LAU collection readmission data: Difference between revisions

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{{Project

|ProjectActive=~~planned~~

|ProjectActive=legacy

|ProjectRequestor=Dr. Dan Roberts

|ProjectCollectionStartDate=~~TBA~~

|ProjectCollectionStartDate={{LAU Collection StartDt}}

|ProjectCollectionStopDate=~~TBA~~

|ProjectCollectionStopDate={{LAU Collection EndDt}}

|Project={{PAGENAME}}

}}

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* 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.

* ~~To decide if something is a re-admission, follow~~ the criteria in [[Readmission to MedWard]]

* For the purpose of this project we will '''not''' use the same criteria as [[Readmission to MedWard]]; instead we will use

{{DL|

** a patient who left the hospital system as defined in [[Discharged to community]] between admissions

* ~~We need~~ to ~~decide if~~ we ~~will use~~ the ~~criteria set out in~~ [[~~Readmission~~ to ~~MedWard~~]] ~~The criteria may be too restrictive~~ for the LAU ~~project~~.

** 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)

** waiting for Dan to ~~weigh in~~ }}

{{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 ===

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==== 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.

==== Special case - previous unit is an inpatient location ====

*If the [[Previous Location]] was an inpatient location then the record doesn't meet criteria ~~for [[Readmission to MedWard]]~~, so mark it as "no previous"/"no later".

*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 ====

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[[Category: LAU Collection Project]]

[[Category:LAU Collection Project]]

@@ Line 1: / Line 1: @@
 {{Project
-|ProjectActive=planned
+|ProjectActive=legacy
 |ProjectRequestor=Dr. Dan Roberts
-|ProjectCollectionStartDate=TBA
+|ProjectCollectionStartDate={{LAU Collection StartDt}}
-|ProjectCollectionStopDate=TBA
+|ProjectCollectionStopDate={{LAU Collection EndDt}}
 |Project={{PAGENAME}}
 }}
@@ Line 13: / Line 13: @@
 * 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.
-* To decide if something is a re-admission, follow the criteria in [[Readmission to MedWard]]
+* For the purpose of this project we will '''not''' use the same criteria as [[Readmission to MedWard]]; instead we will use
-{{DL|
+** a patient who left the hospital system as defined in [[Discharged to community]] between admissions
-* We need to decide if we will use the criteria set out in [[Readmission to MedWard]] The criteria may be too restrictive for the LAU project.
+** 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)
-** waiting for Dan to weigh in }}
+{{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 ===
@@ Line 30: / Line 35: @@
 ==== 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.
 ==== Special case - previous unit is an inpatient location ====
- *If the [[Previous Location]] was an inpatient location then the record doesn't meet criteria for [[Readmission to MedWard]], so  mark it as "no previous"/"no later".
+*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 ====
@@ Line 57: / Line 62: @@
 {{Related Articles}}
-[[Category: LAU Collection Project]]
+[[Category:LAU Collection Project]]