Dispo field: Difference between revisions

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* see [[Visits to temporary locations]] for dispo to temporary locations, ie. OR, dialysis, procedure suites of all types, imaging suites/radiology

*[[HSC Stepdown Units]]

* [[HSC Stepdown Units]]

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

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

===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 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'''

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

If a patient is '''discharged to prison, jail or a correctional institution''', code this as ~~a '''Institution NOS'''.~~

If a patient is '''discharged to prison, jail or a correctional institution''', code this as "TRSF to Correctional Facility" as dispo to be consistent with EPR

*[[Pre acute living situation field]] should be ~~coded as: Jail/correctional institution.~~

~~==== possible further differentiation for dispo home ====~~

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

~~{{Discuss | JALT~~

* EPR has more granular options for some dispo home; do we want to add these?

** "No return from Pass/leave" would be [[~~AMA~~]] for ~~us ..maybe AMA is enough~~

** "Trsf to group/supportive housing" includes shelters which our instruction is to code as "home" -YES

** "HOME with Support" - we would only code this as "Home", but this detail would be relevant for overstay

** "TRSF to correctional facility" - we put as institution, nos unless we add the option

* if we add more, should those also apply ~~to the [[Previous Location field]]?~~

}}

~~It was decided to at least break out the "Home with support" option.~~

~~{{Discuss |~~

* LK and TT discussed whether collectors should correct this if the entry from ADT doesn't align with what is found in the chart. Collectors should correct this, and we should document here what would be corrected based on which information. }}

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

==== Additional options similar to "Home" ====

* ~~use <site>_ward e~~.g. ~~Riverview stroke rehab~~, ~~Oaks ward~~

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:

* If the ~~patient is discharged~~ to the ~~PCH portion of Deer Lodge~~ or ~~Riverview~~ use '''~~Winnipeg PCH~~'''

* '''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. '''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

* '''TRSF Group/Supportive housing''' - includes group home

{{DL | I thought we had decided at [[JALT Meeting - Rolling Agenda and Minutes 2025#JALT 2025-03-11 |JALT]] to collect this as presented by EPR... do I remember this wrong? I had already added it in [[CCMDB.accdb Change Log 2025#2025-03-11-1]]. [[User:Ttenbergen|Ttenbergen]] 22:52, 11 March 2025 (CDT)

* Yes, I saw that, come to think of it I don't think we decided, not in my notes, but we can use it and I will change the wiki instructions [[User:Lkaita|Lisa Kaita]] 11:25, 13 March 2025 (CDT)}}

* '''TRSF to Residential Care'''- Includes transfer to long-term care home (24 hour nursing), mental health and/or addiction treatment center or hospice/palliative care facility.

** for PCH use [[Dispo]] PCH options

** for hospice, see [[Hospice]]

** for palliative care use the appropriate palliative care options

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

~~{{DL|~~

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

* you removed <nowiki>{{PCH Riverview Deer Lodge}}</nowiki>; that template is also linked from [[Chronic Health Facility]]~~. The two will now show inconsistent content. When content~~ is ~~driven by a template like that it is always~~ so ~~it stays consistent across the wiki. Pls have a look at [[Template:PCH Riverview Deer Lodge]] and~~ [[Chronic Health Facility]] to consider if (a) the two should really be inconsistent now or (b) we should re-instate the template and fix its content. Catch me on teams if you want more information or help with this. [[User:Ttenbergen|Ttenbergen]] 14:05, 2024 October 16 (CDT)

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

*Lets set up a time to discuss this, I don't think I knew they were templates, I thought I was editing an article [[User:Lkaita|Lisa Kaita]] 13:16, 2024 October 31 (CDT)

* we have pts discharged to AIA (alternative integrated accommodation) located at 698portage ave, opened April 15, 2024, should we add this as an option to the dispo dropdown? [[User:Lkaita|Lisa Kaita]] 08:39, 2024 December 17 (CST)}}

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

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===Manitoba Nursing Station===

* use ~~outside city~~ -unknown/other

* 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)

}}

=== [[Deceased patients]] ===

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== Data Use ==

== Data Use / [[Indicators]] ==

* [[Unit Mortality]]

* ~~Intra or Inter~~ Transfer ~~Rate~~

* [[ICU Interfacility Transfer]]/[[Length of Time for Transfer from ED to ICU within same facility]]/[[Transfer Delay (Critical Care)]]/[[Transfer Delay (Medicine)]]

* Discharges out of hospital

* Organ donor rate

* AMA Rate

* Linking admissions

* [[Readmission Rate to ICU]]/[[Readmission to MedWard]]

== Cross checks ==

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== Legacy ==

* 2025-03-11

** 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.

{{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

* 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

}}

* 2025-03-07

** started to collect "TRSF to Correctional Facility" as dispo to be consistent with EPR; for [[Previous Location]] continue to use the old entry "Institution, NOS"

=== earlier legacy info ===

This field is part of the [[2016 Time and Place changes]] and was affected by the [[PatientFollow_Project]].

