Chronic Health Facility: Difference between revisions

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General Information for ~~the~~ ''Chronic Health ~~Facility~~'' ~~entry~~ in [[Pre acute living situation field]].

General Information for ''Chronic Health Facilities'' and entries for them in

* [[Pre acute living situation field]]

* [[Pre-admit Inpatient Institution]]

* [[Previous Location field]]

* [[Dispo field]]

* [[Awaiting/delayed transfer to long-term care/PCH inside or outside of Winnipeg]]

{{Discuss|

We have discussed lately that we might want to become more nuanced about some chronic care locations (Deer Lodge and Riverview). I have removed the details from the above linked fields and consolidated here. Once this page is cleaned up this discussion entry can be removed.

}}

== Specific facilities, some with more than one type of care ==

=== Riverview ===

* Riverview (palliative care ([[Hospice]]), rehab, LTV)- '''except [[PCH]] part, code that as [[PCH]]'''

=== Deer Lodge ===

* Deer Lodge (rehab) - '''except [[PCH]] part, code that as [[PCH]]'''

{{DL | Here is the breakdown

**Riverview-

*** PCH- C and D wings floors 1-4 42 beds

*** PCH- Aand B wings -locked unit for alzheimer/dementia 30 beds

*** 2E is LTV 30 beds

*** 3E is palliative care 30 beds

***4E is stroke rehab 30 beds

*** 4W is Acute brain injury- 10 beds

*** 3W is PCH- 29 beds

***2W respiratory ward (no vents)- 30 beds

**Deer Lodge

***Rehab wards are Lodge 2W, 4E and 4W

*** TCU is Lodge 2E

*** chronic care is Lodge 5E, 5W, 6E, 6W, 7E and 7W (clients with comples medical issues who can't be cared for in PCH ie. tracheostomy, ostomy, enteral and parenteral nutrition, complex wound care, blood transfusions and PIV and Central lines.

*** PCH is Tower 3N, 3S, and 4,5,6,7 and also Lodge 3W, 3E

[[User:Lkaita|Lisa Kaita]] 13:03, 10 March 2025 (CDT)}}

=== [[Hospice]] ===

{{DT | * review, that might need to be consolidated with this page as well. }}

=== St Amant ===

* St. Amant

=== Any others? ===

{{Discuss |

* Do we need to consider 1010 Sinclair separately as well?

** 1010 sinclair is an independent apartment living see https://tenten.mb.ca/housing/1010-sinclair-street/. so I would think this might be home or community facility with support? [[User:Lkaita|Lisa Kaita]] 12:49, 10 March 2025 (CDT)

*** 1011 supports ventilated patients (or used to anyway, so that's pretty heavy support... [[User:Ttenbergen|Ttenbergen]] 17:54, 10 March 2025 (CDT)

* Any others we might need to consider separately?

}}

== This portion needs to be integrated ==

=== [[Pre acute living situation field]] ===

Use the "chronic health" entry for patients coming from any part of

* Deer Lodge

* St. Amant

* Riverview

* any [[hospice]], though these should obviously be rare

* [[Selkirk Mental Health Centre]]

~~We are aware that these sites also have e.g. PCH beds, but for clarity, just collect anyone from these sites as chronic health.~~

~~Living in~~ a PCH is ~~relevant~~ to ~~generating~~ the [[:~~Category~~:~~OverstayProject~~|~~Overstay colour~~]].

* If a patient's discharge to a Chronic Health Facility is delayed, you might be able to code [[Awaiting/delayed transfer to long-term care/PCH inside or outside of Winnipeg]].

=== from [[Dispo field]] ===

* use <site>_ward e.g. Riverview stroke rehab, Oaks ward

* If the patient is discharged to the PCH portion of Deer Lodge or Riverview use '''Winnipeg PCH'''

=== from [[Awaiting/delayed transfer to long-term care/PCH inside or outside of Winnipeg]] ===

Use your judgement and available information to decide what to code for the [[Awaiting/delayed transfer to long-term care/PCH inside or outside of Winnipeg]] diagnosis .

* Includes Riverview LTV unit

'''Excludes'''

* Those that have [[Pre-admit Inpatient Institution]] of PCH and are being discharged back to their original PCH. If there is a delay in transfer this will be captured by the [[Transfer Ready DtTm]]

{{DL |

* These should be made consistent with [[Template:PCH Riverview Deer Lodge]] and should probably use that template to enforce consistent use. [[User:Ttenbergen|Ttenbergen]] 14:23, 2024 October 16 (CDT)

** and I have lost track of the details [[User:Ttenbergen|Ttenbergen]] 10:45, 2024 November 1 (CDT)

*** There might be an easy way out of this question. We now only have one awaiting code; if waiting for any of them qualifies for this code then we may not need to know about the level of care. But then again, some of those sites also have acute/LAU type settings so we may need to figure this out after all...[[User:Ttenbergen|Ttenbergen]] 20:27, 2024 December 11 (CST)

}}

{{~~Discussion}}~~

{{DL |

*~~The data so far are not consistent – some refer to Riverview as PCH and some has Chronic Health Facility in~~ [[~~Pre acute living situation field]].~~

* Discussed this at [[JALT Meeting - Rolling Agenda and Minutes 2025#JALT 2025-03-11]] but I don't remember if we came to an answer or next step. Just found a note to add that we will also need to decide if any of these are in-patient locations. This would make them collectable as [[Pre-admit Inpatient Institution]], and is relevant as per [[Pre-admit Inpatient Institution field#Data Use / Purpose]].

~~#are collectors all following the guideline above?~~

#When patients come from these facilities – Riverview, Deer Lodge, St Amant – is it easy to distinguish which care program area they are from (e.g. Riverview Personal Care, CVA/Stroke, Long Term Vent, Palliative,etc.; Deer Lodge Chronic Care/ Dementia, Personal Care, Peritoneal Dialysis, etc.) ? --~~[[User:JMojica|JMojica~~]] ~~11:34, 2018 January 12 (CST)~~

* I ~~think I may have been putting personal care home when they come from that area of Deer Lodge~~ or ~~Riverview, but otherwise chronic health care facility~~. ~~Each patient is sent with~~ a ~~transfer form/summary~~ to ~~the receiving facility and it usually identifies where they are from,~~ also ~~the history and physicals usually identify where they are from as well. I'm uncertain if you can identify by EPR, you may~~ need to ~~be familar with their wards/facility to know for certain~~. [[~~User:Lkaita|Lisa Kaita~~]] ~~13:08~~, ~~2018 January 12 (CST)~~

}}

{{DT | in s_dispo, Riverview has inpatient checked, Deer lodge does not. When all this is settled they should probably become consistent... but not sure which so not now. }}

== Related articles ==

[[Category: ~~OverstayProject~~]]

[[Category:Pre-acute living situation]]

[[Category: ~~Pre-acute living situation~~]]

[[Category:Admit/Discharge]]

[[Category:Registry Data]]

[[Category:Data Collection Guide]]

