Chronic Health Facility

General Information for Chronic Health Facilities and entries for them in

• Pre acute living situation field
• Pre-admit Inpatient Institution
• Previous Location field
• Dispo field
• Awaiting/delayed transfer to long-term care/PCH inside or outside of Winnipeg

We have discussed lately that we might want to become more nuanced about some chronic care locations (Deer Lodge and Riverview). I have removed the details from the above linked fields and consolidated here. Once this page is cleaned up this discussion entry can be removed.

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Specific facilities, some with more than one type of care

Riverview

• Riverview (palliative care (Hospice), rehab, LTV)- except PCH part, code that as PCH

Deer Lodge

• Deer Lodge (rehab) - except PCH part, code that as PCH

Here is the breakdown Riverview- PCH- C and D wings floors 1-4 42 beds PCH- Aand B wings -locked unit for alzheimer/dementia 30 beds 2E is LTV 30 beds 3E is palliative care 30 beds 4E is stroke rehab 30 beds 4W is Acute brain injury- 10 beds 3W is PCH- 29 beds 2W respiratory ward (no vents)- 30 beds Deer Lodge Rehab wards are Lodge 2W, 4E and 4W TCU is Lodge 2E chronic care is Lodge 5E, 5W, 6E, 6W, 7E and 7W (clients with comples medical issues who can't be cared for in PCH ie. tracheostomy, ostomy, enteral and parenteral nutrition, complex wound care, blood transfusions and PIV and Central lines. PCH is Tower 3N, 3S, and 4,5,6,7 and also Lodge 3W, 3E Lisa Kaita 13:03, 10 March 2025 (CDT)

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Hospice

review, that might need to be consolidated with this page as well.

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St Amant

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Any others?

Do we need to consider 1010 Sinclair separately as well? 1010 sinclair is an independent apartment living see https://tenten.mb.ca/housing/1010-sinclair-street/. so I would think this might be home or community facility with support? Lisa Kaita 12:49, 10 March 2025 (CDT) 1011 supports ventilated patients (or used to anyway, so that's pretty heavy support... Ttenbergen 17:54, 10 March 2025 (CDT) Any others we might need to consider separately?

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This portion needs to be integrated

Pre acute living situation field

Use the "chronic health" entry for patients coming from any part of

• any hospice, though these should obviously be rare
• Selkirk Mental Health Centre

• If a patient's discharge to a Chronic Health Facility is delayed, you might be able to code Awaiting/delayed transfer to long-term care/PCH inside or outside of Winnipeg.

from Dispo field

• use <site>_ward e.g. Riverview stroke rehab, Oaks ward
• If the patient is discharged to the PCH portion of Deer Lodge or Riverview use Winnipeg PCH

from Awaiting/delayed transfer to long-term care/PCH inside or outside of Winnipeg

Use your judgement and available information to decide what to code for the Awaiting/delayed transfer to long-term care/PCH inside or outside of Winnipeg diagnosis .

• Includes Riverview LTV unit

Excludes

• Those that have Pre-admit Inpatient Institution of PCH and are being discharged back to their original PCH. If there is a delay in transfer this will be captured by the Transfer Ready DtTm

These should be made consistent with Template:PCH Riverview Deer Lodge and should probably use that template to enforce consistent use. Ttenbergen 14:23, 2024 October 16 (CDT) and I have lost track of the details Ttenbergen 10:45, 2024 November 1 (CDT) There might be an easy way out of this question. We now only have one awaiting code; if waiting for any of them qualifies for this code then we may not need to know about the level of care. But then again, some of those sites also have acute/LAU type settings so we may need to figure this out after all...Ttenbergen 20:27, 2024 December 11 (CST)

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Discussed this at JALT Meeting - Rolling Agenda and Minutes 2025#JALT 2025-03-11 but I don't remember if we came to an answer or next step. Just found a note to add that we will also need to decide if any of these are in-patient locations. This would make them collectable as Pre-admit Inpatient Institution, and is relevant as per Pre-admit Inpatient Institution field#Data Use / Purpose.

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in s_dispo, Riverview has inpatient checked, Deer lodge does not. When all this is settled they should probably become consistent... but not sure which so not now.

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