Boarding Loc: Difference between revisions

Line 32:

** We discussed this and decided to leave for now, as we don't manually delete it is populated by COGNOS when we choose the Make location button [[User:Lkaita|Lisa Kaita]] 13:59, 2023 February 1 (CST) -->

==== ~~Exception: no~~ two with same DtTm ====

{{Combined instructions for Transfer Ready DtTm and Boarding Loc}}

==== Special Case - Can't have two Boarding Locs with same DtTm ====

* '''No two different boarding locations should have same start_dt and start_tm.'''

** if two boarding locations have the same Start_DtTm, this is an error, change one to be off by one minute, put a note in "notes" section to check boarding location to confirm the correct date and time for the boarding locations of concern.

** example: Not infrequently, the COGNOS data for HSC_SICU patients coming from the ER, will show the first service, first boarding location(ER) and the second boarding location(SICU) as all having the same start_DtTm. Our solution for this is to change the, second boarding location (SICU) to be off by one minute. We then put a note in the notes section to confirm the boarding location(s) date and time and the first service_DtTm.

=~~Exception~~=

==== Special Case - Cognos data has different times for first [[Boarding Loc]] and [[Service tmp entry]] ====

* when a patient is transferred to one of our units, ideally the first service and first [[boarding Loc]] should be the same date and time. However, often ~~they are not~~. In these cases, always use the first service entry line as the date and time for first service and first [[~~boarding~~ Loc]] (make a note in the ~~notes~~ field to change to the first [[Boarding Loc]] date and time ~~at a~~ later ~~date when reviewing~~ the ~~chart)~~

* when a patient is transferred to one of our units, ideally the first service and first [[boarding Loc]] should be the same date and time. However, often [[Cognos2 Service Starter]] and [[Cognos2 Unit Starter]] have different times for them. In these cases, always '''use the first service''' entry line as the date and time for first service and first [[Boarding Loc]]. Changing the time when you first enter the record would cause a problem with [[Using Cognos2 to keep track of patients]], so leave it at the original time for then and make a note in the [[Notes field]] to change to the first [[Boarding Loc]] date and time later before you set the record to "complete".

*example- patient transfers from ICU to medical unit. first medicine service=May10@1400, First boarding loc=May10@1630. While the correct first service and first [[Boarding Loc]] should be May 10@1630, enter the first service date and time from COGNOS (May 10@1400) for both the first service and first [[boarding Loc]]. There are two reasons for this: if you change the first service date and time without excluding that service it will fill up your CSS and you will not get the associated service end date and time. If you exclude that service entry all together than you will also not get the associated service end date and time.

{{Ex |

{{~~Combined instructions for Transfer Ready DtTm~~ and Boarding Loc}}

Patient transfers from ICU to medical unit. first medicine service=May10@1400, First boarding loc=May10@1630. While the correct first service and first [[Boarding Loc]] should be May 10@1630, enter the first service date and time from COGNOS (May 10@1400) for both the first service and first [[boarding Loc]]. There are two reasons for this: if you change the first service date and time without excluding that service it will fill up your CSS and you will not get the associated service end date and time. If you exclude that service entry all together than you will also not get the associated service end date and time.

}}

{{DL| Since this applies to both [[Boarding Loc]] and [[Service tmp entry]] I will make [[Template:Boarding Loc, Service content]] for it to integrate it. }}

==== GRA MICU ====

==== Special Case - GRA MICU boarding in GH-Emergency ====

''This is a case of [[Patients who appear to transfer from in-patient situation to Emergency Room]], see there for more info.

* Grace ICU boarding in ER choose Boarding Location GH-Emergency

* Grace Main ICU choose Boarding Location and GH-Intensive Care

Line 48:

Line 54:

* For External(SDC/NFA) ICU beds choose Boarding Loc and GH-External ICU and enter exact location in comments

=== Special Case - ~~cross~~-program boarding ===

=== Special Case - Cross-program boarding ===

If a patient is accepted by ~~your~~ service, taken care of but '''remains at a location of a different service where we collect for some time''' before moving to ~~your~~ service, ~~you need to~~ enter a [[Boarding Loc]] entry for that period. That originating and different service location becomes the first Boarding loc.

If a patient is accepted by a service, taken care of by that service but '''remains at a location of a different service where we collect for some time''' before moving to the new service, enter a [[Boarding Loc]] entry for that period. That originating and different service location becomes the first Boarding loc.

{{DL |

should the above say "before moving to a new ''ward''" or is "to the new service" right. the whole thing confuses me a bit...

