Direct admit: Difference between revisions

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==Direct Admissions==
{{LegacyContent
DEFINITION: If a patient has been sent from a ward, ER or ICU to your hospital where the sending physician has discussed the case with the accepting physician and the accepting physician has accepted the pt to their service, this is a direct admission.   These patients could still stop off in your ER, but are not seen by the ER doctors.  Normally, when these direct admit patients arrive in ER, the accepting physician or service will be paged by ER and they will go down to assess the patient there and arrange for the pt admission.  (this is usually the case with patients sent form other hospital ER's or wards).  Patients that require ICU care and the ICU physician has accepted them will usually go directly to the ICU (without stopping in ER)
|explanation=Used to have special instructions, but with collection instructions as of 2022-02 this is now collected just like everything else. No more special instructions.  
|successor=[[Previous Location]], [[Previous Service]], [[Pre-admit Inpatient Institution]]
|content=


Direct admissions are patients who are accepted from another site (within region or from out-of-town) and come directly to the next site.


[[Category: Admit/Discharge]]
These patients can go straight to the accepting ward at the second site, or they can be admitted via the ER. 
 
== Collection Instruction ==
*There are '''two types of Direct admits:'''
**'''already an Inpatient''' - the [[Pre-admit Inpatient Institution]] and the [[Previous Location]] will be the same
**'''not an Inpatient''' - the [[Pre-admit Inpatient Institution]] would be not applicable and the [[Previous Location]] would be their last physical location  e.g. Thompson ER
 
* The [[Visit Admit DtTm field]] and the first [[Service tmp entry]] will be the same
** The COGNOS service time is often later than the [[Visit Admit DtTm field]] so the first [[Service tmp entry]] must be changed to = [[Visit Admit DtTm field]]
* For First [[Boarding Loc]] with the same date/time as the first [[Service tmp entry]]
** if via ER,  enter  own <site>_ER for first [[Boarding Loc]]
** if direct to Ward, enter own <site>  physical location for first [[Boarding Loc]]
 
== Data use / Reporting ==
inter facility transfers report (semi annual and Fiscal year) given to Critical Care Admin Director and Quality Officer.
*Start Date - April 2003,  End Date - March 2020
*Patient Flow - where patient were have been admitted FROM
 
How is it used?
* To distinguish the reason of transfer due to bed management reason 
* To distinguish the reason of transfer due Medical Necessity reason
* To determine the flow of patients from teaching hospital to teaching hospital, teaching to community, community to teaching, community to community, from outside city/province facility to regional hospital.
 
=== Data to be Reported ===
* Counts for Inpatient direct admit
** Site Ward via ED
** Site ICU via ED
 
* Counts For Non Inpatient direct Admit (e.g. Emergency, Ambulatory Clinic, PCH, Home, Nursing Station)
** Site Emergency via ED
** Site Ambulatory via ED
** PCH via ED
** Home via ED
** Nursing Station via ED
 
* Time spent at ED before transfer to Ward or ICU
 
== Legacy ==
Collection for this was changed as part of the [[2016 Time and Place changes]].
 
This used to be relevant to [[ER Wait]] and [[ICU Var 4 - Parked in ER]], [[Parked in ER tmp entry]].
 
This used to be collected as [[Parked in ER tmp entry]], and prior to that as '''<hosp> - ER (parked)''' entries in  [[s_dispo table]]. Changed as of [[PatientFollow_Project#Transition_dates]] .
 
Content of the article was deleted 2016-06-30 so it doesn't inadvertently show up in searches. See article history if needed.
 
== Related articles ==
{{Related Articles}}
}}

Latest revision as of 10:36, 2022 February 9

Legacy Content

This page contains Legacy Content.

Click Expand to show legacy content.

Direct admissions are patients who are accepted from another site (within region or from out-of-town) and come directly to the next site.

These patients can go straight to the accepting ward at the second site, or they can be admitted via the ER.

Collection Instruction

Data use / Reporting

inter facility transfers report (semi annual and Fiscal year) given to Critical Care Admin Director and Quality Officer.

  • Start Date - April 2003, End Date - March 2020
  • Patient Flow - where patient were have been admitted FROM

How is it used?

  • To distinguish the reason of transfer due to bed management reason
  • To distinguish the reason of transfer due Medical Necessity reason
  • To determine the flow of patients from teaching hospital to teaching hospital, teaching to community, community to teaching, community to community, from outside city/province facility to regional hospital.

Data to be Reported

  • Counts for Inpatient direct admit
    • Site Ward via ED
    • Site ICU via ED
  • Counts For Non Inpatient direct Admit (e.g. Emergency, Ambulatory Clinic, PCH, Home, Nursing Station)
    • Site Emergency via ED
    • Site Ambulatory via ED
    • PCH via ED
    • Home via ED
    • Nursing Station via ED
  • Time spent at ED before transfer to Ward or ICU

Legacy

Collection for this was changed as part of the 2016 Time and Place changes.

This used to be relevant to ER Wait and ICU Var 4 - Parked in ER, Parked in ER tmp entry.

This used to be collected as Parked in ER tmp entry, and prior to that as <hosp> - ER (parked) entries in s_dispo table. Changed as of PatientFollow_Project#Transition_dates .

Content of the article was deleted 2016-06-30 so it doesn't inadvertently show up in searches. See article history if needed.

Related articles

Related articles:
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