institution field as: VIC_Ward}}
-* if you know the situation but nothing on the list matches closely, enter '''other - known but not listed''
+* if you know the situation but nothing on the list matches closely, enter '''other - known but not listed'''
 * if the situation is unknown, enter '''location missing/unknown'''
+* if the patient did not come from an '''in'''patient location, enter "not applicable"
+** for example if they came from home or a clinic
+** the ER (at your site or elsewhere) is '''not''' an inpatient location, so enter "not applicable"
 === Where to find this information ===
 If patient came from a different Winnipeg hospital this will be recorded in the  “Visit History” on the EPR.
-== Data Use ==
+=== Ambiguous locations ===
-This data is used for tracking where most of the traffic on our units/wards comes from. For starters it will be reported to Critical Care (Randy Martin), who was also the requestor of this data.
+*The following '''ARE NOT''' considered inpatient locations, enter "NA / not applicable"
+** Any PCH (see [[Chronic Health Facility]] for additional instructions)
+** [[Grace Nursing Home Ward]] - We consider admissions from there as [[readmission]]s, so would be coded as if they had come from home. Consistent with that we will consider these '''not''' inpatient locations, so code them as "NA / not applicable". (As per meeting with Dr Roberts 2016-05-05)
+** Day-surgery locations - use "<hosp> ambulatory care"
+=== Chronic Care Facilities ===
+They are a changing and complicated case, see [[Chronic Health Facility]].
+=== Intra-facility and inter-facility transfers  ===
+If a patient gets transferred to another ward in the same or different hospital, enter <site>_Med, <site>_Ward or <site>_CC (as appropriate) as both the [[Previous Location field]] and the [[Pre-admit Inpatient Institution field]].
+=== Arrivals from a borrowed bed ===
+See and follow [[Previous Location field#Borrowed Bed Or Boarding Loc]]
+=== Several pre-admit locations ===
+If a patient travels through several pre-admit inpatient locations we will only have data on the last one. We understand that. Just to be clear.
+{{Ex |  Pt was on a ward as an inpatient then went to ICU, then was transferred to the ward you are collecting on. Previous location would be ICU and previous inpatient institution would also be ICU.}}
+{{Location dropdown cleanup}}
+== Data Use / Purpose ==
+To document where those patients who were inpatients immediately before arriving on our ward/unit came from.
+The detailed information will allow us also to distinguish between patients who were or were not inpatients before arrival. This is relevant to a patient's risk of bad outcomes.
-== {{CCMDB Data Integrity Checks}} ==
+The information will also give our administrators a better idea of which other hospitals are sending us patients, which they will use for planning.
-None as of 11:58, 2016 March 21 (CDT).
-* {{discussion}} Do we need any? Ttenbergen 12:31, 2016 March 21 (CDT)
+== Cross Checks ==
+{{Data Integrity Check List}}
+== Reports ==
+*The information will be part of the Inter-facility transfer report (i.e. inpatients coming from other facility outside the region or within the region).  Also the information will be useful for research projects where a patient will be tagged if already an inpatient before arrival to the unit or ward.  [[User:JMojica|JMojica]] 11:45, 2016 June 6 (CDT)
 == Implementation ==
@@ Line 27: / Line 68: @@
 == Legacy ==
 This field is part of the [[2016 Time and Place changes]] and did not previously exist.
+=== Nursing stations ===
+We used to collect nursing stations in [[hospital previous]] but would not include them under the new scheme because they are not inpatient locations. Julie and Tina met with Randy Martin 2016-04 and he confirmed he doesn't need them.
+== Related articles ==
+{{Related Articles}}
 [[Category: 2016 Time and Place changes]]
+[[Category: Admit/Discharge]]
+[[Category: Data Collection Guide]]