Multiple Encounter: Difference between revisions
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Patients may show up in our database repeatedly either during the same hospital stay or at a later time. If they show up at a later time, but soon after the last hospital stay, they may qualify as "readmission", which we report monthly, quarterly and annually | Patients may show up in our database repeatedly either during the same hospital stay or at a later time. If they show up at a later time, but soon after the last hospital stay, they may qualify as "readmission", which we report monthly, quarterly and annually. | ||
== Multiple Encounters == | == Multiple Encounters == | ||
* {{discussion}} What are the fields that have to match to consider two encounters the same patient, eg likely a combination of names, dob, ?phin?, what else?Ttenbergen 18:07, 2012 November 22 (EST) | |||
What are the fields that have to match to consider two encounters the same patient? | |||
== Continuous Hospital Stay == | == Continuous Hospital Stay - Medicine == | ||
The [[statistician]] uses data from [[Admit From & Discharged To]], [[Med Var 1 - Admit-from Ward]] and [[Med Var 2 - Discharge-to Ward]] to | The [[statistician]] uses data from [[Admit From & Discharged To]], [[Med Var 1 - Admit-from Ward]] and [[Med Var 2 - Discharge-to Ward]] to | ||
* link profiles from one ward to another when both wards are within the database program | * link profiles from one ward to another when both wards are within the database program | ||
** {{discussion}} what do you mean "when both wards are within the database program" - would we have data if they were not?Ttenbergen 18:07, 2012 November 22 (EST) | |||
* detect a likely continuous stay when a pt is discharged from one of our wards to a non-collected ward and then re-admitted to one of our wards from the same non-collected ward. | * detect a likely continuous stay when a pt is discharged from one of our wards to a non-collected ward and then re-admitted to one of our wards from the same non-collected ward. | ||
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* is '''not''' admitted for planned and scheduled surgery | * is '''not''' admitted for planned and scheduled surgery | ||
* might be readmitted from Ward or outside hospital | * might be readmitted from Ward or outside hospital | ||
** is there anywhere pt would not be allowed to be admitted from? Ttenbergen 18:07, 2012 November 22 (EST) {{discussion}} | |||
=== Medicine Definition === | === Medicine Definition === | ||
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* (admit date/time) - (most recent discharge date/time to the hospital) <= 7 days after their most recent discharge time to the hospital | * (admit date/time) - (most recent discharge date/time to the hospital) <= 7 days after their most recent discharge time to the hospital | ||
* is admitted from outside hospital | * is admitted from outside hospital | ||
* (Legacy: planned surgery used to be excluded, but this stopped because of insufficient data when we stopped collecting some APACHE elements in the medicine program Dec 31, 2006) | * ''(Legacy: planned surgery used to be excluded, but this stopped because of insufficient data when we stopped collecting some APACHE elements in the medicine program Dec 31, 2006)'' | ||
Revision as of 17:07, 22 November 2012
Patients may show up in our database repeatedly either during the same hospital stay or at a later time. If they show up at a later time, but soon after the last hospital stay, they may qualify as "readmission", which we report monthly, quarterly and annually.
Multiple Encounters
- Template:Discussion What are the fields that have to match to consider two encounters the same patient, eg likely a combination of names, dob, ?phin?, what else?Ttenbergen 18:07, 2012 November 22 (EST)
Continuous Hospital Stay - Medicine
The statistician uses data from Admit From & Discharged To, Med Var 1 - Admit-from Ward and Med Var 2 - Discharge-to Ward to
- link profiles from one ward to another when both wards are within the database program
- Template:Discussion what do you mean "when both wards are within the database program" - would we have data if they were not?Ttenbergen 18:07, 2012 November 22 (EST)
- detect a likely continuous stay when a pt is discharged from one of our wards to a non-collected ward and then re-admitted to one of our wards from the same non-collected ward.
Readmissions
For our purposes, readmissions are admissions of patients who were recorded by our database recently.
ICU Definition
For ICU, a readmission is a patient where
- (admit date/time) - (most recent ICU discharge date/time to ward or home) <= 72 hours
- is not admitted for planned and scheduled surgery
- might be readmitted from Ward or outside hospital
- is there anywhere pt would not be allowed to be admitted from? Ttenbergen 18:07, 2012 November 22 (EST) Template:Discussion
Medicine Definition
For medicine, a readmission is a patient where
- (admit date/time) - (most recent discharge date/time to the hospital) <= 7 days after their most recent discharge time to the hospital
- is admitted from outside hospital
- (Legacy: planned surgery used to be excluded, but this stopped because of insufficient data when we stopped collecting some APACHE elements in the medicine program Dec 31, 2006)