Pre-admit Inpatient Institution field: Difference between revisions

Ambiguous locations: integrated info to collect day surgery as ambulatory care
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== Collection Instruction ==
== Collection Instruction ==
* For each patient, enter the most recent '''in-patient''' location where the patient has been admitted during this continuous episode of hospitalization at this or other hospitals
* For each patient, enter the most recent '''in-patient''' location where the patient has been admitted during this continuous episode of hospitalization at this or other hospitals
** for patients who were accepted by a service at the previous site, but never left the site's ER to get to the ward ("EMIP" concept), consider these in-patients
{{PrePrevDispo listing}}
{{PrePrevDispo listing}}
{{Ex |  
{{Ex |  
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* if the situation is unknown, enter '''location missing/unknown'''
* if the situation is unknown, enter '''location missing/unknown'''
* if the patient did not come from an '''in'''patient location, enter "not applicable"  
* if the patient did not come from an '''in'''patient location, enter "not applicable"  
for example if they came from home or a clinic. The ER (at your site or elsewhere) is '''not''' an inpatient location, so enter "not applicable" for these
** for example if they came from home or a clinic
** the ER (at your site or elsewhere) is '''not''' an inpatient location, so enter "not applicable"  


=== Where to find this information ===
=== Where to find this information ===
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=== Ambiguous locations ===
=== Ambiguous locations ===
* Day-surgery locations - use "<hosp> ambulatory care"
*The following '''ARE NOT''' considered inpatient locations, enter "NA / not applicable"
*The following '''ARE NOT''' considered inpatient locations, enter "NA / not applicable"
** Any PCH, including those that are in a [[Chronic Health Facility]] eg. Riverview, Deer Lodge
** Any PCH (see [[Chronic Health Facility]] for additional instructions)
** [[Grace Nursing Home Ward]] - We consider admissions from there as readmissions, so would be coded as if they had come from home. Consistent with that we will consider these '''not''' inpatient locations, so code them as "NA / not applicable". (As per meeting with Dr Roberts 2016-05-05)
** Nursing stations - they are not inpatient locations, and Julie and Tina met with Randy Martin 2016-04 and he confirmed he doesn't need them.  
** Day-surgery locations - use "<hosp> ambulatory care"
** Any ward, from Deer Lodge or Riverview, including the rehab wards, Riverview LTV or Riverview palliative care unit
{{Discuss|
We have [[Template:PCH Riverview Deer Lodge]], but we have also discussed lately that we might want to become more nuanced about those locations. We really need to keep the info consistent, and I think the way to do it would be to put it into that template. Right now, some related info is also at [[Chronic Health Facility]], [[Pre acute living situation field]], [[Dispo field]], [[Awaiting/delayed transfer to lower acuity site in Winnipeg other than home or LTC/PCH]], [[Awaiting/delayed transfer to long-term care/PCH inside or outside of Winnipeg]], [[Previous Location field]].
}}


=== intra-facility and inter-facility transfers  ===
=== Chronic Care Facilities ===
They are a changing and complicated case, see [[Chronic Health Facility]].
 
=== Intra-facility and inter-facility transfers  ===
If a patient gets transferred to another ward in the same or different hospital, enter <site>_Med, <site>_Ward or <site>_CC (as appropriate) as both the [[Previous Location field]] and the [[Pre-admit Inpatient Institution field]].
If a patient gets transferred to another ward in the same or different hospital, enter <site>_Med, <site>_Ward or <site>_CC (as appropriate) as both the [[Previous Location field]] and the [[Pre-admit Inpatient Institution field]].


=== arrivals from a borrowed bed ===
=== Arrivals from a borrowed bed ===
See and follow [[Previous Location field#Borrowed Bed Or Boarding Loc]]
See and follow [[Previous Location field#Borrowed Bed Or Boarding Loc]]


=== several pre-admit locations ===
=== Several pre-admit locations ===
If a patient travels through several pre-admit inpatient locations we will only have data on the last one. We understand that. Just to be clear.
If a patient travels through several pre-admit inpatient locations we will only have data on the last one. We understand that. Just to be clear.


{{Ex |  Pt was on a ward as an inpatient then went to ICU, then was transferred to the ward you are collecting on. Previous location would be ICU and previous inpatient institution would also be ICU.}}
{{Ex |  Pt was on a ward as an inpatient then went to ICU, then was transferred to the ward you are collecting on. Previous location would be ICU and previous inpatient institution would also be ICU.}}
{{Pre-admit, Previous content}}


{{Location dropdown cleanup}}
{{Location dropdown cleanup}}
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== Reports ==
== Reports ==
*The information will be part of the Inter-facility transfer report (i.e. inpatients coming from other facility outside the region or within the region).  Also the information will be useful for research projects where a patient will be tagged if already an inpatient before arrival to the unit or ward. [[User:JMojica|JMojica]] 11:45, 2016 June 6 (CDT)
The information is part of the [[Critical Care Program Quality Indicator Report]] and the [[ICU Interfacility Report]].  Also the information will be useful for research projects where it will mark a patient as inpatient before arrival to the unit or ward.  


== Implementation ==
== Implementation ==
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== Legacy ==
== Legacy ==
This field is part of the [[2016 Time and Place changes]] and did not previously exist.
This field is part of the [[2016 Time and Place changes]]. Some of the data previously existed in [[hospital previous]] but it is not a 1-to-1 mapping.
 
=== Nursing stations ===
We used to collect nursing stations in [[hospital previous]] but would not include them under the new scheme because they are not inpatient locations. Julie and Tina met with Randy Martin 2016-04 and he confirmed he doesn't need them.


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


[[Category: 2016 Time and Place changes]]
[[Category:2016 Time and Place changes]]
[[Category: Admit/Discharge]]
[[Category:Admit/Discharge]]
[[Category: Data Collection Guide]]
[[Category:Data Collection Guide]]