CCMDB Wiki

Pre-admit Inpatient Institution field: Difference between revisions

m
 
No edit summary
 
(174 intermediate revisions by 20 users not shown)
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
| 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
}}


The [[Pre-admit Inpatient Institution field]] contains info about where a patient was hospitalized prior to their arrival at our ward/unit.
== Collection Instruction ==
* 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
** for patients who were accepted by a service at the previous site, but never left the site's ER to get to the ward ("EMIP" concept), consider these in-patients
{{PrePrevDispo listing}}
{{Ex |
*HSC MICU --- family medicine ward at the Vic --- HSC_ER --- STB_ER --- cath lab --- HSC_MICU. 
**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 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.
 
=== Ambiguous locations ===
* Day-surgery locations - use "<hosp> ambulatory care"
*The following '''ARE NOT''' considered inpatient locations, enter "NA / not applicable"
** Any PCH (see [[Chronic Health Facility]] for additional instructions)
** Nursing stations - they are not inpatient locations, and Julie and Tina met with Randy Martin 2016-04 and he confirmed he doesn't need them.
 
=== 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]]


== Collection Instruction ==
=== Several pre-admit locations ===
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.  
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.
{{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 |  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.}}
 
{{Pre-admit, Previous content}}
 
{{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.  


For each patient,
The information will also give our administrators a better idea of which other hospitals are sending us patients, which they will use for planning.
* enter the option that most closely matches
* 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'''


== Data Use ==
== Cross Checks ==
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.
{{Data Integrity Check List}}


== {{CCMDB Data Integrity Checks}} ==
== Reports ==
None as of 11:58, 2016 March 21 (CDT).  
The information is part of the [[Critical Care Program Quality Indicator Report]] and the [[ICU Interfacility Report]].  Also the information will be useful for research projects where it will mark a patient as inpatient before arrival to the unit or ward.  
* {{discussion}} Do we need any? Ttenbergen 12:31, 2016 March 21 (CDT)


== Implementation ==
== Implementation ==
Line 23: Line 70:


== 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]]. Some of the data previously existed in [[hospital previous]] but it is not a 1-to-1 mapping.
 
== Related articles ==
{{Related Articles}}


[[Category: 2016 Time and Place changes]]
[[Category:2016 Time and Place changes]]
[[Category:Admit/Discharge]]
[[Category:Data Collection Guide]]
Retrieved from "https://ccmdb.kuality.ca/index.php?title=Pre-admit_Inpatient_Institution_field"