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| This article is about [[Multiple Encounter]] patients who have not been discharged in between encounters. | | This article is about [[Multiple Encounter]] patients who have not been discharged in between encounters. |
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| == Definition == | | == Medicine Definition == |
| A pair of records for the same patient is a continuous stay if: | | A continuous stay for a patient per site is having the same [[Visit Admit DtTm]] for the multiple encounters. |
| * discharge1 and admit2 are 5[[Transfer time rule| *]] minutes - '''''x''''' {{discussion}} minutes apart in the same hospital
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| * discharge1 and admit2 are 30[[Transfer time rule| *]] minutes - 48 hrs apart in different hospitals
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| * the combination of [[Admit From & Discharged To|discharge-to]] and [[Med Var 2 - Discharge-to Ward]] field in the first the [[location field]] in the second match
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| * the [[Admit From & Discharged To|admit-from field]] in the second and the [[location field]] in the first match
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| * the first admission doesn't end with [[Med Var 6 - AMA]] resp [[ICU Var 6 - AMA]]
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| === Continuous encounter with intermission at non-collected ward ===
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| If all of
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| * [[Discharge to]] and [[Admit from]] are both <local hospital>
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| * [[Var 2 - Discharge-to Ward]] on the first record is the same as [[Var 1 - Admit-from Ward]] on the second
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| * the two vars are not a collected ward
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| then this is likely a continuous stay.
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| === Continuous encounter with intermission in OR ===
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| For ICU patient transferring to another ICU area Or ICU patient who went to OR and/or comes from OR or Recovery to an ICU between same or different hospital, the max time to consider a continuous link is <= 2days (48 hours). If more than 2 days, the next ICU admission is considered as new admission and not a transfer.
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| {{discussion}}
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| * would it make sense to take out the ICU requirement for this? The same might be rarer for Medicine patients but would still be true. I will implement [[Encounter processing]] like that for now unless I hear otherwise. Ttenbergen 12:06, 2015 January 22 (CST)
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| * Glad you put that in Tina, I was going to make a similar comment.--[[User:CMarks|CMarks]] 12:48, 2015 January 22 (CST)
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| === Reports using this concept === | | === Reports using this concept === |
| Which ones?
| | Used in [[Directors Quarterly and Annual Report (Medicine)|Directors Quarterly and Annual Report]] |
| | | == Critical Care Definition == |
| === Julie's definition ===
| | *Currently, the multiple encounters of an ICU episode from same or different site is not being done or reported. |
| parking here from email until it can be integrated
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| The reason why I don’t know is because my program in Med
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| is defining the conditions of new admission and
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| if not TRUE will all be categorized as continuous stay
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| (the cut off values are consulted and approved by Dr Roberts).
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| Yours is the other way around, you are defining the continuous
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| stay and if not TRUE will be a new admission.
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| Criteria for new admission per hospital:
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| 1. Pts who have first and only admission
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| 2. AMA Patient from prior admission
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| 3. Patient is transferred to a different hospital, the admission
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| for that hospital ends and the patient becomes a new admission
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| to the second hospital (except if reason is lab test and stay in
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| the second hospital <1 day '''[[Bed holds|bec bed is usually put on hold]]''' on the first hospital)
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| 4. Pts with previous encounters and admitted from ER, Home,
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| Outside City or Province or previously discharged to Home,
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| Outside City or Province
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| 5. Pts with previous encounters and admitted from unit
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| within the hospital but the prior encounter was discharged to Home,
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| Outside City or Province
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| 6. Pt discharge to or admit from OR/ RR but more than 7 days
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| 7. Pt discharge to Ward or then admit from OR/ RR but more than 30 days
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| 8. Pt discharge to Ward or then admit from Ward but var1 is not same as previous var2
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| 9. None of the above but has gap > 90 days then consider new admission
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| Critical Care is different and much simple. Allan Garland prescribed it based on
| | *if to be done in the future, Dr. Allan Garland prescribed it based on the paper he did (Sept 7, 2012). |
| the paper he did. Link one or more ICU whether same or diff hospitals.
| | ** Link one or more ICU whether same or diff hospitals. |
| Sept 7, 2012 Dr Allan Garland definition if linked ICU
| | 1. Gap <= 24 hr and (TO=blank or from=blank) |
| 1. Gap <= 24 hr and (TO=blank or from=blank)
| | 2. Gap <= 48 hr and previous to = ICU/OR/PACU and from = ICU/OR/PACU |
| 2. Gap <= 48 hr and previous to = ICU/OR/PACU and from = ICU/OR/PACU
| | 3. the cases discharge to CCU but database has no HSC CCU prior May 1999 **; |
| 3. I added the cases discharge to CCU but database has no HSC CCU prior May 1999 **;
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| From= CCU/OR/PACU and previous to= CCU and 2 < diff < 20 | | From= CCU/OR/PACU and previous to= CCU and 2 < diff < 20 |
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| | == Related articles == |
| Julie
| | {{Related Articles}} |
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| [[Category:Multiple Encounter linking]] | | [[Category:Multiple Encounter linking]] |
| [[Category:Statistical Analysis]] | | [[Category:Statistical Analysis]] |
| [[Category:Dispo]] Need to update this with new fields. | | [[Category:Dispo]] Need to update this with new fields. |
This article is about Multiple Encounter patients who have not been discharged in between encounters.
Medicine Definition
A continuous stay for a patient per site is having the same Visit Admit DtTm for the multiple encounters.
Reports using this concept
Used in Directors Quarterly and Annual Report
Critical Care Definition
- Currently, the multiple encounters of an ICU episode from same or different site is not being done or reported.
- if to be done in the future, Dr. Allan Garland prescribed it based on the paper he did (Sept 7, 2012).
- Link one or more ICU whether same or diff hospitals.
1. Gap <= 24 hr and (TO=blank or from=blank)
2. Gap <= 48 hr and previous to = ICU/OR/PACU and from = ICU/OR/PACU
3. the cases discharge to CCU but database has no HSC CCU prior May 1999 **;
From= CCU/OR/PACU and previous to= CCU and 2 < diff < 20
Related articles
Need to update this with new fields.