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| CAU - Clinical Assessment Unit
| | Clinical Assessment Units are wards to which emergency department decants patients who are are waiting on acquisition of resources (diagnostics and consults) for 24 hrs or more before they are safely returned to community. At some time these were considered part of the ER, but as of 2020-10 they are all Family Medicine. Special collection instructions applied at some point, but now they are simply one of the many units we don't collect on. |
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| This unit is part of the '''emergency medicine department.''' It is a location where patients are harboured who are are waiting on acquisition of resources (diagnostics and consults) for 24 hrs or more before they are safely returned to community.
| | === Site Specific information === |
| | '''How these are collected differs at the different sites'''. See for more info: |
| | *[[GRA CAU]] |
| | *[[HSC CAU]] |
| | *[[STB CAU]] |
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| This is currently '''not''' considered to be an ''inpatient'' location at the HSC. (changes may be coming)
| | ==WRHA ER models of care plan article== |
| *At the Grace, is an inpatient. At STB,it is an inpatient area.--[[User:LKolesar|LKolesar]] 11:24, 2017 October 27 (CDT)
| | [http://home.wrha.mb.ca/improvement/files/models-of-care-emergency-department.pdf WRHA Models of ER Care] article (2017-10-02) |
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| == Collection instructions == | | == Retirement of s_dispo entries == |
| {{Discussion}}
| | We used to collect the CAUs as separate locations from local wards because they used to be managed by the ER, and so could have contained [[EMIP]]s. As of 2021 they are all managed by Family Medicine, and so for our considerations are just another hospital ward where we don't collect, coded as e.g. HSC_Ward. |
| *changes are in progress.
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| If a patient is admitted from a CAU, code [[Previous Location]] as one of
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| *'''HSC - ER (CAU)'''
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| **code [[Previous Service]] as '''Emergency Medicine''' (as confirmed by Con and Lou)Sept 2017.
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| *'''GRA - ER (CAU)'''
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| {{Discussion}}
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| ** I was just speaking with Marusia and she told me that the CAU patients here at the Grace are being treated as admitted patients rather than ER patients. They are being admitted currently to 4 East under Family Medicine. The thinking was that they have been dealt with by ER but not deemed ready for discharge but they do not want them being seen as ER patients. Should we be admitting them as from an inpatient unit with Family Medicine being the prior service? Thanks [[p:Stephanie Cortilet | Stephanie]]
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| ***Based on info you provided, it makes sense then that this is an ADMIT from is an Inpatient location and Previous Service is Family medicine. | | All *CAU entries for incomplete pts were changed to *ward entries, and the *CAU entries in [[S dispo table]] were retired. |
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| ****To clarify is the pre-admit inpatient institution field entered as GRA CAU then? If so, could GRA CAU be added to the drop down list along with STB CAU and possibly HSC CAU (for future reference if needed)? According to EPR, Medicine service is also listed as a previous service for GRA CAU. Thanks, [[User:Ppiche|Pamela Piche]] 08:49, 2017 October 30 (CDT)
| | On discussion with Julie it was decided to keep the s_dispo entries around and not convert them. The loc type is Ward in s_dispo which is enough when reporting - usually being combined as <site> ward. |
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| | == Related articles == |
| | {{Related Articles}} |
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| === EMIP ===
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| In Sept 2017 Con investigated whether any patients in the CAU are ever [[EMIP]]s; she found that there should not be. If any collector comes across an EMIP from one of these locations, please update this.
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| {{discussion}}
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| *need to resolve [[EMIP]] and figure out where that info will live. Ttenbergen 11:30, 2016 December 29 (CST)
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| *If a patient is still considered an ER patient in a CAU, they can potentially be an EMIP if they get accepted by internal medicine but subsequently are discharged or sent to another hospital. At STB our CAU contains inpatients mostly under family medicine but can be under internal medicine (they are not under the ER physician). If the CAU is considered part of ER then I guess patients that are accepted by internal medicine and go out elsewhere could be EMIP's. It depends how you view the area. Is the CAU considered the same as ER or not? Management will have to determine how they want this done. Currently no one at STB collects data at all on the patients in the CAU. --[[User:LKolesar|LKolesar]] 11:49, 2017 October 27 (CDT)
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| == CAU Details ==
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| ==='''HSC'''===
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| was previous called [[Clinical Assessment Unit]]. As of Oct 3, 2017, referred to as CAU.
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| *Start date: {{Discussion}}
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| **when was CCDU opened? Was it January 2011.
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| *Location: GH7
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| **plans to move to GB2 - (when current GB2 (Addictions, moves to RR2) coming spring 2018. No specific date yet.
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| *[[Pre-admit Inpatient Institution field | Pre-admit Inpatient]]?: No. No yet. We have been treating it as an extension of the ER. There are plans to change model of care sometimes in 2018.
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| *[[Previous Service]]: Emergency Medicine
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| **Plans to change care model in 2018 spring 018
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| *Number of beds: 10
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| **2 flex beds (over census)in spring 2018.
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| *Manager: {{Discussion}}
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| ==='''GRA'''===
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| *10 bed unit opened on 4 East Monday, 2017-Oct-16
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| *Location: E4 (4E)
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| *[[Pre-admit Inpatient Institution field | Pre-admit Inpatient]]: Yes {{discussion}} is it now confirmed that we will treat as coming from inpatient unit? or still as ER?
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| *[[Previous Service]]: Family Medicine
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| *Number of beds: 10
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| *Manager: Kathy Kwiatkowski (see Grace N3 contact information)
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| ==='''STB'''===
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| *Start date: 2017-Oct-3
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| *Location: L2113 - L2ME in EPR
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| *[[Pre-admit Inpatient Institution field | Pre-admit Inpatient]]: Inpatient
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| *[[Previous Service]]:
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| **Emergency Medicine (as per STB intranet memo Oct 3.17)
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| **These patients are mostly under Family Medicine however, some are under Internal Medicine.
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| *Number of beds: 10
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| *Manager:
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| [[Category:Site Specific Collection Guide]]
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| [[Category:Overflow]] | | [[Category:Overflow]] |
| [[Category:Admit/Discharge]] | | [[Category:Admit/Discharge]] |
| [[Category:Dispo]] | | [[Category:Dispo]] |
| | [[Category:CAU]] |
Clinical Assessment Units are wards to which emergency department decants patients who are are waiting on acquisition of resources (diagnostics and consults) for 24 hrs or more before they are safely returned to community. At some time these were considered part of the ER, but as of 2020-10 they are all Family Medicine. Special collection instructions applied at some point, but now they are simply one of the many units we don't collect on.
Site Specific information
How these are collected differs at the different sites. See for more info:
WRHA ER models of care plan article
WRHA Models of ER Care article (2017-10-02)
Retirement of s_dispo entries
We used to collect the CAUs as separate locations from local wards because they used to be managed by the ER, and so could have contained EMIPs. As of 2021 they are all managed by Family Medicine, and so for our considerations are just another hospital ward where we don't collect, coded as e.g. HSC_Ward.
All *CAU entries for incomplete pts were changed to *ward entries, and the *CAU entries in S dispo table were retired.
On discussion with Julie it was decided to keep the s_dispo entries around and not convert them. The loc type is Ward in s_dispo which is enough when reporting - usually being combined as <site> ward.
Related articles