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Boarding Loc: Difference between revisions

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== Data Collection Instructions ==
== Data Collection Instructions ==
=== How to enter this ===
=== Sources for Boarding Loc DtTm ===
==== [[CSS]] / [[Cognos2 Unit Starter]] ====
Usually the Cognos Unit start time from [[CSS]] or [[Cognos2 Unit Starter]] can be used as [[Boarding Loc]].
* sometimes the first [[Service tmp entry]] and first and second [[Boarding Loc]] all have the same date and time; see [[#Special Case - Can't have two Boarding Locs with same DtTm]]
 
==== First set of vital signs for CC ====
[[ICU Curriculum]]: The first set of vital signs is used as [[Boarding Loc]] dttm for arrival on the unit for [[Critical Care program]] admissions, if it is different from the Cognos Unit Start DtTm.
 
==== Erroneous Unit information in [[CSS]]/[[Cognos2 Unit Starter]] ====
Sometimes the times are not when people really show up at a location. Use what you know to be correct from chart and your knowledge of your hospital.
 
=== How to enter ===
You can use the [["make loc" button]] to generate and pre-populate these entries.  
You can use the [["make loc" button]] to generate and pre-populate these entries.  
 
*Use tmp fields:
*Use tmp fields:
** Project: '''{{PAGENAME}}'''
** Project: '''{{PAGENAME}}'''
** Enter start_dt: '''arrival date at physical location''', under column E.
** start_dt and start_tm:  
** Enter start_tm: '''arrival time at physical location''', under column M.
*** enter as per Cognos initially
*** '''Exception:''' '''[[#First Service tmp entry and the first Boarding Loc should be the same]]'''
*** before setting [[RecordStatus]] to complete update the DtTm to comply with [[DtTm for First Boarding Loc and First Service]]  
** checkbox: not used for this project <!-- was used for cross checks in data before 2020-10-15 -->
** checkbox: not used for this project <!-- was used for [[cross check]]s in data before 2020-10-15 -->
** Item:  
** Item:  
*** '''no location entered''' is the default (that entry will not be allowed in a complete record)
*** for the initial unit or ER and each physical move to another unit, enter the location by using the "make loc" button in [[Patient Viewer Tab Cognos ADT2]]
**** change the original entry to the first location the patient was during the admission in this record, e.g. ER, specific medicine ward etc
*** if a boarding location appears in COGNOS but the patient does NOT move/arrive to that boarding location, do NOT enter that boarding location. We only capture boarding locations where the patient physically arrives (also see [[Wrong service or unit entries in Cognos]])
**** for any physical move to another unit, enter an additional [[Boarding Loc]] entry:
**** if the ward is not available in the dropdown, please notify Tina, Lisa, and Julie; Tina/Lisa will add the location to the dropdown and update the wiki as needed
*** for all locations there is a specific entry listed in the dropdown (eg ER)
{{Discuss |
**** item: the actual ward, e.g. STB_B5 or HSC_MICU
**** leave what is in Cognos, the main office doesn't use this part for anything for home locations, but it can be used to crosscheck accuracy.  
****For new ward changes, please notify Julie, Tina and update the wiki when this occurs.  Tina can then add the new location to the dropdown, Julie will  note this for her reports. eg. during the various COVID waves, many surgical wards were used for medicine overflow or COVID patients, if the ward is not available in the dropdown, please notify Tina and Julie.
***** what is this about? [[User:Ttenbergen|Ttenbergen]] 17:42, 19 August 2025 (CDT)
**** comment: leave what is automatically added; the main office doesn't use this part for anything for home locations, but it can be used to crosscheck accuracy.  
}}
** '''No two different boarding locations should have same start_dt and start_tm.'''  
* '''no location entered''' is the default
** that entry will not be allowed in a complete record; it is automatically deleted when by Cognos Make Loc button, but needs to be removed before setting a record to complete if it is still present.
<!--
*emailed to see if this automatic entry is still useful now that things are entered with make loc button [[User:Ttenbergen|Ttenbergen]] 13:05, 2023 January 25 (CST)
** We discussed this and decided to leave for now, as we don't manually delete it is populated by COGNOS when we choose the Make location button [[User:Lkaita|Lisa Kaita]] 13:59, 2023 February 1 (CST) -->
 
{{Combined instructions for Transfer Ready DtTm and Boarding Loc}}
<!-- the above are general instructions, put any special case info below here -->


