Service tmp entry: Difference between revisions

From CCMDB Wiki
Jump to navigation Jump to search
← Older edit
moved details to STB CICU Admissions start at Arrive DtTm to avoid duplication and inconsistencies.
 
(76 intermediate revisions by 6 users not shown)
Line 7: Line 7:
}}
}}


This isn't so much a project as a change to [[Service/Location]] collection to allow us to collect more than one [[Service/Location]] per patient-program-stay. See [[Change from Service Location to Service, Boarding Loc and Transfer Ready DtTm tmp entry]] for why we needed to change to this.  
This data encodes which service is taking care of a patient. See [[Definition of a Critical Care Program Admission]] / [[Definition of a Medicine Program Admission]] for info on when a new profile should be started.  


== Data Collection Instructions ==
== Data Collection Instructions ==
{{Discuss|
You can use the [["Make Service" button]] in [[Patient Viewer Tab Cognos ADT2]] to generate and populate these entries.
* Are we adding the date and time that each service takes over? Where do we find this information on EPR?  (blezak)
 
** Good point. The data is in the [[Cognos Admitter]]; what was the "Accept DtTm equiv" and only visible if pt came from ER is now the Service Start DtTm, and always visible. Change is in v2020-10-21-1. If that answers the question, please remove the discussion. If not, please elaborate. Ttenbergen 18:15, 2020 October 21 (CDT)
=== How to enter this ===
Add an additional entry for service only if the service changes during their stay. (see [[#Which service to use when several are listed for the same timeframe]] below.
{{Ex |
*E.G. patient X is in the ER and is accepted by HSC A medicine on Oct 15,2020@0900, On Oct 17,2020 @1500 HSC H medicine takes over his care
*in the TMP select '''Project Service''', '''Item''' choose HSC A medicine, column E enter Oct 15,2020, Column M enter 0900
*second entry in TMP would be '''project Service''', '''Item''' choose HSC H medicine, Column E enter Oct 17,2020, Column M enter 1500
}}
}}
=== How to enter this ===
*Use tmp fields:
*Use tmp fields:
** project: '''Service'''
** project: '''Service'''
** item: '''no service entered''' is added by default to each new patient entered
** item: '''no service entered''' is added by default to each new profile entered
*** change this to the applicable service; this will be the service as listed in the [[Cognos Report Integrator]] tools (see [[Cognos SubServices table]] for a list of applicable services).
*** change this to the applicable service; this will be the service as listed in the [[Cognos Report Integrator]] tools (see [[s_Cognos_Services table]] for a list of applicable services).
**select the appropriate service from the dropdown list
**select the appropriate service from the dropdown list
** date: '''Service Start DtTm''' date as per [[Cognos EPR Report]]
** time: '''Service Start DtTm''' time as per [[Cognos EPR Report]]
*** for pts coming from ER this dttm will be the same as [[Accept DtTm]], but we want it for non-ER pts as well
*** the '''first''' entry for [[Boarding Loc]] and for [[Service tmp entry]] need to have the same date and time because we only care about the portion of time in that earliest location that was under our service. So, e.g. if in ER the pt is accepted initially by surgery we don't care about the unit start date and time until our service takes over.


Add a new entry for service only if the service changes during their stay.
==== DtTm to use ====
{{Ex |
* Edit the Service Start DtTm in the [[Patient Viewer Tab Cognos ADT2]]
*E.G. patient X is in the ER and is accepted by HSC A medicine on Oct 15,2020@0900, On Oct 17,2020 @1500 HSC H medicine takes over his care
* If you are changing the Service Start DtTm, please check to make sure that the [[Visit Admit DtTm]] is either before or the same as the Service Start DtTm
*in the TMP select '''Project Service''', '''Item''' choose HSC A medicine, column E enter Oct 15,2020, Column M enter 0900
* value is initially entered in [[CSS]] as per [[Using Cognos2 to keep track of patients]]
*second entry in TMP would be '''project Service''', '''Item''' choose HSC H medicine, Column E enter Oct 17,2020, Column M enter 1500
* once patient is discharged, set as per [[Definition of a Critical Care Program Admission]] or [[Definition of a Medicine Program Admission]]; except if within 30 min of time in Cognos, use Cognos time <!-- as per ICU Database Task Group Meeting – April 15, 2021 #4 -->
  }}
** at this point also update the first [[Boarding Loc]] DtTm as per [[DtTm for First Boarding Loc and First Service]]
 
