Boarding Loc: Difference between revisions

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==== [[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 ====

==== 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 in [[~~ICU collection~~, if it is different from the Cognos Unit Start DtTm.

[[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]] ====

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=== How to enter ===

You can use the [["make loc" button]] to generate and pre-populate these entries.

*Use tmp fields:

** Project: '''{{PAGENAME}}'''

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** Item:

*** 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]]

*** ~~please note that~~ 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

*** 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]])

**** 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~~; Julie will note the change 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, Lisa, and Julie; Tina/Lisa will add the location to the dropdown and update the wiki as needed

{{Discuss |

**** 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.

***** what is this about? [[User:Ttenbergen|Ttenbergen]] 17:42, 19 August 2025 (CDT)

}}

* '''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.

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==== Special Case - Can't have two Boarding Locs with same DtTm ====

* ~~'''~~No two different ~~boarding locations should~~ have same start_dt and start_tm~~.'''~~

* 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.

** if two locations have the same Start_DtTm in [[CSS]]/[[Cognos2 Unit Starter]] this is an error. 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.

* The date and time for these entries must be confirmed by looking at the chart, specifically orders, flowsheets, and progress notes

~~{{DL~~ | to check ''~~where''~~, ~~ie what~~ is the ~~reference~~}}

{{DJ | It says:

** This case is especially common in the context of [[DtTm for First Boarding Loc and First Service]]

* 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)

}}

* 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.

}}

==== Special Case - GRA MICU boarding in GH-Emergency ====

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* 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

* The [[Previous Location]] and [[Pre-admit Inpatient Institution]] would be <site>_med or <site>_ward

=== Special Case - Cross-program boarding ===

If a patient is accepted by ~~a service~~, ~~taken care of by that service but '''remains at a location of a different service where we collect for some time''' before moving to the new~~ service, 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.

~~{{DL |~~

~~should the above say "before moving to a new ''ward''" or is "to the new service" right. the whole thing confuses me a bit..~~.

}}

'''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.

{{DL|

{{DJ|

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 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.

~~{{DL | said laptop, but should be per admission; might be worth confirming that this isn't a lose end we missed from going to patientfollow. if all good, comment can be deleted. }}~~

{{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.}}

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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/

~~{{DJ |~~

* I don't think that's really true any more, right? And I think the old way of collecting is at [[EMIP#Legacy information]]. Can we just leave

~~[[EMIP]]s~~ are collected as part of [[Boarding Loc]] ~~now, see~~ [[EMIP#Legacy information]] for how they were collected before.

}}

==Related articles ==

@@ Line 15: / Line 15: @@
 ==== [[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 ====
+==== 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 in [[ICU  collection, if it is different from the Cognos Unit Start DtTm.
+[[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]] ====
@@ Line 24: / Line 25: @@
 === How to enter ===
 You can use the [["make loc" button]] to generate and pre-populate these entries.
 *Use tmp fields:
 ** Project: '''{{PAGENAME}}'''
@@ Line 33: / Line 34: @@
 ** Item:
 *** 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]]
-*** please note that 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
+*** 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]])
-**** 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; Julie will note the change 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, Lisa, and Julie; Tina/Lisa will add the location to the dropdown and update the wiki as needed
+{{Discuss |
 **** 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.
+***** what is this about? [[User:Ttenbergen|Ttenbergen]] 17:42, 19 August 2025 (CDT)
+}}
 * '''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.
@@ Line 46: / Line 50: @@
 ==== Special Case - Can't have two Boarding Locs with same DtTm ====
-* '''No two different boarding locations should have same start_dt and start_tm.'''
+* 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.
-** if two locations have the same Start_DtTm in [[CSS]]/[[Cognos2 Unit Starter]] this is an error. 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.
+* The date and time for these entries must be confirmed by looking at the chart, specifically orders, flowsheets, and progress notes
-{{DL | to check ''where'', ie what is the reference}}
+{{DJ | It says:
-** This case is especially common in the context of [[DtTm for First Boarding Loc and First Service]]
+* 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)
+}}
+* 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.
+}}
 ==== Special Case - GRA MICU boarding in GH-Emergency ====
@@ Line 57: / Line 72: @@
 * 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
+* The [[Previous Location]] and [[Pre-admit Inpatient Institution]] would be <site>_med or <site>_ward
 === Special Case - Cross-program boarding ===
-If a patient is accepted by a service, taken care of by that service but '''remains at a location of a different service where we collect for some time''' before moving to the new service, 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.
-{{DL |
-should the above say "before moving to a new ''ward''" or is "to the new service" right. the whole thing confuses me a bit...
-}}
 '''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.
-{{DL|
+{{DJ|
 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 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.
-{{DL | said laptop, but should be per admission; might be worth confirming that this isn't a lose end we missed from going to patientfollow. if all good, comment can be deleted. }}
 {{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.}}
@@ Line 111: / Line 129: @@
 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/
-{{DJ |
-* I don't think that's really true any more, right? And I think the old way of collecting is at [[EMIP#Legacy information]]. Can we just leave
-[[EMIP]]s are collected as part of [[Boarding Loc]] now, see [[EMIP#Legacy information]] for how they were collected before.
-}}
 ==Related articles ==