{{First Service and Boarding Loc same}}
==== Special Case - Can't have two Boarding Locs with same DtTm ====
* No two different [[Boarding Loc]] records can have same start_dt and start_tm; if two locations have the same Start_DtTm in [[CSS]]/[[Cognos2 Unit Starter]] this is an error.
* The date and time for these entries must be confirmed by looking at the chart, specifically orders, flowsheets, and progress notes
{{DJ | It says:
* Change one to be off by one minute, put a note in [[Notes field]] to check boarding location to confirm the correct date and time for the boarding locations of concern.
** how does that fit in with reviewing reality in the chart?
** I don't know what you mean by this?  It means you double check the correct first service and first and second boarding loc dttm [[User:Lkaita|Lisa Kaita]] 21:14, 6 September 2025 (CDT)
*** Well, it seems like this triggers an error check, so you pull the times a minute apart to overcome the error check and put a note to remind you to check later. So either the check should run later (on complete or send) or we shouldn't have it at all. But a check that just gets you to "tweak" the data to make it go away isn't a good idea.
* sure if you can have the cross check on completion that would be better, the prior scenario is almost always for SICU admissions from ER [[User:Lkaita|Lisa Kaita]] 15:51, 26 November 2025 (CST)
** Julie, do you use Boarding Loc info on incomplete charts? Would either the current collection practice, or delaying the check, mess with measures or indicators? [[User:Ttenbergen|Ttenbergen]] 22:09, 26 November 2025 (CST)
}}


{{Combined instructions for Transfer Ready DtTm and Boarding Loc}}
* This case is especially common in the context of [[DtTm for First Boarding Loc and First Service]]
{{Ex |
* Example: Not infrequently, the COGNOS data for HSC_SICU patients coming from the ER  will show the first service, first boarding location (ER) and the second boarding location (SICU) as all having the same start_DtTm. Our solution for this is to change the second boarding location (SICU) to be off by one minute.
}}


==== GRA MICU ====
==== Special Case - GRA MICU boarding in GH-Emergency ====
''This is a case of [[Patients who appear to transfer from in-patient situation to Emergency Room]], see there for more info.
* Grace ICU boarding in ER choose Boarding Location GH-Emergency
* Grace ICU boarding in ER choose Boarding Location GH-Emergency
* Grace Main ICU choose Boarding Location and GH-Intensive Care
* Grace Main ICU choose Boarding Location and GH-Intensive Care
* Grace Recovery Room (ICU) choose Boarding Location and [[GH-Recovery Room]] and enter comment Covid+ICU
* Grace Recovery Room (ICU) choose Boarding Location and [[GH-Recovery Room]] and enter comment Covid+ICU
* For External(SDC/NFA) ICU beds choose Boarding Loc and GH-External ICU and enter exact location in comments
* For External(SDC/NFA) ICU beds choose Boarding Loc and GH-External ICU and enter exact location in comments
* The [[Previous Location]] and [[Pre-admit Inpatient Institution]] would be <site>_med or <site>_ward


=== Special Case - cross-program boarding ===
=== Special Case - Cross-program boarding ===
If a patient is accepted by your service, taken care of  but '''remains at a location of a different service for some time''' before moving to your service, you need to enter a [[Boarding Loc]] entry for that period. That originating and different service location becomes the first Boarding loc.  
If a patient is accepted by one of our services, and is on an off-service ward, enter a [[Boarding Loc]] entry for that period.  


{{Discuss | JALT
'''For medicine pts boarding in ICU''' you can use the explicit ICU entry that applies because all CC locations are explicitly included in Boarding Loc.
*How should we handle this with the new implementation of using the actual location?  we will add these to the critical care laptops?  or leave as per the instructions [[User:Lkaita|Lisa Kaita]] 18:16, 2022 January 26 (CST)  
{{DJ|
** Good question. I had hoped that [[Definition_of_a_Critical_Care_Laptop_Admission#From Code Blue]] would help, but all that says is that this should be rare. But clearly it could happen elsewhere. What do you mean by "leave as per the instruction"? Take to Task?
what is this sentence telling me, can I not use the specific medicine entry? Why/how? What would a new collector need to know?
* I have no idea, I suppose this can happen although I have not ever seen this at any of the facilities, I believe you were the original author of this so feel free to do what you want with this [[User:Lkaita|Lisa Kaita]] 13:46, 6 August 2025 (CDT)
** Julie, do you know what this is about? If the same applies for Med as for ICU in this, then lets get rid of the confusing entry. [[User:Ttenbergen|Ttenbergen]] 17:23, 6 August 2025 (CDT)
*** we have one  case S4_STB_Med-2892 where first3 days at SBGH ICMS then transferred to SBGH-L2CC.--[[User:JMojica|JMojica]] 16:42, 18 August 2025 (CDT)
**** What else would they use? The entry would come from Cognos, no? It's entered by drop-down, so I don't think they could enter anything but the actual entry. Is this stated here really as a reminder for you, in case this happens again? If so, would it be better to store it in L_Problems table? If it is an instruction to collectors, would you explain further what you actually intend? [[User:Ttenbergen|Ttenbergen]] 17:33, 19 August 2025 (CDT)
}}
}}