}}

'''For medicine pts boarding in ICU''' you can use the explicit ICU entry that applies because all CC locations are explicitly included in Boarding Loc.

{{DL|

what is this sentence telling me, can I not use the specific medicine entry? Why/how? What would a new collector need to know?

}}

'''For CC patients boarding on a Med ward where we collect''', enter "GRA_Med"/"HSC_Med"/"STB_Med" as applicable. We added these boarding loc options specifically for this scenario, and they are available only ~~on CC laptops~~.

'''For CC patients boarding on a Med ward where we collect''', enter "GRA_Med"/"HSC_Med"/"STB_Med" as applicable. We added these boarding loc options specifically for this scenario, and they are available only for [[Critical Care program]] admissions.

{{DL | said laptop, but should be per admission; might be worth confirming that this isn't a lose end we missed from going to patientfollow. if all good, comment can be deleted. }}

{{Ex | This could happen if the team runs a code on a patient and accepts care for that patient, but for a period of time hasn't yet moved the patient. For Critical Care, you would enter a generic "<Site>_Med" "<Site>_Med" (ie [[GRA_Med]], [[HSC_Med]], [[STB_Med]]) for this patient so we don't have CC collectors keeping track of where regular, boarding or covid locations are.}}

===Special Case- temporary ~~boarding~~ locations ===

=== Special Case - [[Visits to temporary locations]] that happen to be Boarding Locs ===

Occasionally a patient may be transferred to a location that is normally a [[Boarding Loc]] that we would enter or discharge to, however that location may be used as a temporary boarding location for a procedure. If after reading through the chart this is in fact the case, that [[Boarding Loc]] should not be entered ~~in the TMP~~, as it should be regarded as though the patient were going for any procedure and then back to their home ward location.

Occasionally a patient may be transferred to a location that is normally a [[Boarding Loc]] that we would enter or discharge to, however that location may be used as a temporary boarding location for a procedure. If after reading through the chart this is in fact the case, that [[Boarding Loc]] should not be entered, as it should be regarded as though the patient were going for any procedure and then back to their home ward location.

*Sometimes [[Visits to temporary locations]] may look like boarding locations. See that page for info on making the distinction.

~~eg.~~ Medicine patient is transferred to ICMS for a scope and is not admitted under critical care~~, that~~ [[Boarding Loc]] for ICMS ~~should not be entered in the TMP~~

{{Ex|

Medicine patient is transferred to ICMS for a scope and is not admitted under critical care -> don't enter a [[Boarding Loc]] for ICMS

}}

=== Special Case - ~~Erroneous Unit information in [[Cognos EPR Report]] ===~~

=== Special Case - parked in ER ===

~~Use what you know to be correct from chart and your knowledge of your hospital.~~

~~===~~ parked in ER ===

For further information please see

* [[Parked in ER]]

=== Sources for Boarding Loc DtTm ===

=== ~~sources~~ for Boarding Loc DtTm ===

~~Sometimes the times are not when people really show up at a boarding loctation.~~

==== Cognos Unit Listing ====

Usually the Cognos Unit start time can be used as [[Boarding Loc]].

Usually the Cognos Unit start time from [[CSS]] or [[Cognos2 Unit Starter]] can be used as [[Boarding Loc]].

==== First set of vital signs ====

The first set of vital signs is used as [[Boarding Loc]] dttm for arrival on the unit in ICU collection, if it is different from the Cognos Unit Start DtTm.

[[ICU Curriculum]]: The first set of vital signs is used as [[Boarding Loc]] dttm for arrival on the unit in [[ICU collection, if it is different from the Cognos Unit Start DtTm.

==== Erroneous Unit information in [[CSS]]//[[Cognos Unit Starter]] ====

Sometimes the times are not when people really show up at a location. Use what you know to be correct from chart and your knowledge of your hospital.

== Start/End Dates ==

== Start/End Dates of collection ==

*CC Start: 2018-July-19 as [[Project Borrow arrive]] and has been renamed and continued as Boarding Loc starting 2019-Sep-01

*Med Start: 2019-Sep-01: new admissions on and after this date.

Line 105:

Line 116:

The concept is similar to [[EMIP]]s but we will keep the EMIP separate from this project. The current EMIP will stay the same.--[[User:JMojica|JMojica]] 10:37, 2019 September 20 (CDT)

{{DJ |

* I don't think that's really true any more, right? And I think the old way of collecting is at [[EMIP#Legacy information]]. Can we just leave

[[EMIP]]s are collected as part of [[Boarding Loc]] now, see [[EMIP#Legacy information]] for how they were collected before.

