LAU collection readmission data: Difference between revisions
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{{Project | {{Project | ||
|ProjectActive= | |ProjectActive=legacy | ||
|ProjectProgram=LAU (temporary) | |||
|ProjectRequestor=Dr. Dan Roberts | |ProjectRequestor=Dr. Dan Roberts | ||
|ProjectCollectionStartDate= | |ProjectCollectionStartDate={{LAU Collection StartDt}} | ||
|ProjectCollectionStopDate= | |ProjectCollectionStopDate={{LAU Collection EndDt}} | ||
|Project={{PAGENAME}} | |Project={{PAGENAME}} | ||
}} | }} | ||
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== Data Collection == | == Data Collection == | ||
* For any record collected as part of [[LAU Collection Project]], consider whether there is an indication of a previous admission for which this is a re-admission, or a subsequent admission that is a re-admission for this admission. | * For any record collected as part of [[LAU Collection Project]], consider whether there is an indication of a previous admission for which this is a re-admission, or a subsequent admission that is a re-admission for this admission. | ||
* For the purpose of this project we will '''not''' use the same criteria as [[Readmission to MedWard]]; instead we will use | |||
* | ** a patient who left the hospital system as defined in [[Discharged to community]] between admissions | ||
** re-admission within 7 days as defined by time [[Dispo DtTm]] (even if not collected) of last unit (ie hospital dispo dttm) on earlier admission and admission at the next in-patient location (which may be this LAU) | |||
{{DL | | |||
* what if they spend time in an ED in between as part of re-admission, possibly pushing past the 7 day range? Due to the very long ER delays for LAU I think we would want to include those. [[User:Ttenbergen|Ttenbergen]] 00:06, 12 March 2025 (CDT | |||
** These would be included because I am using the ADT/EPR readmits and the admit time reflects first time of presentation and an ensuing admission [[User:Lkaita|Lisa Kaita]] 12:13, 10 April 2025 (CDT)) | |||
*** to be perfectly clear: if someone is discharged from LAU on Jan 1, and then presents to an ED at GRA, where they decide the person should go to LAU, but the patient is not transferred and made an inpatient again at an LAU for another 3 days (pushing their new admission past the 10 day window), would you tag them as a re-admission? [[User:Ttenbergen|Ttenbergen]] 12:42, 10 April 2025 (CDT) | |||
*Yes, I believe it would because in EPR for patient visits, the patient you describe would show them as an inpatient, beginning Jan 7, even though by our definition they are not an inpt til the LAU folks accept them. I would not be able to decipher the actual first service time without having the chart or running an EPR report. [[User:Lkaita|Lisa Kaita]] 12:49, 10 April 2025 (CDT)}} | |||
=== Data Entry Instructions === | === Data Entry Instructions === | ||
For every [[LAU Collection Project]], a line with Project = "LAU Readm" and item = "later not entered"/"previous not entered" will automatically be entered. Update that line to one of the following: | |||
If you find that either this admission is a re-admission, or that there is a re-admission following this admission, change the entry to: | |||
* '''Project: LAU Readm''' - Item: "has previous" - Date/Time: that admission's dispo_dttm | * '''Project: LAU Readm''' - Item: "has previous" - Date/Time: that admission's dispo_dttm | ||
* '''Project: LAU Readm''' - Item: "has later" - Date/Time: that admission's service start_dttm | * '''Project: LAU Readm''' - Item: "has later" - Date/Time: that admission's service start_dttm | ||
If there is no corresponding re-admission, change the entry to: | |||
* '''Project: LAU Readm''' - Item: "no previous" - Date/Time: blank | |||
* '''Project: LAU Readm''' - Item: "no later" - Date/Time: blank | |||
* Checkbox, Integer, Real, Comment: not used | * Checkbox, Integer, Real, Comment: not used | ||
==== Special case - both admission and re-admission are part of the LAU collection ==== | ==== Special case - both admission and re-admission are part of the LAU collection ==== | ||
*Even if the first admission and the readmission are part of our current review, still enter the tmp project. This will make the stats more straightfwd. | * Even if the first admission and the readmission are part of our current review, still enter both into the tmp project for the respective admissions. This will make the stats more straightfwd. | ||
*Enter this even if the partner-record is also part of the [[LAU Collection Project]]; yes, we would be able to find that re-admission in our usual way, but having all the data coded the same way will make it more consistent to analyze. | * Enter this even if the partner-record is also part of the [[LAU Collection Project]]; yes, we would be able to find that re-admission in our usual way, but having all the data coded the same way will make it more consistent to analyze. | ||
==== Special case - previous unit is an inpatient location ==== | ==== Special case - previous unit is an inpatient location ==== | ||
*If the [[Previous Location]] was an inpatient location then the record doesn't meet criteria | *If the [[Previous Location]] was an inpatient location then the record doesn't meet criteria above, so mark it as "no previous"/"no later". | ||
==== Sources ==== | ==== Sources ==== | ||
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== Log == | == Log == | ||
* 2025-03-09 - added "no previous"/"no later", "later not entered"/"previous not entered"; updatede [[query check_LAU_collection_readmission_data ]] | |||
* 2025-03-06 | * 2025-03-06 | ||
** implemented | ** implemented | ||
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{{Related Articles}} | {{Related Articles}} | ||
[[Category: LAU Collection Project]] | [[Category:LAU Collection Project]] | ||