CCMDB Wiki

Pre-admit Inpatient Institution field: Difference between revisions

← Older edit
→question: moving question from previous location article here
No edit summary
 
(154 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
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 [[Previous Location field | Previous location]] that is temporary'''(such as an ER). This does not include patients who just arrived at an ER elsewhere and were not admitted as inpatient there.
| 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
}}


== Collection Instruction ==
== Collection Instruction ==
If the [[Previous Location field]] does '''not contain a "temporary" location''', leave this field blank.
* 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
If the [[Previous Location field]] '''contains a "temporary" location''' like an ER, OR or Cath Lab you will need to enter this field. In that case, for each patient,
{{PrePrevDispo listing}}
* enter the option that most closely matches
{{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 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"
If you know how we code the location exactly, you can type it. Otherwise press the "magic wand" button to take you to the [[S dispo chooser‎]] to help filter options if desired.
** 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.


=={{discussion}}==
=== 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.


=== Example ===
=== Chronic Care Facilities ===
*ICU Vic---family medicine ward at the Vic---ED HSC---ED STB---cath lab---ICU HSC. 
They are a changing and complicated case, see [[Chronic Health Facility]].
**The PrevInptLocation field is: VIC_Ward
==Questions==
***If the previous location is the heart cath lab (which is a temporary location), then I should add a pre-admit inpatient institution.  However, if the patient comes to the cath lab from ER, I cannot put this location because it also is a temporary location.  Currently we do not put in the heart cath lab as a place to admit from, instead we use where they were located just prior to the cath lab  (ER in this example).  I thought that Julie tracked Winnipeg hospital use of ER's for Randy so if we will no longer be able to put that the pt came from ER in this setting, then this will be entirely missed.  Just checking!  --[[User:LKolesar|LKolesar]] 14:21, 2016 April 14 (CDT)


*Missing from Grace: S2, S4, S5 (unless we just put GRA_ward for all units that we currently don't collect on)
=== Intra-facility and inter-facility transfers  ===
**GRA_emip is not a pre admit location
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]].
**Can we change W3 to S3 as it is no longer called W3 (unit was expanded)?[[User:Mschaffer|Mschaffer]]
 
=== long term patients ===
=== Arrivals from a borrowed bed ===
{{discussion}}
See and follow [[Previous Location field#Borrowed Bed Or Boarding Loc]]
*When we have patients moving from ward to ward, we normally do not go back to their original admission date to gather data especially as some patients have been admitted for over a year. Will it be acceptable to continue this practice?--[[User:CMarks|CMarks]] 12:39, 2016 April 11 (CDT)
 
** someone who is moving from ward to ward their previous location would be the previous ward. So, I am not sure, what do you mean? Or are you talking about the [[Pre-admit Inpatient Institution field]] or the [[Previous Service field]]?  Ttenbergen 18:21, 2016 April 11 (CDT)
=== 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.}}
 
{{Pre-admit, Previous content}}
 
{{Location dropdown cleanup}}


== Data Use / Purpose ==
== Data Use / Purpose ==
Line 39: Line 60:
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 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.


== Implementation ==
== Implementation ==
Line 53: 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:Admit/Discharge]]
[[Category:Data Collection Guide]]
Retrieved from "https://ccmdb.kuality.ca/index.php?title=Pre-admit_Inpatient_Institution_field"