}}

==Related articles ==

@@ Line 32: / Line 32: @@
 ** We discussed this and decided to leave for now, as we don't manually delete it is populated by COGNOS when we choose the Make location button [[User:Lkaita|Lisa Kaita]] 13:59, 2023 February 1 (CST) -->
-==== Exception: no two with same DtTm ====
+{{Combined instructions for Transfer Ready DtTm and Boarding Loc}}
+<!-- the above are general instructions, put any special case info below here -->
+==== Special Case - Can't have two Boarding Locs with same DtTm ====
 * '''No two different boarding locations should have same start_dt and start_tm.'''
 ** if two boarding locations have the same Start_DtTm, this is an error, change one to be off by one minute, put a note in "notes" section to check boarding location to confirm the correct date and time for the boarding locations of concern.
 ** example: Not infrequently, the COGNOS data for HSC_SICU patients coming from the ER,  will show the first service, first boarding location(ER) and the second boarding location(SICU) as all having the same start_DtTm.  Our solution for this is to change the, second boarding location (SICU) to be off by one minute.  We then put a note in the notes section to confirm the boarding location(s) date and time and the first service_DtTm.
-=Exception=
+==== Special Case - Cognos data has different times for first [[Boarding Loc]] and [[Service tmp entry]] ====
-* when a patient is transferred to one of our units, ideally the first service and first [[boarding Loc]] should be the same date and time.  However, often they are not.  In these cases, always use the first service entry line as the date and time for first service and first [[boarding Loc]]   (make a note in the notes field to change to the first [[Boarding Loc]] date and time at a later date when reviewing the chart)
+* when a patient is transferred to one of our units, ideally the first service and first [[boarding Loc]] should be the same date and time. However, often [[Cognos2 Service Starter]] and [[Cognos2 Unit Starter]] have different times for them. In these cases, always '''use the first service''' entry line as the date and time for first service and first [[Boarding Loc]]. Changing the time when you first enter the record would cause a problem with [[Using Cognos2 to keep track of patients]], so leave it at the original time for then and make a note in the [[Notes field]] to change to the first [[Boarding Loc]] date and time later before you set the record to "complete".
-*example- patient transfers from ICU to medical unit.  first medicine service=May10@1400, First boarding loc=May10@1630.  While the correct first service and first [[Boarding Loc]] should be May 10@1630, enter the first service date and time from COGNOS (May 10@1400) for both the first service and first [[boarding Loc]].  There are two reasons for this: if you change the first service date and time without excluding that service it will fill up your CSS and you will not get the associated service end date and time. If you exclude that service entry all together than you will also not get the associated service end date and time.
+{{Ex |
-{{Combined instructions for Transfer Ready DtTm and Boarding Loc}}
+Patient transfers from ICU to medical unit.  first medicine service=May10@1400, First boarding loc=May10@1630.  While the correct first service and first [[Boarding Loc]] should be May 10@1630, enter the first service date and time from COGNOS (May 10@1400) for both the first service and first [[boarding Loc]].  There are two reasons for this: if you change the first service date and time without excluding that service it will fill up your CSS and you will not get the associated service end date and time. If you exclude that service entry all together than you will also not get the associated service end date and time.
+}}
+{{DL| Since this applies to both [[Boarding Loc]] and [[Service tmp entry]] I will make [[Template:Boarding Loc, Service content]] for it to integrate it. }}
-==== GRA MICU ====
+==== Special Case - GRA MICU boarding in GH-Emergency ====
+''This is a case of [[Patients who appear to transfer from in-patient situation to Emergency Room]], see there for more info.
 * Grace ICU boarding in ER choose Boarding Location GH-Emergency
 * Grace Main ICU choose Boarding Location and GH-Intensive Care
@@ Line 48: / Line 54: @@
 * For External(SDC/NFA) ICU beds choose Boarding Loc and GH-External ICU and enter exact location in comments
-=== Special Case - cross-program boarding ===
+=== Special Case - Cross-program boarding ===
-If a patient is accepted by your service, taken care of  but '''remains at a location of a different service where we collect for some time''' before moving to your service, you need to enter a [[Boarding Loc]] entry for that period. That originating and different service location becomes the first Boarding loc.
+If a patient is accepted by a service, taken care of by that service but '''remains at a location of a different service where we collect for some time''' before moving to the new service, enter a [[Boarding Loc]] entry for that period. That originating and different service location becomes the first Boarding loc.
