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Pre-admit Inpatient Institution field: Difference between revisions

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''' article has evil twin [[PrevInptLocation field]] which needs to be integrated into here
{{Data_element
 
| field_name = Pre_admit_Inpatient_Institution
''This field is currently being implemented, please check the instructions and put a discussion for anything that isn't clear. ''
| CCMDB_label = Pre-admit Inpatient Institution
 
| CCMDB_tab = Dispo
The [[Pre-admit Inpatient Institution field]] identifies the '''previous inpatient location''' of patients who were already '''inpatients''' elsewhere before coming to our unit '''from a temporary location'''. This does not include patients who just arrived at an ER elsewhere and were not admitted as inpatient there.
| 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 ==
== 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 situation is unknown, enter '''location missing/unknown'''
 
* if the patient did not come from an '''in'''patient location, enter "not applicable"  
{{discussion}} Tina needs to link this in with [[Location Chooser]]: "If you know the location exactly, you can type it. Otherwise press the "?" button to take you to the [[Location Chooser]] filter form to help you find the right one. " Ttenbergen 10:33, 2016 March 22 (CDT)
** 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 ===
=== Where to find this information ===
If patient came from a different Winnipeg hospital this will be recorded in the  “Visit History” on the EPR.
If patient came from a different Winnipeg hospital this will be recorded in the  “Visit History” on the EPR.


== Example ==
=== Ambiguous locations ===
*ICU Vic---family medicine ward at the Vic---ED HSC---ED STB---cath lab---ICU HSC.
*The following '''ARE NOT''' considered inpatient locations, enter "NA / not applicable"
**The PrevInptLocation field is: VIC_Ward
** 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 ==
== Data Use / Purpose ==
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The information will also give our administrators a better idea of which other hospitals are sending us patients, which they will use for planning.
The information will also give our administrators a better idea of which other hospitals are sending us patients, which they will use for planning.


== {{CCMDB Data Integrity Checks}} ==
== Cross Checks ==
* Records for all [[Admit from]]s in [[#Temporary locations]] need to have an entry (possibly "none")
{{Data Integrity Check List}}
* Records for all [[Admit from]]s ''not'' in [[#Temporary locations]] need to '''not''' have an entry
Not yet implemented Ttenbergen 14:11, 2015 May 27 (CDT)
*{{discussion}} do these make sense?  (old q from Tina)
**YES.  if these are done, you may delete the ones I wrote above.  [[User:JMojica|JMojica]] 12:31, 2015 May 28 (CDT)


== Reports ==
== Reports ==
{{discussion}} Which reports will this be on? Ttenbergen 10:33, 2016 March 22 (CDT)
*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 ==
== Implementation ==
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== Legacy ==
== Legacy ==
This field is part of the [[2016 Time and Place changes]] and did not previously exist.
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: 2016 Time and Place changes]]
[[Category: Admit/Discharge]]
[[Category: Data Collection Guide]]
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