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General Information for the ''Chronic Health Facility'' entry in [[Pre acute living situation field]].
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]]


Use the "chronic health" entry for patients coming from any part of
* Deer Lodge
* St. Amant
* Riverview
* any [[hospice]], though these should obviously be rare
* [[Selkirk Mental Health Centre]]
We are aware that these sites also have e.g. PCH beds, but for clarity, just collect anyone from these sites as chronic health.


Living in a PCH is relevant to generating the [[:Category:OverstayProject|Overstay colour]].
{{DT|* 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.[[User:Lkaita|Lisa Kaita]] 14:52, 25 June 2025 (CDT) }}


{{Discussion}}
{{DT|
*The data so far are not consistent – some  refer to Riverview as PCH and some has Chronic Health Facility in [[Pre acute living situation field]].
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.  
#are collectors all following the guideline above?
* Discussed at  
#When patients come from these facilities – Riverview, Deer Lodge, St Amant – is it easy to distinguish which care program area they are from (e.g. Riverview Personal Care, CVA/Stroke, Long Term Vent, Palliative,etc.; Deer Lodge Chronic Care/ Dementia, Personal Care, Peritoneal Dialysis, etc.) ? --[[User:JMojica|JMojica]] 11:34, 2018 January 12 (CST)
** [[Task Team Meeting - Rolling Agenda and Minutes 2025#CHF4]]
*I have been using PCH because they were total care.--[[User:CMarks|CMarks]] 12:30, 2018 January 12 (CST)
** [[Task Team Meeting - Rolling Agenda and Minutes 2025#CHF3]]
*I think I may have been putting personal care home when they come from that area of Deer Lodge or Riverview, but otherwise chronic health care facility.  Each patient is sent with a transfer form/summary to the receiving facility and it usually identifies where they are from, also the history and physicals usually identify where they are from as well. I'm uncertain if you can identify by EPR, you may need to be familar with their wards/facility to know for certain. [[User:Lkaita|Lisa Kaita]] 13:08, 2018 January 12 (CST)
** [[JALT Meeting - Rolling Agenda and Minutes 2025#CHF2]]
*Well stated Lisa-this is now more frequent with the "blended care" at these sites as stated-PCH/Geri-rehab-Palliative Care: so-if you want accurate data or your general Chr Health choice; your call.--[[User:Llemoine|Llemoine]] 07:52, 2018 January 15 (CST)
** [[Task Team Meeting - Rolling Agenda and Minutes 2025#CHF1]]
***{{Discussion}} so Louise you commented on Lisa statement however, what are you coding? Thanks. --[[User:TOstryzniuk|Trish Ostryzniuk]] 11:19, 2018 January 15 (CST)
}}
*Hi, I have been entering chronic health for the above listed facilities as per WIKI instructions for the Pre acute living situation field. Is it time for a change in collection practice? Pamela Piche 07:57, 2018 January 15 (CST)
*I have been putting Chronic Health facility.The direction at the top of the article says any part of,so that's why I put chronic health facility.[[User:GHall|GHall]] 11:44, 2018 January 15 (CST)
*I put in PCH when the charting says PCH from Riverview or DLC, if not indicated, then i put in Chronic Health Facility. --[[User:Malcudia|Malcudia]] 11:55, 2018 January 15 (CST)
*StAmant and Selkirk = CHF  // DL and RV rarely see them coming from there however I put from PCH unless saw that they were from rehab then entered CHF. Good reminder to code them all from CHF  thanks [[p:Shirley Kiesman]]
*If the chart does not specifically state what area they have come from, I think I have been putting chronic health care facility.--[[User:Vpenner|Vpenner]] 12:26, 2018 January 15 (CST)
*In all honesty, it is so long since I had an admission from one of those places that I do not recall.--[[User:Jpeterson|Jpeterson]] 12:32, 2018 January 15 (CST)   
*I think I have been putting chronic health-it is trickier when they are discharged as to whether to put PCH /Deer Lodge/Riverview etc. [[User:SCortilet|SCortilet]]
*I think I have been putting chronic health facility as well (for sure with St Amant). I can't recall if I have ever put PCH, however, if they are specifically saying that the patient is coming from a PCH unit, then I may have entered that. It is hard to say when you aren't looking at the specific chart information. (MLagadi)
 
{{Discussion}}
*Why am I generating reds for overstay when the patients come from PCH? Seems a lot happening in last few weeks rather than a yellow.--[[User:Llemoine|Llemoine]] 07:52, 2018 January 15 (CST)
**hummm.....Tina/Julie?  [[Overstay Predictor Project Algorithm]][[User:TOstryzniuk|Trish Ostryzniuk]] 17:40, 2018 January 15 (CST)


== 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]] ===
{{DT | * review, that might need to be consolidated with this page as well. }}


=== St Amant ===
* St. Amant<!-- Yes it is still relevant in this list [[User:Lkaita|Lisa Kaita]] 20:47, 2024 December 3 (CST) -->


== 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]]
{{DT |
* These should be made consistent with [[Template:PCH Riverview [[Deer Lodge (DLC)]]]] and should probably use that template to enforce consistent use. [[User:Ttenbergen|Ttenbergen]] 14:23, 2024 October 16 (CDT)
** and I have lost track of the details [[User:Ttenbergen|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...[[User:Ttenbergen|Ttenbergen]] 20:27, 2024 December 11 (CST)
*that template does not exist or I can't find it [[User:Lkaita|Lisa Kaita]] 14:56, 25 June 2025 (CDT)
}}


{{DT |
* 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?  [[User:Lkaita|Lisa Kaita]] 14:52, 25 June 2025 (CDT)}}


Also see [https://extranet.manitoba-ehealth.ca/MOC/SitePages/Chronic%20Care.aspx WRHA Service Delivery Portal's Chronic Care page].


== Related articles ==
{{Related Articles}}


[[Category: OverstayProject]]
[[Category:Pre-acute living situation]]
[[Category: Pre-acute living situation]]
[[Category:Admit/Discharge]]
[[Category:Registry Data]]
[[Category:Data Collection Guide]]
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