Dispo field: Difference between revisions

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* [[HSC Stepdown Units]]

* [[AMA]] see also [[BedHeldEnd DtTm]]

===Home===

* Includes:

**hotel

**rooming house

**boarding home

==== Additional options similar to "Home" ====

We have several "Home" like discharge options that may appear in [[Cognos2 Unit Starter]]. If the entry from ADT doesn't align with what is found in the chart then correct the entry to what you think is correct:

* '''Home with Support Services''' - Discharged to a private residence or apartment with support from the community at home or referred to services. example home care, [[Alternative Integrated Accommodation (AIA) | AIA]]. '''Note''' a patient with instructions to return for follow-up or referral to a specialist (as part of a routine discharge order) is '''NOT''' considered discharge home with support service/referral

** includes people on Home O2, they are part of the Home Oxygen home care program

** includes CIVP

** excludes: GPAT/GMAT assessments

* '''TRSF Group/Supportive housing'''

** includes group home

** excludes [[Assisted Living]] facilities

** includes Virtual Ward, as they are sent home and followed by a Physician and monitored

{{Discuss |

* does this include patients who are discharged home with private nursing service? (steph)

** With "this" do you mean "TRSF Group/Supportive housing"? I would not have thought so. If you mean "Home with Support Services", good question. How would HIS use it (aside from getting it wrong at times)? We should probably stick with their definition for consistency. Convince me otherwise. Julie also might have thoughts on how we would use this entry, will flag for her. [[User:Ttenbergen|Ttenbergen]] 01:02, 24 October 2025 (CDT)

* I think this would be belong under home with support services, but do the virtual wards fall under transfer to Group/Supportive housing? [[User:Lkaita|Lisa Kaita]] 14:03, 14 November 2025 (CST)

}}

{{DiscussTask | JALT

I thought we had decided at [[JALT Meeting - Rolling Agenda and Minutes 2025#JALT 2025-03-11 |JALT]] to collect this as presented by EPR... do I remember this wrong? I had already added it in [[CCMDB.accdb Change Log 2025#2025-03-11-1]]. [[User:Ttenbergen|Ttenbergen]] 22:52, 11 March 2025 (CDT)

* Yes, I saw that, come to think of it I don't think we decided, not in my notes, but we can use it and I will change the wiki instructions [[User:Lkaita|Lisa Kaita]] 11:25, 13 March 2025 (CDT)

* If we are going to collect this detail for dispo, should we consider whether or not to also look at SH in preadmit living situation?, currently lumped with community facility with support. [[User:Lkaita|Lisa Kaita]] 14:45, 16 April 2025 (CDT)

* The entry name includes "TRSF" - is the entry for the previous location equivalent in EPR? [[User:Ttenbergen|Ttenbergen]] 23:30, 16 April 2025 (CDT)

* no because the previous location would usually be <site>_ER [[User:Lkaita|Lisa Kaita]] 09:53, 28 May 2025 (CDT)

** Sorry, I should have asked about "pre-hospital location in ADT". [[User:Ttenbergen|Ttenbergen]] 16:21, 28 May 2025 (CDT)

}}

* '''TRSF to Residential Care'''- Includes transfer to long-term care home (24 hour nursing), mental health and/or addiction treatment center or hospice/palliative care facility.

** for PCH use [[Dispo]] PCH options

** for hospice, see [[Hospice]]

** for palliative care use the appropriate palliative care options

** for mental health or addiction treatment center use [[Dispo]] '''Home with Support Services'''

===LAU (low acuity unity)===

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*If a homeless patient is discharged, either to a place like Siloam Mission, shelter or even without a specific plan, then code them as discharged to '''home'''. Consider whether they might have left [[AMA]].

* If discharged to an [[Alternative Integrated Accommodation (AIA)|Alternative Integrated Accommodation]] with services use '''home with support services'''

==== [[Prison / Jail / Correctional Institution]] ====

If a patient is '''discharged to prison, jail or a correctional institution''', code this as "TRSF to Correctional Facility" as dispo to be consistent with EPR

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See [[Prison / Jail / Correctional Institution]] for additional coding instructions that may apply.

