Boarding Loc: Difference between revisions

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*** There are now additional circumstances where we use comment field for Borrow Loc, to do with COVID moves. Documented in pages in [[:Category:2020 COVID unit transition]] and some info below in [[#COVID]]

=== APACHE ===

The APACHE elements time frame will start in the off-ward bed location.

{{Discuss |

~~Are~~ the ~~following two cases not the same~~? Ttenbergen 09:34, 2020 ~~September 23~~ (CDT)

* Does it really start in ER? since that's now one off-ward location? In any case, we should really only link to the definition in APACHE from here so this doesn't become inconsistent. If someone knows where that's documented, can you please confirm and fix? Ttenbergen 00:36, 2020 October 16 (CDT)}}

}}

=== ~~Special Case - Moved to a Borrow Location PRIOR to being moved to your Unit or ward~~ ===

=== TISS ===

* ~~If moved into~~ a ~~borrowed location~~ '~~''prior~~ to~~''' coming your unit or ward~~, ~~then the '''[[Arrive DtTm field]]''~~' in ~~Dispo tab should be~~ the ~~same the arrive DtTm in TMP of your first borrowed location~~.

TISS starts from the off-ward bed.

{{Discuss |

* This would now mean TISS starts in ER if the pt is in ER long enough. We discussed that a while ago and I can't remember the outcome. This might need to be updated to correspond to that. Or rather, this should only be a link to that so it doesn't go inconsistent in the future. If some one knows what was decided, can you please fix this? Ttenbergen 00:36, 2020 October 16 (CDT)}}

=== Special Case - ~~original arrival is in "borrowed bed"~~ ===

=== Special Case - Parked ===

~~If pt is admitted to your physician service but the original location is from an off-ward bed, code that location [[Arrive DtTm]] = borrow date and time.~~

~~The APACHE elements time frame will start in the off-ward bed location and TISS starts from the off-ward bed as well.~~

~~=== Special Case - Return from boarding Loc to own unit during same stay ===~~

* If the patient moves back to their "home unit", or "intended unit", make another '''borrowed bed location''' entry and select your home unit, e.g. ''HSC - Home medicine ward''. Enter the date/time for this move, as above.

*Dispo Tab

**[[Service/Location field]] enter: '''home''' ward/unit.

{{Discuss|Wouldn't the service/location field equals the generic HSC_Med, and the HSC_Home medicine ward in the tmp would specify this as H4, A4, etc? Same for ICU would it be a generic HSC_ICU and home ICU would be specified in the tmp boarding?}}

~~=== Special Case - moving from one borrowed ward bed to another ===~~

~~If there are two consecutive boarding locations in the same type of Boarding Loc entry (e.g. "HSC - boarding"), just have one entry with the first date and add in the comment the other locations.~~

~~{{Discuss| For Julie's reports on occupancy, does she need this separated out with a unique date/tm for each move? }}~~

~~=== Special Case - PACU ===~~

~~If a bed is borrowed in PACU / post-anesthesia care / recovery unit, code this as a '''borrow'''. (i.e. <hosp> - recovery, e.g. "HSC - recovery").~~

~~If the decision to accept to the service happens in PACU, the [[Arrive DtTm]] = the borrow date and time. The APACHE elements are collected at PACU stay and TISS starts at PACU.~~

~~=== Special Case - From ER ===~~

~~Not included in this project.~~

*The time spent/waiting in ER is done using [[Arrive DtTm]] vs [[Accept DtTm]].

**March 30.19: own ward, to own ER (under ICU physician care) then to own ICU when bed available. Started occurring at Grace- March 30.19

*** See [[GRA ER use as borrow location]]

{{Discuss |

* ~~we have two entries "GRA_ER" and "GRA - ER". The "- ER" one is same format as~~ the ~~STB and HSC ones. We should probably consolidate the GRA_ER entry into GRA -~~ ER~~. For now~~, ~~collectors~~ please ~~use "GRA - ER",~~ and ~~when the last "GRA_ER" is gone I will get rid of~~ the ~~option and we can consolidate them.~~ Ttenbergen 19:26, 2020 October 15 (CDT)

* There was talk about changing the [[Parked in ER]] to use [[Boarding Loc]] scheme instead; I can't remember details, if someone else can, could you please update here and remove the old instruction below?Ttenbergen 00:36, 2020 October 16 (CDT)

}}

~~=== Special Case - Parked ===~~

~~Not included.~~

*For patients who are [[Parked in ER]], no need an entry for these, since the ER delay will take care of them.

