Chronic Health Facility

General Information for Chronic Health Facilities and entries for them in

• Pre acute living situation field
• Pre-admit Inpatient Institution
• Previous Location field
• Dispo field
• Awaiting/delayed transfer to long-term care/PCH inside or outside of Winnipeg

We have had patients admitted from the chronic care unit at Deer Lodge (DLC) (they live there) the nurses check off PCH for where they reside (on DPST), for Pre acute living situation field we enter Chronic Health Facility and for dispo we enter Deer Lodge, should we be considering this a PCH? Lisa Kaita 12:32, 24 November 2025 (CST) They live there, so that makes this also related to Collection of locations on the spectrum between home and PCH. Ttenbergen 18:00, 27 November 2025 (CST) so we will continue to enter as Chronic health facility for now Lisa Kaita 07:43, 28 November 2025 (CST)

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This issue raised a problem with medicine data recently, and we will review again if this needs to be coded more granular after all, dicussed at JALT June 25, 2025: while Bojan would like this it is not possible to keep track of unit changes and not always easy to tell which unit they arrive from so leave a Riverview and Deer Lodge (DLC), with the exception of the PCH units in each facility.Lisa Kaita 14:52, 25 June 2025 (CDT)

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We have discussed lately that we might want to become more nuanced about some chronic care locations (Deer Lodge (DLC) and Riverview). I have removed the details from the above linked fields and consolidated here. Once this page is cleaned up this discussion entry can be removed. Discussed at Task Team Meeting - Rolling Agenda and Minutes 2025#CHF4 Task Team Meeting - Rolling Agenda and Minutes 2025#CHF3 JALT Meeting - Rolling Agenda and Minutes 2025#CHF2 Task Team Meeting - Rolling Agenda and Minutes 2025#CHF1

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Specific facilities, some with more than one type of care

Riverview

• Riverview (palliative care (Hospice), rehab, LTV)- except PCH part, code that as PCH
  • • PCH- C and D wings floors 1-4 42 beds
    • PCH- Aand B wings -locked unit for alzheimer/dementia 30 beds
    • 2E is LTV 30 beds
    • 3E is palliative care 30 beds
    • 4E is stroke rehab 30 beds
    • 4W is Acute brain injury- 10 beds
    • 3W is PCH- 29 beds
    • 2W respiratory ward (no vents)- 30 beds

Deer Lodge (DLC)

• Deer Lodge (DLC) (rehab) - except PCH part, code that as PCH
  • • Rehab wards are Lodge 2W, 4E and 4W
    • TCU is Lodge 2E
    • chronic care is Lodge 5E, 5W, 6E, 6W, 7E and 7W (clients with complex medical issues who can't be cared for in PCH ie. tracheostomy, ostomy, enteral and parenteral nutrition, complex wound care, blood transfusions and PIV and Central lines.
    • PCH is Tower 3N, 3S, and 4,5,6,7 and also Lodge 3W, 3E

Hospice

review, that might need to be consolidated with this page as well.

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This portion needs to be integrated

Pre acute living situation field

Use the "chronic health" entry for patients coming from any part of

• any hospice, though these should obviously be rare
• Selkirk Mental Health Centre

• If a patient's discharge to a Chronic Health Facility is delayed, you might be able to code Awaiting/delayed transfer to long-term care/PCH inside or outside of Winnipeg.

from Dispo field

• use <site>_ward e.g. Riverview stroke rehab, Oaks ward
• If the patient is discharged to the PCH portion of Deer Lodge (DLC) or Riverview use Winnipeg PCH

from Awaiting/delayed transfer to long-term care/PCH inside or outside of Winnipeg

Use your judgement and available information to decide what to code for the Awaiting/delayed transfer to long-term care/PCH inside or outside of Winnipeg diagnosis .

• Includes Riverview LTV unit

Excludes

• Those that have Pre acute living situation of PCH and are being discharged back to their original PCH. If there is a delay in transfer this will be captured by the Transfer Ready DtTm

These should be made consistent with [[Template:PCH Riverview Deer Lodge (DLC)]] and should probably use that template to enforce consistent use. Ttenbergen 14:23, 2024 October 16 (CDT) and I have lost track of the details Ttenbergen 10:45, 2024 November 1 (CDT) There might be an easy way out of this question. We now only have one awaiting code; if waiting for any of them qualifies for this code then we may not need to know about the level of care. But then again, some of those sites also have acute/LAU type settings so we may need to figure this out after all...Ttenbergen 20:27, 2024 December 11 (CST) that template does not exist or I can't find it Lisa Kaita 14:56, 25 June 2025 (CDT)

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Discussed this at JALT Meeting - Rolling Agenda and Minutes 2025#JALT 2025-03-11 but I don't remember if we came to an answer or next step. Just found a note to add that we will also need to decide if any of these are in-patient locations. This would make them collectable as Pre-admit Inpatient Institution, and is relevant as per Pre-admit Inpatient Institution field#Data Use / Purpose. are you referring to PCH's because they are not inpt locations or are you referring to chronic health facilities? Lisa Kaita 14:52, 25 June 2025 (CDT)

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Also see WRHA Service Delivery Portal's Chronic Care page.