Parked in ER tmp entry: Difference between revisions

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A patient is considered '''parked in ER''' if they are a [[direct admit]] who gets stuck in the ER.  
A patient is considered '''parked in ER''' if they are a [[direct admit]] who gets stuck in the ER. Two types of Direct admit - already an Inpatient and not an Inpatient.  


== collection instructions ==
== collection instructions ==
Line 10: Line 10:
**STB - ER (parked)
**STB - ER (parked)


*[[Pre-admit Inpatient Institution field]], enter the other site/unit/ward (including the HSC/STB/GRA [[EMIP]]s) they were last sent from   
* For Inpatient direct admit -   
**[[Pre-admit Inpatient Institution field]], enter the other site/unit/ward (including the HSC/STB/GRA [[EMIP]]s) they were last sent from   
 
* For Non Inpatient - 
** go to Tmp Project [['Accept Location']] and follow the instruction on how to enter the non inpatient location they were last sent from


* [[Previous Service field]], enter the service of the sending site if available, otherwise enter ''Unknown''
* [[Previous Service field]], enter the service of the sending site if available, otherwise enter ''Unknown''


==== Special Case: Pt from other site ER as direct admit but never admitted at that site ====
=== Data to be Reported ===
Follow normal admission coding practice for patients from out-of-town ERs. We understand that this means they will not show up as direct admits in our data. 
* for Inpatient direct admit
** Site Ward via ED
** Site ICU via ED


==== Special case: EMIP-like patient from out of town ====
* For Non Inpatient direct Admit (e.g. Emergency, Ambulatory Clinic, PCH, Home)
We don't have a code for an [[EMIP]] outside the city. And, we will not allow a patient who just comes from an ER as direct / parked. Follow normal admission coding practice for patients from out-of-town ERs. Do not use the ER (direct) codes.
** Site Emergency via ED
 
** Site Ambulatory via ED
We understand that this means they will not show up as direct admits in our data.
** PCH via ED
** Home via ED


=== for patient leaving a ward/unit via parked in ER ===
=== for patient leaving a ward/unit via parked in ER ===
Into [[Dispo]], enter the new ward that the patient will go to. The option ER (direct) will not be available.
Into [[Dispo]], enter the new ward that the patient will go to. The option ER (direct) will not be available.
== There are questions ==
{{Discuss@task | Collectors are entering HSC ER(direct) when there is no pre-inpt institution. Discussed, and there might be good reasons to do this. Need to decide how we want to collect and use this. Randy Martens has provided some feedback in email dated Nov 29.17.}}
Collectors thought it's important to know if e.g. a pt came direct from other site's ER, but had been accepted to one of our med wards. But sometimes these folks then get stuck in our ERs. Something like that. Julie should present the details.


=== Dates ===
=== Dates ===
Line 35: Line 38:
=== Data use ===
=== Data use ===
What reports use this?
What reports use this?
*inter facility transfers report -semi annual and Fiscal year. {{Discussion}} Julie are these part of regular report or separate reports?
*inter facility transfers report (semi annual and Fiscal year) given to Critical Care Admin Director and Quality Officer.  
*patient flow - where patient were have been admitted FROM
*patient flow - where patient were have been admitted FROM




How is it used?
How is it used?
* To distinguish the reason of transfer due to bed management reason 
* To distinguish the reason of transfer due Medical Necessity reason
* To determine the flow of patients from teaching hospital to teaching hospital, teaching to community, community to teaching, community to community, from outside city/province facility to regional hospital. 


== related concepts ==
== related concepts ==

Revision as of 12:33, 4 December 2017

A patient is considered parked in ER if they are a direct admit who gets stuck in the ER. Two types of Direct admit - already an Inpatient and not an Inpatient.

collection instructions

for patient arriving at a ward/unit via parked in ER

  • