EMIP: Difference between revisions
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EMIP stands for '''E'''mergency '''M'''edicine "''' | EMIP stands for '''E'''mergency '''M'''edicine "'''I'''n" '''P'''atient. It is used for patients who are admitted to our internal medicine service and spend their entire '''admission under one of the medicine services we follow''' in the ER (emergency department). | ||
==Definition of EMIP== | ==Definition of EMIP== | ||
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#* home or | #* home or | ||
#* any other '''out of hospital location''' or | #* any other '''out of hospital location''' or | ||
#* the patient is transferred '''within the hospital to any service''' because Medicine decides that they will not take the pt but the patient needs different care or | #* the patient is transferred '''within the hospital to any service''' because the [[Medicine program]] decides that they will not take the pt but the patient needs different care or | ||
#* dies in ER ("ED Death after Arrival" in [[Cognos]]) | #** this could include a [[Critical Care program]] admission we would collect, see [[#Collecting an EMIP who has been transferred to the Critical Care program]] | ||
#* [[Deceased patients|dies]] in ER ("ED Death after Arrival" in [[Cognos]]) [[Category:End-of-life related data]] | |||
#* leaves [[AMA]] ("ED Reg/Triaged/Assess LAMA" in [[Cognos]]) | #* leaves [[AMA]] ("ED Reg/Triaged/Assess LAMA" in [[Cognos]]) | ||
}} | }} | ||
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=== Entering patients in dispo tab fields === | === Entering patients in dispo tab fields === | ||
* [[Service/Location field]] - your Generic [[HSC_Med]], [[GRA_Med]], [[STB_Med]] | * [[Service/Location field]] - your Generic [[HSC_Med]], [[GRA_Med]], [[STB_Med]] | ||
* [[Previous Location field]] - use normal instructions | * [[Previous Location field]] - use normal instructions | ||
'''Follow the instructions in [[Boarding Loc]], [[Service tmp entry]], [[Transfer Ready DtTm tmp entry]]; if you do, none of the old special instructions for EMIPs should be required | '''Follow the instructions in [[Boarding Loc]], [[Service tmp entry]], [[Transfer Ready DtTm tmp entry]]; if you do, none of the old special instructions for EMIPs should be required.''' | ||
=== Collecting an EMIP who has been transferred to | === Collecting an EMIP who has been transferred to the [[Critical Care program]] === | ||
EMIPs include patients who are discharged to another service in the hospital. (eg [[Medicine program]] to [[Critical Care program]] or [[Critical Care program]] to [[Medicine program]]) | |||
*if an EMIP patient is transferred to an ICU, that ICU would use e.g. [[GRA_Med]] as [[Previous Location]] | *if an EMIP patient is transferred to an ICU, that ICU would use e.g. [[GRA_Med]] as [[Previous Location]] | ||
** For [[Pre-admit Inpatient Institution field | Pre-admit Inpatient Institution]] = GRA_Med for the new scheme. Before start date of new scheme,[[Previous Location]] is '''site_EMIP''' | ** For [[Pre-admit Inpatient Institution field | Pre-admit Inpatient Institution]] = GRA_Med for the new scheme. Before start date of new scheme,[[Previous Location]] is '''site_EMIP''' | ||
** For [[Previous Service]] = Medicine | ** For [[Previous Service]] = Medicine | ||
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* In ER under '''Medicine service''' and then moved to other ward but under '''Medicine service''' (i.e. a case of [[Off_ward_field|off ward patients]]). | * In ER under '''Medicine service''' and then moved to other ward but under '''Medicine service''' (i.e. a case of [[Off_ward_field|off ward patients]]). | ||
{{ | {{Ex| | ||
| | *(1) Internal Med answered consult but deferred and admitted under Critical Care service. Consults do not count as admissions, the patient has to be accepted to Internal med service, and in this scenario would be considered an admission to Critical care only. | ||
*(2) Rural Patient accepted by Internal Med service but deteriorated enroute to Winnipeg. Transport team transferred to ER resus room and Critical care consulted, admitted, and assumed care of the patient. This should only be collected as a Critical care service profile, as the patient was assumed by CC service upon arrival at the hospital. (Just as we would not collect for any other patient who died before they ever made it to the hospital). | |||
}} | |||
== Legacy information == | |||
{{Collapsable | {{Collapsable | ||
| always= Legacy Information | | always= Legacy Information | ||
| full= | | full= | ||
* [[VIC_EMIP]], [[GRA_EMIP]], [[STB_EMIP]] and [[HSC_EMIP]] used to be [[Service/Location field]] entries in the Medicine database until [[2020-10 EMIP changes]] / [[Change from Service Location to Service, Boarding Loc and Transfer Ready DtTm tmp entry]] | * [[VIC_EMIP]], [[GRA_EMIP]], [[STB_EMIP]] and [[HSC_EMIP]] used to be [[Service/Location field]] entries in the Medicine database until [[2020-10 EMIP changes]] / [[Change from Service Location to Service, Boarding Loc and Transfer Ready DtTm tmp entry]] | ||
* there used to not be a | * there used to not be a [[Critical Care program]] counterpart, see [[ECIP]] for more info | ||
* since the concept only applied to Med pts and we didn't collect those at CON and OAK, patients in Concordia ER or Oaks ER could not become EMIPs | * since the concept only applied to Med pts and we didn't collect those at CON and OAK, patients in Concordia ER or Oaks ER could not become EMIPs | ||
* Before start date of new scheme, a second service in the hospital for an EMIP would have used [[Previous Location]] is '''site_EMIP''' | |||
}} | }} | ||
[[Category: Overflow]] | == Related articles == | ||
[[Category: EMIP| *]] | {{Related Articles}} | ||
[[Category:Overflow]] | |||
[[Category:EMIP| *]] | |||