~~==== Additional options similar to "Home" ====~~

We have several "Home" like discharge options that may appear in [[Cognos2 Unit Starter]]. If the entry from ADT doesn't align with what is found in the chart then correct the entry to what you think is correct:

* '''Home with Support Services''' - Discharged to a private residence or apartment with support from the community at home or referred to services. example home care. '''Note''' a patient with instructions to return for follow-up or referral to a specialist (as part of a routine discharge order) is '''NOT''' considered discharge home with support service/referral

** includes people on Home O2, they are part of the Home Oxygen home care program

* '''TRSF Group/Supportive housing''' - includes group home

{{DL | I thought we had decided at [[JALT Meeting - Rolling Agenda and Minutes 2025#JALT 2025-03-11 |JALT]] to collect this as presented by EPR... do I remember this wrong? I had already added it in [[CCMDB.accdb Change Log 2025#2025-03-11-1]]. [[User:Ttenbergen|Ttenbergen]] 22:52, 11 March 2025 (CDT)

* Yes, I saw that, come to think of it I don't think we decided, not in my notes, but we can use it and I will change the wiki instructions [[User:Lkaita|Lisa Kaita]] 11:25, 13 March 2025 (CDT)}}

* '''TRSF to Residential Care'''- Includes transfer to long-term care home (24 hour nursing), mental health and/or addiction treatment center or hospice/palliative care facility.

** for PCH use [[Dispo]] PCH options

** for hospice, see [[Hospice]]

** for palliative care use the appropriate palliative care options

** for mental health or addiction treatment center use [[Dispo]] '''Home with Support Services'''

==== [[Chronic Health Facility]] ====

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==== Discharged to ER or [[Urgent Care]] ====

If ~~you discharge~~ a patient to the ER or Urgent Care, you can't enter this in the dispo field. The reason is that this should not happen. If it really does happen:

This is a case of [[Patients who appear to transfer from in-patient situation to Emergency Room]].

If a patient is discharged to the ER or Urgent Care at your own site you can't enter this in the dispo field. The reason is that this should not happen. If it really does happen:

* enter '''Not Canada or USA - unknown/other''' (this is a very rare entry so when we see it, we can question it. Put a note in to the [[Notes field]] so Pagasa can check there first.)

* email Pagasa so she can enter your ER / Urgent Care location as dispo.

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== Legacy ==

== Log/Legacy ==

* 2025-03-11

Also see info in the various [[CCMDB.accdb_Change_Log]]s over time.

* [[CCMDB.accdb_Change_Log_2025#2025-03-11-1 | 2025-03-11]]

** added granularity Discharged to community: "TRSF Group/Supportive housing", "TRSF to Correctional Facility", "Home with Support Services"

** one other option in EPR for discharge to was "TRSF to Residential Care" - we decided not to switch to this because we currently record more detailed information.

{{DL |

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* HSC Lennox Bell

* Manitoba Adolescent Treatment Center - unknown/other

** what is this about again? we already collect these with the exception of the transitional care units, which don't exist, at GH, HSC, SBGH and VIC, but there is a TCU at Miseri and DLC [[User:Lkaita|Lisa Kaita]] 21:18, 6 September 2025 (CDT)

*** we discussed whether we should shift to EPR's "TRSF to Residential Care" and decided not to because our data is more granular. But we should be able to compare to their TRSF, so should understand which of our data would compare to theirs, and how. I ''think'' the above is a list of what we have in dispo, so which of those correspond do what listing in EPR? [[User:Ttenbergen|Ttenbergen]] 10:31, 8 September 2025 (CDT)

}}

** added locations for [[LAU Collection Project]]: VGH_LAU, VGH_Geriatrics, COH_LAU, SOH_LAU, SOH_Geriatrics

* 2025-03-07

** started to collect "TRSF to Correctional Facility" as dispo to be consistent with EPR; for [[Previous Location]] continue to use the old entry "Institution, NOS"