=== Special Case - EMIP/ECIP ===

~~{{Discuss|~~

See [[2020-10 EMIP changes]]

* [[~~ECIP]]~~ - ~~these ''are'' now happening, so how would we enter them?~~

* [[EMIP]] ~~- this structure ''could'' accommodate EMIPs, but the problem is~~

** how do we identify them (right now people take turns at some sites...

** which collector would collect them what service/location do we collect them as? Right now we have a special service location for these...

** how about that "service x" at HSC?

*** Wouldn't the chart number determine which collector enters any given EMIP/ECIP? COGNOS should show all patients under medicine, including those still sitting in the ER. If we enter them all with a service/location of HSC_MED and the tmp boarding location HSC_ER, some may be discharged (EMIP) and some will arrive to their intended unit, which would then require another entry in the tmp "HOme medicine ward with date/tm and specific physical location in Q or to another boarding location if they are overflow. At HSC we have unknown medicine, neuro and nephro services that we admit, in the case of neuro their home medicine ward is HOBS(H7) because we only enter neuro patients admitted to that specific unit, however nephro and unknown service can admit anywhere, so I am not sure what we would put for their home medicine service location.

}}

=== Special Case - CAU ===

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== Loose ends ==

{{Discuss |

* we have two entries "GRA_ER" and "GRA - ER". The "- ER" one is same format as the STB and HSC ones. We should probably consolidate the GRA_ER entry into GRA - ER. For now, collectors please use "GRA - ER", and when the last "GRA_ER" is gone I will get rid of the option and we can consolidate them. Ttenbergen 19:26, 2020 October 15 (CDT)

