STB Cardiac Care patients: Difference between revisions

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The collection of [[Registry Patient Type]] and [[Site and Location]] differs from how we usually collect.
== Data Collection ==
== Data Collection ==
=== CCU patients in CCU ===
=== [[Intended1stSrvc]] ===
*July 7, 2016
*ACCU - Cardiology Service Patients that are "physically located" in the '''STB_CICU''' but are looked after the Acute Cardiology Service physician will collected and entered into the database with a '''Site_location as: STB_CCU'''. GO TO: [[Overflow to other units - Critical Care HSC and STB only#STB-CCU overflow patient in CICU  (under cardiology care)| STB_CCU overflow in STB_CICU]]
*Patients in CICU are not attended by Cardiology.  CCU is considered a consult if involved, even in the case of ECMO patients that have not had cardiac surgery.  --[[User:LKolesar|LKolesar]] 07:27, 2015 June 23 (CDT)
**[[Registry Patient Type]] will be coded as  '''Cardiac''' to indicate the diagnosis type if applicable.


=== Overflow to MICU from CCU ===
Cardiology (CCU) Service Patients that are '''physically located''' in the '''STB MICU''' but are looked after by the Cardiology Service physician will be collected and entered into the database with a '''Site_location as: STB_MICU.'''
Pt type will be assessed based upon admit primary diagnosis for all patients.
Enter [[CCU Service Tracking]] as appropriate.
See also: [[Overflow to other units - Critical Care HSC and STB only#STB-CCU overflow patient in MICU (under cardiology service) |STB_CCU overflow patient in STB_MICU]]


== Legacy ==
{{Collapsable
| always= Legacy only
| full=
== Data linking ==
== Data linking ==
The [[Statistician]] who uses [[SAS]] programs to link [[continuous admission]]s, will update her SAS program so that an admission '''FROM''' Site_Loc, STB_MICU '''TO''' Site_Loc, STB_MICU, will not be flagged as an error. The distinguishing feature of these cases will be [[Registry Patient Type]], which will indicate the Physician Service Care the patient is under will in the STB MICU unit.
The [[Statistician]] who uses [[SAS]] programs to link [[continuous admission]]s, will update her SAS program so that an admission '''FROM''' Site_Loc, STB_MICU '''TO''' Site_Loc, STB_MICU, will not be flagged as an error.  
{{discussion}} Julie, I guess the new change to [[CCU Service Tracking]] will require further changes... could you post here when addressed? Ttenbergen 14:26, 2015 June 22 (CDT)
As of July 7, 2016, with the new change from [[CCU Service Tracking]] to [[ACCU borrow]], the linking for [[continuous admission]] can now use the Site_Loc, STB_ACCU  in either admission '''FROM''' or '''TO''' just like the other Site_loc and will not be flagged as an error. Starting April 2018, the [[ACCU borrow]] has been continued in [[ICUotherService]] and the linking process remains the same as in [[ACCU borrow]].
 
== Legacy ==
*Registry patient type said started in October 1, 2010
*Site and Location table said started in November 1, 2010
{{discussion}}
*does the inconsistency mean it's wrong? Ttenbergen
*[[CCU Service Tracking]] start January 1, 2015 (this is because Julie went back to fix the data to that date).--[[User:LKolesar|LKolesar]] 10:29, 2015 June 9 (CDT)


=== Legacy:Patients located on MISI ===
=== Legacy: Patients located on MISI ===
As of October 1, 2010 CCU collectors do not collect data on CCU (Cardiology) pts that are located in MICU or ICCS.  Instead these pts are put as MICU or CICU location with cardiac type.  The MICU or CICU collector is responsible for these patient profiles.  If the pt care is transferred to the MICU attending, the profile will be restarted and it will be a medical type, instead of cardiac type.  .  Must remember to start a new tiss if the patient is transferred to the MICU physician's care.  The first profile is logged out to MICU and the new profile is logged into MICU even though in both cases the location is MICU.  This scenario happens rarely as usually Cardiology service looks after their patients while they are in MICU or CICU.       
As of October 1, 2010 CCU collectors do not collect data on CCU (Cardiology) pts that are located in MICU or ICCS.  Instead these pts are put as MICU or CICU location with cardiac type.  The MICU or CICU collector is responsible for these patient profiles.  If the pt care is transferred to the MICU attending, the profile will be restarted and it will be a medical type, instead of cardiac type.  .  Must remember to start a new tiss if the patient is transferred to the MICU physician's care.  The first profile is logged out to MICU and the new profile is logged into MICU even though in both cases the location is MICU.  This scenario happens rarely as usually Cardiology service looks after their patients while they are in MICU or CICU.       
   
   
===Legacy cardiac info ===
===Legacy: cardiac info ===
* prior to October 1, 2010:  MSICU and ICCS had CCU patients as CCU overflows.  They would often be located in one of these areas if they require intubation and /or IABP.  However, they were still attended by the CCU doctors and the CCU data collector entered them as a CCU patient.  They usually remained under CCU unless further multi system issues exist that the CCU attending wished to transfer the care to the ICU.  In this case the patient is discharged from CCU and admitted to the ICU and the ICU data collector then would start a profile and continue to follow this patient.  The respective [[TISS]] sheet followed the patient as they are moved between units if they continued to be a CCU pt.)  The overflow was marked in the variable 5 slot.
* prior to October 1, 2010:  MSICU and ICCS had CCU patients as CCU overflows.  They would often be located in one of these areas if they require intubation and /or IABP.  However, they were still attended by the CCU doctors and the CCU data collector entered them as a CCU patient.  They usually remained under CCU unless further multi system issues exist that the CCU attending wished to transfer the care to the ICU.  In this case the patient is discharged from CCU and admitted to the ICU and the ICU data collector then would start a profile and continue to follow this patient.  The respective [[TISS]] sheet followed the patient as they are moved between units if they continued to be a CCU pt.)  The overflow was marked in the variable 5 slot.
**This entire section is now legacy and Julie has changed this system to utilization of tmp section to designate Cardiology vs MICU coverage back to January 1, 2015. See [[CCU Service Tracking]] . Anything before that date will still have the old system of determining Cardiology service.  --[[User:LKolesar|LKolesar]] 10:19, 2015 June 9 (CDT)
**This entire section is now legacy and Julie has changed this system to utilization of tmp section to designate Cardiology vs MICU coverage back to January 1, 2015. See [[CCU Service Tracking]] . Anything before that date will still have the old system of determining Cardiology service.  --[[User:LKolesar|LKolesar]] 10:19, 2015 June 9 (CDT)
}}


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[[Category: St Boniface Hospital Office (Critical Care)]]
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[[Category: Site Specific Collection Guide]]
[[Category:Site Specific Collection Guide]]