Swap Locations: Difference between revisions

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== The problem ==

Swing or swap locations are not real locations. While listed as in a swap location, the pt might still be in the old location or already be in a new location that gets entered after. Collectors seem to review the chart, make sense of what actually happened, and enter accordingly.

<quote>...because cognos Is often using the swing bed as a legitimate date and time, we are getting incorrect information. I find that more often than not (not necessarily every single time), the swing bed entry is usually when the patient is still physically located in er, and has not yet, actually physically been moved up to the ward. The er needs to use that location to admit another patient. Therefore, they will put a “swing bed” entry in. because the swing bed entry is listed right after the er entry, cognos picks that up, and uses that as the admit to unit start date and time. This date and time, is, in actual fact wrong. The actual ward unit start time, is the next entry in the location history that does not have the swing bed tag as the location. (Debbie)</quote>

Clarifications:

* The entry is not picked up by Cognos ''"because the swing bed entry is listed right after the er entry"'', it is picked up because it is a unit entry during the timeframe of a service admission.

* The swing bed is associated with whichever location it is a swing bed for. So, if the ER uses a ward swing bed, then maybe the real problem is that they should be using an ER swing bed? If they did, the pt would be correctly still listed as an ER pt.

{{Discuss |

* Debbie: When you say ''"the next entry in the location history"'', you mean the history on the EPR, right? [[User:Ttenbergen|Ttenbergen]] 09:26, 2020 December 3 (CST)

}}

{{DA |

* Would it make sense to talk to STB about how the swing beds are used by ER?

}}

{{Discuss | Is there ever "room for interpretation" where both collectors would still consider the pt on their unit, or where both would consider them already/still on the other unit? If not, how and why?

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 == The problem ==
 Swing or swap locations are not real locations. While listed as in a swap location, the pt might still be in the old location or already be in a new location that gets entered after. Collectors seem to review the chart, make sense of what actually happened, and enter accordingly.
+<quote>...because cognos Is often using the swing bed as a legitimate date and time, we are getting incorrect information. I find that more often than not (not necessarily every single time), the swing bed entry is usually when the patient is still physically located in er, and has not yet, actually physically been moved up to the ward. The er needs to use that location to admit another patient. Therefore, they will put a “swing bed” entry in. because the swing bed entry is listed right after the er entry, cognos picks that up, and uses that as the admit to unit start date and time. This date and time, is, in actual fact wrong. The actual ward unit start time, is the next entry in the location history that does not have the swing bed tag as the location. (Debbie)</quote>
+Clarifications:
+* The entry is not picked up by Cognos ''"because the swing bed entry is listed right after the er entry"'', it is picked up because it is a unit entry during the timeframe of a service admission.
+* The swing bed is associated with whichever location it is a swing bed for. So, if the ER uses a ward swing bed, then maybe the real problem is that they should be using an ER swing bed? If they did, the pt would be correctly still listed as an ER pt.
+{{Discuss |
+* Debbie: When you say ''"the next entry in the location history"'', you mean the history on the EPR, right? [[User:Ttenbergen|Ttenbergen]] 09:26, 2020 December 3 (CST)
+}}
+{{DA |
+* Would it make sense to talk to STB about how the swing beds are used by ER?
+}}
 {{Discuss | Is there ever "room for interpretation" where both collectors would still consider the pt on their unit, or where both would consider them already/still on the other unit? If not, how and why?