+{{DL |
+should the above say "before moving to a new ''ward''" or is "to the new service" right. the whole thing confuses me a bit...
+}}
 '''For medicine pts boarding in ICU''' you can use the explicit ICU entry that applies because all CC locations are explicitly included in Boarding Loc.
+{{DL|
+what is this sentence telling me, can I not use the specific medicine entry? Why/how? What would a new collector need to know?
+}}
-'''For CC patients boarding on a Med ward where we collect''', enter "GRA_Med"/"HSC_Med"/"STB_Med" as applicable. We added these boarding loc options specifically for this scenario, and they are available only on CC laptops.
+'''For CC patients boarding on a Med ward where we collect''', enter "GRA_Med"/"HSC_Med"/"STB_Med" as applicable. We added these boarding loc options specifically for this scenario, and they are available only for [[Critical Care program]] admissions.
+{{DL | said laptop, but should be per admission; might be worth confirming that this isn't a lose end we missed from going to patientfollow. if all good, comment can be deleted. }}
 {{Ex | This could happen if the team runs a code on a patient and accepts care for that patient, but for a period of time hasn't yet moved the patient. For Critical Care, you would enter a generic "<Site>_Med"  "<Site>_Med" (ie [[GRA_Med]], [[HSC_Med]], [[STB_Med]]) for this patient so we don't have CC collectors keeping track of where regular, boarding or covid locations are.}}
-===Special Case- temporary boarding locations ===
+=== Special Case - [[Visits to temporary locations]] that happen to be Boarding Locs ===
-Occasionally a patient may be transferred to a location that is normally a [[Boarding Loc]] that we would enter or discharge to, however that location may be used as a temporary boarding location for a procedure.  If after reading through the chart this is in fact the case, that [[Boarding Loc]] should not be entered in the TMP, as it should be regarded as though the patient were going for any procedure and then back to their home ward location.
+Occasionally a patient may be transferred to a location that is normally a [[Boarding Loc]] that we would enter or discharge to, however that location may be used as a temporary boarding location for a procedure.  If after reading through the chart this is in fact the case, that [[Boarding Loc]] should not be entered, as it should be regarded as though the patient were going for any procedure and then back to their home ward location.
 *Sometimes [[Visits to temporary locations]] may look like boarding locations. See that page for info on making the distinction.
-eg. Medicine patient is transferred to ICMS for a scope and is not admitted under critical care, that [[Boarding Loc]] for ICMS should not be entered in the TMP
+{{Ex|
+Medicine patient is transferred to ICMS for a scope and is not admitted under critical care -> don't enter a [[Boarding Loc]] for ICMS
+}}
-=== Special Case - Erroneous Unit information in [[Cognos EPR Report]] ===
+=== Special Case - parked in ER ===
-Use what you know to be correct from chart and your knowledge of your hospital.
-=== parked in ER ===
 For further information please see
 * [[Parked in ER]]
+=== Sources for Boarding Loc DtTm ===
-=== sources for Boarding Loc DtTm ===
-Sometimes the times are not when people really show up at a boarding loctation.
 ==== Cognos Unit Listing ====
-Usually the Cognos Unit start time can be used as [[Boarding Loc]].
+Usually the Cognos Unit start time from [[CSS]] or [[Cognos2 Unit Starter]] can be used as [[Boarding Loc]].
 ==== First set of vital signs ====
-The first set of vital signs is used as [[Boarding Loc]] dttm for arrival on the unit in ICU collection, if it is different from the Cognos Unit Start DtTm.
+[[ICU Curriculum]]: The first set of vital signs is used as [[Boarding Loc]] dttm for arrival on the unit in [[ICU  collection, if it is different from the Cognos Unit Start DtTm.
+==== Erroneous Unit information in [[CSS]]//[[Cognos Unit Starter]] ====
+Sometimes the times are not when people really show up at a location. Use what you know to be correct from chart and your knowledge of your hospital.
-== Start/End Dates ==
+== Start/End Dates of collection ==
 *CC Start: 2018-July-19 as [[Project Borrow arrive]] and has been renamed and continued as Boarding Loc starting 2019-Sep-01
 *Med Start: 2019-Sep-01: new admissions on and after this date.
@@ Line 105: / Line 116: @@
 The concept is similar to [[EMIP]]s but we will keep the EMIP separate from this project. The current EMIP will stay the same.--[[User:JMojica|JMojica]] 10:37, 2019 September 20 (CDT)
+{{DJ |
+* I don't think that's really true any more, right? And I think the old way of collecting is at [[EMIP#Legacy information]]. Can we just leave
+[[EMIP]]s are collected as part of [[Boarding Loc]] now, see [[EMIP#Legacy information]] for how they were collected before.
+}}
 ==Related articles ==