=== earlier legacy info ===

@@ Line 21: / Line 21: @@
 * [[HSC Stepdown Units]]
 * [[AMA]] see also [[BedHeldEnd DtTm]]
+===Home===
+* Includes:
+**hotel
+**rooming house
+**boarding home
+==== Additional options similar to "Home" ====
+We have several "Home" like discharge options that may appear in [[Cognos2 Unit Starter]]. If the entry from ADT doesn't align with what is found in the chart then correct the entry to what you think is correct:
+* '''Home with Support Services''' - Discharged to a private residence or apartment with support from the community at home or referred to services.  example home care, [[Alternative Integrated Accommodation (AIA) | AIA]].  '''Note''' a patient with instructions to return for follow-up or referral to a specialist (as part of a routine discharge order) is '''NOT''' considered discharge home with support service/referral
+** includes people on Home O2, they are part of the Home Oxygen home care program
+** includes CIVP
+** excludes: GPAT/GMAT assessments
+* '''TRSF Group/Supportive housing'''
+** includes group home
+** excludes [[Assisted Living]] facilities
+** includes Virtual Ward, as they are sent home and followed by a Physician and monitored
+{{Discuss |
+* does this include patients who are discharged home with private nursing service? (steph)
+** With "this" do you mean "TRSF Group/Supportive housing"? I would not have thought so. If you mean "Home with Support Services", good question. How would HIS use it (aside from getting it wrong at times)? We should probably stick with their definition for consistency. Convince me otherwise. Julie also might have thoughts on how we would use this entry, will flag for her. [[User:Ttenbergen|Ttenbergen]] 01:02, 24 October 2025 (CDT)
+* I think this would be belong under home with support services, but do the virtual wards fall under transfer to Group/Supportive housing? [[User:Lkaita|Lisa Kaita]] 14:03, 14 November 2025 (CST)
+}}
+{{DiscussTask | JALT
+I thought we had decided at [[JALT Meeting - Rolling Agenda and Minutes 2025#JALT 2025-03-11 |JALT]] to collect this as presented by EPR... do I remember this wrong? I had already added it in [[CCMDB.accdb Change Log 2025#2025-03-11-1]]. [[User:Ttenbergen|Ttenbergen]] 22:52, 11 March 2025 (CDT)
+* Yes, I saw that, come to think of it I don't think we decided, not in my notes, but we can use it and I will change the wiki instructions [[User:Lkaita|Lisa Kaita]] 11:25, 13 March 2025 (CDT)
+* If we are going to collect this detail for dispo, should we consider whether or not to also look at SH in preadmit living situation?, currently lumped with community facility with support. [[User:Lkaita|Lisa Kaita]] 14:45, 16 April 2025 (CDT)
+* The entry name includes "TRSF" - is the entry for the previous location equivalent in EPR? [[User:Ttenbergen|Ttenbergen]] 23:30, 16 April 2025 (CDT)
+* no because the previous location would usually be <site>_ER [[User:Lkaita|Lisa Kaita]] 09:53, 28 May 2025 (CDT)
+** Sorry, I should have asked about "pre-hospital location in ADT". [[User:Ttenbergen|Ttenbergen]] 16:21, 28 May 2025 (CDT)
+}}
+* '''TRSF to Residential Care'''- Includes transfer to long-term care home (24 hour nursing), mental health and/or addiction treatment center or hospice/palliative care facility.
+** for PCH use [[Dispo]] PCH options
+** for hospice, see [[Hospice]]
+** for palliative care use the appropriate palliative care options
+** for mental health or addiction treatment center use [[Dispo]] '''Home with Support Services'''
 ===LAU (low acuity unity)===
@@ Line 31: / Line 67: @@
 *If a homeless patient is discharged, either to a place like Siloam Mission, shelter or even without a specific plan, then code them as discharged to '''home'''. Consider whether they might have left [[AMA]].
 * If discharged to an [[Alternative Integrated Accommodation (AIA)|Alternative Integrated Accommodation]] with services use '''home with support services'''
 ==== [[Prison / Jail / Correctional Institution]] ====
 If a patient is '''discharged to prison, jail or a correctional institution''', code this as "TRSF to Correctional Facility" as dispo to be consistent with EPR
@@ Line 36: / Line 73: @@
 See [[Prison / Jail / Correctional Institution]] for additional coding instructions that may apply.