}}

{{DT |

@@ Line 35: / Line 35: @@
 *** There are now additional circumstances where we use comment field for Borrow Loc, to do with COVID moves. Documented in pages in [[:Category:2020 COVID unit transition]] and some info below in [[#COVID]]
+=== APACHE ===
+The APACHE elements time frame will start in the off-ward bed location.
 {{Discuss |
-Are the following two cases not the same? Ttenbergen 09:34, 2020 September 23 (CDT)
+* Does it really start in ER? since that's now one off-ward location? In any case, we should really only link to the definition in APACHE from here so this doesn't become inconsistent. If someone knows where that's documented, can you please confirm and fix? Ttenbergen 00:36, 2020 October 16 (CDT)}}
-}}
-=== Special Case - Moved to a Borrow Location PRIOR to being moved to your Unit or ward ===
+=== TISS ===
-* If moved into a borrowed location '''prior to''' coming your unit or ward, then the '''[[Arrive DtTm field]]''' in Dispo tab should be the same the arrive DtTm in TMP of your first borrowed location.
+TISS starts from the off-ward bed.
+{{Discuss |
+* This would now mean TISS starts in ER if the pt is in ER long enough. We discussed that a while ago and I can't remember the outcome. This might need to be updated to correspond to that. Or rather, this should only be a link to that so it doesn't go inconsistent in the future. If some one knows what was decided, can you please fix this? Ttenbergen 00:36, 2020 October 16 (CDT)}}
-=== Special Case - original arrival is in "borrowed bed" ===
+=== Special Case - Parked ===
-If pt is admitted to your physician service but the original location is from an off-ward bed, code that location  [[Arrive DtTm]] = borrow date and time.
-The APACHE elements time frame will start in the off-ward bed location and TISS starts from the off-ward bed as well.
-=== Special Case - Return from boarding Loc to own unit during same stay ===
-* If the patient moves back to their "home unit", or "intended unit", make another '''borrowed bed location''' entry and select your home unit, e.g. ''HSC - Home medicine ward''. Enter the date/time for this move, as above.
-*Dispo Tab
-**[[Service/Location field]] enter: '''home''' ward/unit.
-{{Discuss|Wouldn't the service/location field equals the generic HSC_Med, and the HSC_Home medicine ward in the tmp would specify this as H4, A4, etc?  Same for ICU would it be a generic HSC_ICU and home ICU would be specified in the tmp boarding?}}
-=== Special Case - moving from one borrowed ward bed to another ===
-If there are two consecutive boarding locations in the same type of Boarding Loc entry (e.g. "HSC - boarding"), just have one entry with the first date and add in the comment the other locations.
-{{Discuss| For Julie's reports on occupancy, does she need this separated out with a unique date/tm for each move? }}
-=== Special Case - PACU ===
-If a bed is borrowed in PACU / post-anesthesia care / recovery unit, code this as a '''borrow'''. (i.e. <hosp> - recovery, e.g. "HSC - recovery").
-If the decision to accept to the service happens in PACU, the [[Arrive DtTm]] = the borrow date and time.  The APACHE elements are collected at PACU stay and TISS starts at PACU.
-=== Special Case - From ER ===
-Not included in this project.
-*The time spent/waiting in ER is done using [[Arrive DtTm]] vs [[Accept DtTm]].
-**March 30.19: own ward, to own ER (under ICU physician care) then to own ICU when bed available.  Started occurring at Grace- March 30.19
-*** See [[GRA ER use as borrow location]]
 {{Discuss |
-* we have two entries "GRA_ER" and "GRA - ER". The "- ER" one is same format as the STB and HSC ones. We should probably consolidate the GRA_ER entry into GRA - ER. For now, collectors please use "GRA - ER", and when the last "GRA_ER" is gone I will get rid of the option and we can consolidate them. Ttenbergen 19:26, 2020 October 15 (CDT)
+* There was talk about changing the [[Parked in ER]] to use [[Boarding Loc]] scheme instead; I can't remember details, if someone else can, could you please update here and remove the old instruction below?Ttenbergen 00:36, 2020 October 16 (CDT)
 }}
-=== Special Case - Parked ===
-Not included.
 *For patients who are [[Parked in ER]], no need an entry for these, since the ER delay will take care of them.
 === Special Case - EMIP/ECIP ===
-{{Discuss|
+See [[2020-10 EMIP changes]]
-* [[ECIP]] - these ''are'' now happening, so how would we enter them?
-* [[EMIP]] - this structure ''could'' accommodate EMIPs, but the problem is
-** how do we identify them (right now people take turns at some sites...
-** which collector would collect them what service/location do we collect them as? Right now we have a special service location for these...
-** how about that "service x" at HSC?
-*** Wouldn't the chart number determine which collector enters any given EMIP/ECIP?  COGNOS should show all patients under medicine, including those still sitting in the ER.  If we enter them all with a service/location of HSC_MED and the tmp boarding location HSC_ER, some may be discharged (EMIP) and some will arrive to their intended unit, which would then require another entry in the tmp "HOme medicine ward with date/tm and specific physical location in Q or to another boarding location if they are overflow.  At HSC we have unknown medicine, neuro and nephro services that we admit, in the case of neuro their home medicine ward is HOBS(H7) because we only enter neuro patients admitted to that specific unit, however nephro and unknown service can admit anywhere, so I am not sure what we would put for their home medicine service location.
-}}
 === Special Case - CAU ===
@@ Line 109: / Line 78: @@
 == Loose ends ==
+{{Discuss |
+* we have two entries "GRA_ER" and "GRA - ER". The "- ER" one is same format as the STB and HSC ones. We should probably consolidate the GRA_ER entry into GRA - ER. For now, collectors please use "GRA - ER", and when the last "GRA_ER" is gone I will get rid of the option and we can consolidate them. Ttenbergen 19:26, 2020 October 15 (CDT)
+}}
 {{DT |