Continuous Stay: Difference between revisions

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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.  


== 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
* discharge1 and admit2 are 30[[Transfer time rule|*]] minutes - 48 hrs apart in different hospitals
* 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
* the [[Admit From & Discharged To|admit-from field]] in the second and the [[location field]] in the first match
* the first admission doesn't end with [[Med Var 6 - AMA]] resp [[ICU Var 6 - AMA]]
 
=== Continuous encounter with intermission at non-collected ward ===
If all of
* [[Discharge to]] and [[Admit from]] are both <local hospital>
* [[Var 2 - Discharge-to Ward]] on the first record is the same as [[Var 1 - Admit-from Ward]] on the second
* the two vars are not a collected ward
then this is likely a continuous stay.
 
=== Continuous encounter with intermission in OR ===
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.
{{discussion}}
* 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)
* Glad you put that in Tina, I was going to make a similar comment.--[[User:CMarks|CMarks]] 12:48, 2015 January 22 (CST)


=== Reports using this concept ===
Used in [[Directors Quarterly and Annual Report (Medicine)|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 ==
{{Related Articles}}


[[Category:Multiple Encounter linking]]
[[Category:Multiple Encounter linking]]
[[Category:Statistical Analysis]]
[[Category:Statistical Analysis]]
[[Category:Dispo]] Need to update this with new fields.

Latest revision as of 17:07, 4 February 2022

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

Related articles:

Need to update this with new fields.

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