@@ Line 19: / Line 19: @@
 {{PrePrevDispo listing}}
 * see [[Visits to temporary locations]] for dispo to temporary locations, ie. OR, dialysis, procedure suites of all types, imaging suites/radiology
-*[[HSC Stepdown Units]]
+* [[HSC Stepdown Units]]
+* [[AMA]] see also [[BedHeldEnd DtTm]]
-*[[AMA]] see also [[BedHeldEnd DtTm]]
+===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 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'''
 ==== [[Prison / Jail / Correctional Institution]] ====
-If a patient is '''discharged to prison, jail or a correctional institution''', code this as a '''Institution NOS'''.
+If a patient is '''discharged to prison, jail or a correctional institution''', code this as "TRSF to Correctional Facility" as dispo to be consistent with EPR
-*[[Pre acute living situation field]] should be coded as:  Jail/correctional institution.
-==== possible further differentiation for dispo home ====
+See [[Prison / Jail / Correctional Institution]] for additional coding instructions that may apply.
-{{Discuss | JALT
-* EPR has more granular options for some dispo home; do we want to add these?
-** "No return from Pass/leave" would be [[AMA]] for us ..maybe AMA is enough
-** "Trsf to group/supportive housing" includes shelters which our instruction is to code as "home"   -YES
-** "HOME with Support" - we would only code this as "Home", but this detail would be relevant for overstay
-** "TRSF to correctional facility" - we put as institution, nos unless we add the option
-* if we add more, should those also apply to the [[Previous Location field]]?
-}}
-It was decided to at least break out the "Home with support" option.
-{{Discuss |
-* LK and TT discussed whether collectors should correct this if the entry from ADT doesn't align with what is found in the chart. Collectors should correct this, and we should document here what would be corrected based on which information. }}
-===[[Chronic Health Facility]] ===
+==== Additional options similar to "Home" ====
-* use <site>_ward e.g. Riverview stroke rehab, Oaks ward
+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:
-* If the patient is discharged to the PCH portion of Deer Lodge or Riverview use '''Winnipeg PCH'''
+* '''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.  '''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
+* '''TRSF Group/Supportive housing''' - includes group home
+{{DL | I thought we had decided at [[JALT Meeting - Rolling Agenda and Minutes 2025#JALT 2025-03-11 |JALT]] to collect this as presented by EPR... do I remember this wrong? I had already added it in [[CCMDB.accdb Change Log 2025#2025-03-11-1]]. [[User:Ttenbergen|Ttenbergen]] 22:52, 11 March 2025 (CDT)
+* Yes, I saw that, come to think of it I don't think we decided, not in my notes, but we can use it and I will change the wiki instructions [[User:Lkaita|Lisa Kaita]] 11:25, 13 March 2025 (CDT)}}
+* '''TRSF to Residential Care'''- Includes transfer to long-term care home (24 hour nursing), mental health and/or addiction treatment center or hospice/palliative care facility.
+** for PCH use [[Dispo]] PCH options
+** for hospice, see [[Hospice]]
+** for palliative care use the appropriate palliative care options
+** for mental health or addiction treatment center use [[Dispo]] '''Home with Support Services'''
-{{DL|
+==== [[Chronic Health Facility]] ====
-* you removed <nowiki>{{PCH Riverview Deer Lodge}}</nowiki>; that template is also linked from [[Chronic Health Facility]]. The two will now show inconsistent content. When content is driven by a template like that it is always so it stays consistent across the wiki. Pls have a look at [[Template:PCH Riverview Deer Lodge]] and [[Chronic Health Facility]] to consider if (a) the two should really be inconsistent now or (b) we should re-instate the template and fix its content. Catch me on teams if you want more information or help with this. [[User:Ttenbergen|Ttenbergen]] 14:05, 2024 October 16 (CDT)
+This is somewhat messy and fluid, so see [[Chronic Health Facility]]
-*Lets set up a time to discuss this, I don't think I knew they were templates, I thought I was editing an article [[User:Lkaita|Lisa Kaita]] 13:16, 2024 October 31 (CDT)
-* we have pts discharged to AIA (alternative integrated accommodation) located at 698portage ave, opened April 15, 2024, should we add this as an option to the dispo dropdown? [[User:Lkaita|Lisa Kaita]] 08:39, 2024 December 17 (CST)}}
 ==== Discharged to ER or [[Urgent Care]] ====
@@ Line 60: / Line 60: @@
 ===Manitoba Nursing Station===
-* use outside city -unknown/other
+* 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)
+}}
 === [[Deceased patients]] ===
@@ Line 70: / Line 72: @@
 {{Location dropdown cleanup}}
-== Data Use ==
+== Data Use / [[Indicators]] ==
 * [[Unit Mortality]]
-* Intra or Inter Transfer Rate
+* [[ICU Interfacility Transfer]]/[[Length of Time for Transfer from ED to ICU within same facility]]/[[Transfer Delay (Critical Care)]]/[[Transfer Delay (Medicine)]]
 * Discharges out of hospital
 * Organ donor rate
 * AMA Rate
 * Linking admissions
+* [[Readmission Rate to ICU]]/[[Readmission to MedWard]]
 == Cross checks ==
@@ Line 88: / Line 91: @@
 == Legacy ==
+* 2025-03-11
+** 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.
+{{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
+* 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
+}}
+* 2025-03-07
+** started to collect "TRSF to Correctional Facility" as dispo to be consistent with EPR; for [[Previous Location]] continue to use the old entry "Institution, NOS"
+=== earlier legacy info ===
 This field is part of the [[2016 Time and Place changes]] and was affected by the [[PatientFollow_Project]].