AcceptDateSource

Article in progress......working on it.  Collectors need your input to items list below.Trish Ostryzniuk 14:55, 2017 January 11 (CST)

This is a temporary project to track source collectors use for Accept DtTm to help us assess quality and consistency of this data.

Collection instructions

For each patient admitted from the ER, enter one or more lines for this project.

Enter one line for each document you came across that you could have used as source for the Accept DtTm, enter the source/document:

• TMP tab on laptop in CCMDB.mdb
• Project: AcceptDateSource
• Item: select the document from #Options for "Item"
• checkbox/column B: check if this is the document you used for the Accept DtTm
• Date/column E: enter the date if different from the one you used.
• Time/column M: enter the timeif different from the one you used.
• coment/column Q: comment if guess or other

Options for "Item"

Template:Discussion before we start, I need help for the drop down list for items in regards what the sources might be. This is tentative list subject to staff input. I have started the list below:

1. ER form-Request for Admit to inpatient unit
2. Inpatient summary sheet (pink sheet) - Template:Discussion - is this only at VIC? I think HSC has pink sheet too.
3. Doctors order
4. Standard ICU order sheet
5. ICU admission notes
6. ICU consult
7. HX & Physic note
8. EPR - Template:Discussion - where in EPR, what is the field name?
9. ER Dr note-ICU accepted the patient
10. Guess - no documentation
11. other

Preliminary documentation info

As we are trying to find out what to collect, we found the following.

• I can't think of anything you have missed for HSC.--Jpeterson 08:36, 2017 January 18 (CST)

"ER Department - Request for Admission to Inpatient Unit" form

At HSC, Director of Medical Records states that there should be a white form on chart - ER Department - Request for Admission to Inpatient Unit. (Trish asked them to fax her copy). Hospitals using this:

• HSC
• Vic
• Conc has this form but is not a permanent part of the chart,it is tossed in confidential waste.

VIC consult sheet

• the consult sheet in ER/viewed in EPR filled out by the Bed Doc (VIC) will indicate whether he will admit to Medicine(teaching vs Nonteaching) however we dont use that time only the Pink Inpt summary Sheet time.
  • Template:Discussion Shirley, are you saying we need to add this to the drop down? You say you don't use it, so I guess not. If you don't use this sheet are you just trying to make sure we know how Accept DtTm is collected at the Vic? If so, the info should more likely be in VIC ICU Collection Guide and/or VIC Medicine Collection Guide. Ttenbergen 11:27, 2017 January 17 (CST)

HSC Pink Sheets

HSC's pink sheet is only seen rarely. Usually I've only seen it for patients who came in for a same day procedure and then ended up needing to be admitted to medicine. We use the white sheet where the physician requests a bed for the patient. This time is usually the same time as the doctors orders.--CMarks 13:10, 2017 January 18 (CST)

Dates

Start Date

Target: 2017-Feb-1

End Date

2017-Mar-31

Background

Operation Planning - Patient Flow. Region Managers and Director are monitoring and tracking patient flow from the emergency department to their unit. The data helps support any changes needed to improve patient flow from ER to unit.