Dispo field: Difference between revisions

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

===Home===

====Home====

* Includes:

**hotel

** hotel

**rooming house

** rooming house

**boarding home

** boarding home

==== Additional options similar to "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 people on Home O2, for every admission as long as they still require home O2, they are part of the Home Oxygen home care program

** includes CIVP

** includes private nursing care

** includes dc to virtual wards

** 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)

}}

{{DiscussTask | JALT

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** for palliative care use the appropriate palliative care options

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

{{DL |

That more detailed info included things like [[HSC Lennox Bell]]; we discussed whether or not we need to document the details of this. If so, the following is likely a starting point:

* Institution NOS

* TRSF Group/Supportive housing

* TRSF to Correctional Facility

* any [[Hospice]]s

* GH-Transitional care

* HSC - Transitional care

* Misericordia - Transitional care

* STB - Transitional care

* VIC - Transitional care

* 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)

* I think these are covered in the instructions above can we remove this discussion? [[User:Lkaita|Lisa Kaita]] 20:32, 9 March 2026 (CDT)

** Many are, Lennox is not. Not sure which others we would want someone to code when Cognos says "trsf to residential". [[User:Ttenbergen|Ttenbergen]] 02:10, 11 March 2026 (CDT)

}}

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

~~see [[LAU]]~~

~~===Geri Rehab wards===~~

~~see [[Geri Rehab]]~~

==== [[Homeless]] patients ====

*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'''

*{{Discuss | if on admission a patient is coming from Siloam Mission housing (Roblin Blvd)complex, is this still considered homelessness? }}

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

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

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

This is somewhat messy and fluid, so see [[Chronic Health Facility]]

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

==== Transfer to different in-patient location ====

* We generally break institutions down to special locations like ER OR or simply "ward"

* We break some wards/units out separately when we care about details of a unit:

** [[LAU]] (low acuity units)

** [[Geri Rehab]]

** [[HSC_H6]]

* When the transfer is for bed management reasons only, also code the dx [[Transfer for bed management]]

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

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

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We don't want ER to be available in the dropdown because it had been mistakenly entered a number of times. If it turns out there are a lot of legitimate ''discharges'' to ER we will make the option available.

===Manitoba Nursing Station===

======Manitoba Nursing Station======

* use ''"Outside City - unknown/other"''

{{Discuss | If this is actually done then why don't we just make the nursing stations available? We already have [[s_dispo table]] entries for them. 35 entries since 2016, 6 in the last 12 months. Are there other things for which this entry is used? Checked for reasons for this decision but they don't appear documented [[User:Ttenbergen|Ttenbergen]] 19:42, 13 March 2025 (CDT)

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* [[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.

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

~~{{DL |~~

~~That more detailed info included things like [[HSC Lennox Bell]]; we discussed whether or not we need to document the details of this. If so, the following is likely a starting point:~~

* Home

* Home with support