For Critical Care collection, this could happen if the team runs a code on a patient and accepts care for that patient, but for a period of time hasn't yet moved the patient. For Critical Care, you would enter a generic "<Site>_Med" "<Site>_Med" (ie [[GRA_Med]], [[HSC_Med]], [[STB_Med]]) for this patient so we don't have CC collectors keeping track of where regular, boarding or covid locations are. The generic "<Site>_Med" entry would only be available on CC laptops.
'''For CC patients boarding on a Med ward where we collect''', enter "GRA_Med"/"HSC_Med"/"STB_Med" as applicable. We added these boarding loc options specifically for this scenario, and they are available only for [[Critical Care program]] admissions.
For Medicine laptops this isn't an issue because all CC locations are explicitly included in Boarding Loc.
 
=== Special Case - Erroneous Unit information in [[Cognos EPR Report]] ===
See [[Process for bad data in Cognos]]


=== further information ===
For further information please see
* [[Parked in ER]]


{{Ex | This could happen if the team runs a code on a patient and accepts care for that patient, but for a period of time hasn't yet moved the patient. For Critical Care, you would enter a generic "<Site>_Med"  "<Site>_Med" (ie [[GRA_Med]], [[HSC_Med]], [[STB_Med]]) for this patient so we don't have CC collectors keeping track of where regular, boarding or covid locations are.}}


=== sources for Boarding Loc DtTm ===
=== Special Case - [[Visits to temporary locations]] that happen to be Boarding Locs ===
Sometimes the times are not when people really show up at a boarding loctation.
Occasionally a patient may be transferred to a location that is normally a [[Boarding Loc]] that we would enter or discharge to, however that location may be used as a temporary boarding location for a procedure.  If after reading through the chart this is in fact the case, that [[Boarding Loc]] should not be entered, as it should be regarded as though the patient were going for any procedure and then back to their home ward location.
*Sometimes [[Visits to temporary locations]] may look like boarding locations. See that page for info on making the distinction.
{{Ex|
Medicine patient is transferred to ICMS for a scope and is not admitted under critical care -> don't enter a [[Boarding Loc]] for ICMS
}}


==== Cognos Unit Listing ====
=== Special Case - parked in ER ===
Usually the Cognos Unit start time can be used as [[Boarding Loc]].
For further information please see
* [[Parked in ER]]


==== First set of vital signs ====
{{Boarding Loc, Service content}}
The first set of vital signs is used as [[Boarding Loc]] dttm for arrival on the unit in ICU collection, if it is different from the Cognos Unit Start DtTm.


== Start/End Dates ==
== Start/End Dates of collection ==
*CC Start: 2018-July-19 as [[Project Borrow arrive]] and has been renamed and continued as Boarding Loc starting 2019-Sep-01
*CC Start: 2018-July-19 as [[Project Borrow arrive]] and has been renamed and continued as Boarding Loc starting 2019-Sep-01
*Med Start: 2019-Sep-01: new admissions on and after this date.  
*Med Start: 2019-Sep-01: new admissions on and after this date.  
*CC and Med Start Oct,1 2020 : modified according to [[PatientFollow Project]]  to include ER as boarding loc.
* 2020-12-16: [[Change of GRA location names from "our" names to EPR/Cognos names]]
* 2020-12-16: [[Change of GRA location names from "our" names to EPR/Cognos names]]
* 2022-01-01: [[Change of remaining location names from "our" names to EPR/Cognos names]]
* 2022-01-01: [[Change of remaining location names from "our" names to EPR/Cognos names]]
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See [[Bed borrow]] as aggregator page for other boarding and borrow related concepts.
See [[Bed borrow]] as aggregator page for other boarding and borrow related concepts.


The concept is similar to [[EMIP]]s but we will keep the EMIP separate from this project. The current EMIP will stay the same.--[[User:JMojica|JMojica]] 10:37, 2019 September 20 (CDT)
The concept of  [[EMIP]]s which  was similar from [[Bed borrow]] and collected separately before are now collected as part of [[Boarding Loc]]. See [[EMIP#Legacy information]] information for how they were collected before/


==Related articles ==
==Related articles ==
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