-==== Additional options similar to "Home" ====
-We have several "Home" like discharge options that may appear in [[Cognos2 Unit Starter]]. If the entry from ADT doesn't align with what is found in the chart then correct the entry to what you think is correct:
-* '''Home with Support Services''' - Discharged to a private residence or apartment with support from the community at home or referred to services.  example home care.  '''Note''' a patient with instructions to return for follow-up or referral to a specialist (as part of a routine discharge order) is '''NOT''' considered discharge home with support service/referral
-** includes people on Home O2, they are part of the Home Oxygen home care program
-* '''TRSF Group/Supportive housing''' - includes group home
-{{DL | I thought we had decided at [[JALT Meeting - Rolling Agenda and Minutes 2025#JALT 2025-03-11 |JALT]] to collect this as presented by EPR... do I remember this wrong? I had already added it in [[CCMDB.accdb Change Log 2025#2025-03-11-1]]. [[User:Ttenbergen|Ttenbergen]] 22:52, 11 March 2025 (CDT)
-* Yes, I saw that, come to think of it I don't think we decided, not in my notes, but we can use it and I will change the wiki instructions [[User:Lkaita|Lisa Kaita]] 11:25, 13 March 2025 (CDT)}}
-* '''TRSF to Residential Care'''- Includes transfer to long-term care home (24 hour nursing), mental health and/or addiction treatment center or hospice/palliative care facility.
-** for PCH use [[Dispo]] PCH options
-** for hospice, see [[Hospice]]
-** for palliative care use the appropriate palliative care options
-** for mental health or addiction treatment center use [[Dispo]] '''Home with Support Services'''
 ==== [[Chronic Health Facility]] ====
@@ Line 53: / Line 78: @@
 ==== Discharged to ER or [[Urgent Care]] ====
-If you discharge a patient to the ER or Urgent Care, you can't enter this in the dispo field. The reason is that this should not happen. If it really does happen:
+This is a case of [[Patients who appear to transfer from in-patient situation to Emergency Room]].
+If a patient is discharged to the ER or Urgent Care at your own site you can't enter this in the dispo field. The reason is that this should not happen. If it really does happen:
 * enter '''Not Canada or USA - unknown/other''' (this is a very rare entry so when we see it, we can question it. Put a note in to the [[Notes field]] so Pagasa can check there first.)
 * email Pagasa so she can enter your ER / Urgent Care location as dispo.
@@ Line 90: / Line 117: @@
 {{Related Articles}}
-== Legacy ==
+== Log/Legacy ==
-* 2025-03-11
+Also see info in the various [[CCMDB.accdb_Change_Log]]s over time.
+* [[CCMDB.accdb_Change_Log_2025#2025-03-11-1 | 2025-03-11]]
+** added granularity Discharged to community: "TRSF Group/Supportive housing", "TRSF to Correctional Facility", "Home with Support Services"
 ** one other option in EPR for discharge to was "TRSF to Residential Care" - we decided not to switch to this because we currently record more detailed information.
 {{DL |
@@ Line 108: / Line 137: @@
 * HSC Lennox Bell
 * Manitoba Adolescent Treatment Center - unknown/other
+** what is this about again?  we already collect these with the exception of the transitional care units, which don't exist, at GH, HSC, SBGH and VIC, but there is a TCU at Miseri and DLC [[User:Lkaita|Lisa Kaita]] 21:18, 6 September 2025 (CDT)
+*** we discussed whether we should shift to EPR's "TRSF to Residential Care" and decided not to because our data is more granular. But we should be able to compare to their TRSF, so should understand which of our data would compare to theirs, and how. I ''think'' the above is a list of what  we have in dispo, so which of those correspond do what listing in EPR? [[User:Ttenbergen|Ttenbergen]] 10:31, 8 September 2025 (CDT)
 }}
+** added locations for [[LAU Collection Project]]: VGH_LAU, VGH_Geriatrics, COH_LAU, SOH_LAU, SOH_Geriatrics
 * 2025-03-07
 ** started to collect "TRSF to Correctional Facility" as dispo to be consistent with EPR; for [[Previous Location]] continue to use the old entry "Institution, NOS"
+{{Change to collecting prison as "Institution NOS"}}
 === earlier legacy info ===