@@ Line 1: / Line 1: @@
-General Information for the ''Chronic Health Facility'' entry in [[Pre acute living situation field]].
+General Information for ''Chronic Health Facilities'' and entries for them in
+* [[Pre acute living situation field]]
+* [[Pre-admit Inpatient Institution]]
+* [[Previous Location field]]
+* [[Dispo field]]
+* [[Awaiting/delayed transfer to long-term care/PCH inside or outside of Winnipeg]]
+{{Discuss|
+We have discussed lately that we might want to become more nuanced about some chronic care locations (Deer Lodge and Riverview). I have removed the details from the above linked fields and consolidated here. Once this page is cleaned up this discussion entry can be removed.
+}}
+== Specific facilities, some with more than one type of care ==
+=== Riverview ===
+* Riverview (palliative care ([[Hospice]]), rehab, LTV)- '''except [[PCH]] part, code that as [[PCH]]'''
+=== Deer Lodge ===
+* Deer Lodge (rehab) - '''except [[PCH]] part, code that as [[PCH]]'''
+{{DL | Here is the breakdown
+**Riverview-
+*** PCH- C and D wings floors 1-4 42 beds
+*** PCH- Aand B wings -locked unit for alzheimer/dementia 30 beds
+*** 2E is LTV 30 beds
+*** 3E is palliative care 30 beds
+***4E is stroke rehab 30 beds
+*** 4W is Acute brain injury- 10 beds
+*** 3W is PCH- 29 beds
+***2W respiratory ward (no vents)- 30 beds
+**Deer Lodge
+***Rehab wards are Lodge 2W, 4E and 4W
+*** TCU is Lodge 2E
+*** chronic care is Lodge 5E, 5W, 6E, 6W, 7E and 7W (clients with comples medical issues who can't be cared for in PCH ie. tracheostomy, ostomy, enteral and parenteral nutrition, complex wound care, blood transfusions and PIV and Central lines.
+*** PCH is Tower 3N, 3S, and 4,5,6,7 and also Lodge 3W, 3E
+[[User:Lkaita|Lisa Kaita]] 13:03, 10 March 2025 (CDT)}}
+=== [[Hospice]] ===
+{{DT | * review, that might need to be consolidated with this page as well. }}
+=== St Amant ===
+* St. Amant<!-- Yes it is still relevant in this list [[User:Lkaita|Lisa Kaita]] 20:47, 2024 December 3 (CST) -->
+=== Any others? ===
+{{Discuss |
+* Do we need to consider 1010 Sinclair separately as well?
+** 1010 sinclair is an independent apartment living see https://tenten.mb.ca/housing/1010-sinclair-street/. so I would think this might be home or community facility with support?  [[User:Lkaita|Lisa Kaita]] 12:49, 10 March 2025 (CDT)
+*** 1011 supports ventilated patients (or used to anyway, so that's pretty heavy support... [[User:Ttenbergen|Ttenbergen]] 17:54, 10 March 2025 (CDT)
+* Any others we might need to consider separately?
+}}
+== This portion needs to be integrated ==
+===  [[Pre acute living situation field]] ===
 Use the "chronic health" entry for patients coming from any part of
-* Deer Lodge
-* St. Amant
-* Riverview
 * any [[hospice]], though these should obviously be rare
 * [[Selkirk Mental Health Centre]]
-We are aware that these sites also have e.g. PCH beds, but for clarity, just collect anyone from these sites as chronic health.
-Living in a PCH is relevant to generating the [[:Category:OverstayProject|Overstay colour]].
+* If a patient's discharge to a Chronic Health Facility is delayed, you might be able to code [[Awaiting/delayed transfer to long-term care/PCH inside or outside of Winnipeg]].
+=== from [[Dispo field]] ===
+* use <site>_ward e.g. Riverview stroke rehab, Oaks ward
+* If the patient is discharged to the PCH portion of Deer Lodge or Riverview use '''Winnipeg PCH'''
+=== from [[Awaiting/delayed transfer to long-term care/PCH inside or outside of Winnipeg]] ===
+Use your judgement and available information to decide what to code for the [[Awaiting/delayed transfer to long-term care/PCH inside or outside of Winnipeg]] diagnosis .
+* Includes Riverview LTV unit
+'''Excludes'''
+* Those that have [[Pre-admit Inpatient Institution]] of PCH and are being discharged back to their original PCH.  If there is a delay in transfer this will be captured by the [[Transfer Ready DtTm]]
+{{DL |
+* These should be made consistent with [[Template:PCH Riverview Deer Lodge]] and should probably use that template to enforce consistent use. [[User:Ttenbergen|Ttenbergen]] 14:23, 2024 October 16 (CDT)
+** and I have lost track of the details [[User:Ttenbergen|Ttenbergen]] 10:45, 2024 November 1 (CDT)
+*** There might be an easy way out of this question. We now only have one awaiting code; if waiting for any of them qualifies for this code then we may not need to know about the level of care. But then again, some of those sites also have acute/LAU type settings so we may need to figure this out after all...[[User:Ttenbergen|Ttenbergen]] 20:27, 2024 December 11 (CST)
+}}
-{{Discussion}}
+{{DL |
-*The data so far are not consistent – some  refer to Riverview as PCH and some has Chronic Health Facility in [[Pre acute living situation field]].
+* Discussed this at [[JALT Meeting - Rolling Agenda and Minutes 2025#JALT 2025-03-11]] but I don't remember if we came to an answer or next step. Just found a note to add that we will also need to decide if any of these are in-patient locations. This would make them collectable as [[Pre-admit Inpatient Institution]], and is relevant as per [[Pre-admit Inpatient Institution field#Data Use / Purpose]].
-#are collectors all following the guideline above?
-#When patients come from these facilities – Riverview, Deer Lodge, St Amant – is it easy to distinguish which care program area they are from (e.g. Riverview Personal Care, CVA/Stroke, Long Term Vent, Palliative,etc.; Deer Lodge Chronic Care/ Dementia, Personal Care, Peritoneal Dialysis, etc.) ? --[[User:JMojica|JMojica]] 11:34, 2018 January 12 (CST)
-* I think I may have been putting personal care home when they come from that area of Deer Lodge or Riverview, but otherwise chronic health care facility.  Each patient is sent with a transfer form/summary to the receiving facility and it usually identifies where they are from, also the history and physicals usually identify where they are from as well.  I'm uncertain if you can identify by EPR, you may need to be familar with their wards/facility to know for certain.  [[User:Lkaita|Lisa Kaita]] 13:08, 2018 January 12 (CST)
+}}
+{{DT | in s_dispo, Riverview has inpatient checked, Deer lodge does not. When all this is settled they should probably become consistent... but not sure which so not now. }}
+== Related articles ==
+{{Related Articles}}
-[[Category: OverstayProject]]
+[[Category:Pre-acute living situation]]
-[[Category: Pre-acute living situation]]
+[[Category:Admit/Discharge]]
+[[Category:Registry Data]]
+[[Category:Data Collection Guide]]