=== Which service to use when several are listed for the same timeframe ===
* use what you know to be correct from chart and your knowledge of your hospital.
* exclude services that are not relevant to the current admission, or are an obvious entry error ie. if there are two service entries for an ICU admission that are one minute apart, but one is HSC critical care general surgery and the other is just HSC general surgery, exclude the HSC general surgery service as this is not an ICU service.  


== Loose ends ==
==== Specifically for STB Critical Care ====
None of these are show-stoppers, just some notes on future improvements.
Special rules apply to [[STB CICU Admissions start at Arrive DtTm]].
{{DT |
* This project does might eventually replace [[ICUotherService]]; we will still need this item in the event that both the bed and the service are both borrowed. Administration at STB want this data.
}}


{{Discuss | who = Julie |
=== Direct Admissions/Transfers ===
* I am trying to enter my first critical care patient at HSC. There are multiple choices (dozens) for HSC critical care, and it is not evident which one I should be choosing. I think that it would be a lot more intuitive if the choices are limited to Critical Care-surgical, Critical Care-medical, and Critical care-Intermediate.[[User:Mlagadi|Mlagadi]] 09:01, 2020 October 16 (CDT)
For patients who have been accepted from another hospital '''but have a wait time in ER''' (who used to be called Direct Admissions/Parked in ER), use the [[Visit Admit DtTm]] shown in [[Patient Viewer Tab Cognos ADT2]]. You can use the [["VA" button]] to fill it in.  
** I'd like that, too. The problem is SICU - AFAIK they are an "open unit" so all sorts of services play there, and therefore show up in Cognos. I made a list that reflects Cognos. We should bring this up to Julie to see what she needs, we might be able to get away with what you suggest. I will flag this for Julie, but if it isn't dealt with by the time the next task meeting comes around, please bring it up then. Ttenbergen 23:32, 2020 October 18 (CDT)
}}


=== Facilitate viewing and entering Service tmp ===
==== From Code Blue / [[Respiratory arrest]] ====
{{Discuss |
See [[Definition of a Critical Care Program Admission#From Code Blue / Respiratory arrest]] for when a profile should start in case of a code blue.  
* should be able to add something to [[Cognos Admitter]] and [[Patient Viewer Tab Cognos ADT]] that facilitates entering and viewing this; will delay that until we have collected this for a little while; if we find these entries to be identical to Cognos data we might not need to enter them at all but instead import them directly, but not until we have checked consistency. And if we can stop entering Accept and Arrive, and service location becomes trivial we can safe space.
The thing is, that tab is getting very full, and I will need to either make fonts smaller or squeeze an area to show even fewer lines. I wonder how best to do that in a way that works for collectors. It’s on the “later” pile for now, but for sure something I want to deal with. Open to suggestions. Ttenbergen 12:24, 2020 October 16 (CDT)
}}


== data checks ==
{{DT |
* add a cross check to make sure this is not left as "no service entered"
}}
{{Data Integrity Check List}}
{{Data Integrity Check List}}


== Data Use ==
== Data Use ==
Critical care and Medicine programs want to know this to better understand patient flow and bed utilization.
This data is used to facilitate [[Using Cognos2 to keep track of patients]].  


== SAS Program ==
== Legacy / Background ==
 
This isn't so much a project as a change to [[Service/Location]] collection to allow us to collect more than one [[Service/Location]] per patient-program-stay. See [[Change from Service Location to Service, Boarding Loc and Transfer Ready DtTm tmp entry]] for why we needed to change to this.
== Background ==
We initially planned to change to a single profile per program collection mode, but then gradually reverted to a single profile per service for all critical care profiles.


==Related articles ==
==Related articles ==
Line 69: Line 61:
[[Category:Overflow]]
[[Category:Overflow]]
[[Category:PatientFollow Project]]
[[Category:PatientFollow Project]]
[[Category:Cognos Report Integrator]]
[[Category:Admit/Discharge]]

Latest revision as of 09:56, 19 March 2025

Projects
Active?: active
Program: CC and Med
Requestor: internal
Collection start: 2020-10-15
Collection end:

This data encodes which service is taking care of a patient. See Definition of a Critical Care Program Admission / Definition of a Medicine Program Admission for info on when a new profile should be started.

Data Collection Instructions

You can use the "Make Service" button in Patient Viewer Tab Cognos ADT2 to generate and populate these entries.

How to enter this

Add an additional entry for service only if the service changes during their stay. (see #Which service to use when several are listed for the same timeframe below.

Example:   
  • E.G. patient X is in the ER and is accepted by HSC A medicine on Oct 15,2020@0900, On Oct 17,2020 @1500 HSC H medicine takes over his care
  • in the TMP select Project Service, Item choose HSC A medicine, column E enter Oct 15,2020, Column M enter 0900
  • second entry in TMP would be project Service, Item choose HSC H medicine, Column E enter Oct 17,2020, Column M enter 1500
  • Use tmp fields:
    • project: Service
    • item: no service entered is added by default to each new profile entered
    • select the appropriate service from the dropdown list

DtTm to use

Which service to use when several are listed for the same timeframe

  • use what you know to be correct from chart and your knowledge of your hospital.
  • exclude services that are not relevant to the current admission, or are an obvious entry error ie. if there are two service entries for an ICU admission that are one minute apart, but one is HSC critical care general surgery and the other is just HSC general surgery, exclude the HSC general surgery service as this is not an ICU service.

Specifically for STB Critical Care

Special rules apply to STB CICU Admissions start at Arrive DtTm.

Direct Admissions/Transfers

For patients who have been accepted from another hospital but have a wait time in ER (who used to be called Direct Admissions/Parked in ER), use the Visit Admit DtTm shown in Patient Viewer Tab Cognos ADT2. You can use the "VA" button to fill it in.

From Code Blue / Respiratory arrest

See Definition of a Critical Care Program Admission#From Code Blue / Respiratory arrest for when a profile should start in case of a code blue.

Data Integrity Checks (automatic list)

 AppStatus
Query check minimal data set incompleteCCMDB.accdbimplemented
Query check tmp service or location duplicateCCMDB.accdbimplemented
Query check tmp service and program consistencyCCMDB.accdbimplemented
Query check tmp Service and Boarding Loc during admission timeframeCCMDB.accdbimplemented
Query check CCI TISS NrDays GT LOSCCMDB.accdbimplemented
Query check CCI TISS NrDays LT LOSCCMDB.accdbimplemented
Query check tmp Boarding Loc Service first sameCCMDB.accdbimplemented
Query check CCI vs LOS count days componentCCMDB.accdbimplemented
Query check CCI vs LOS count days picklistCCMDB.accdbimplemented
Query check no consecutive same BL or ServiceCCMDB.accdbimplemented
Query check ICD10 dateCCMDB.accdbimplemented
Query check CCI DateCCMDB.accdbimplemented
Query s tmp Boarding Loc date itemCCMDB.accdbimplemented
Check duplicate patientCCMDB.accdbimplemented
Query check CCI TISS Pharm VasoactiveCCMDB.accdbimplemented
Query check tmp 2 BL TR S same tmCCMDB.accdbimplemented

Data Use

This data is used to facilitate Using Cognos2 to keep track of patients.

Legacy / Background

This isn't so much a project as a change to Service/Location collection to allow us to collect more than one Service/Location per patient-program-stay. See Change from Service Location to Service, Boarding Loc and Transfer Ready DtTm tmp entry for why we needed to change to this. We initially planned to change to a single profile per program collection mode, but then gradually reverted to a single profile per service for all critical care profiles.

Related articles

Related articles:
Retrieved from "https://ccmdb.kuality.ca/index.php?title=Service_tmp_entry&oldid=163388"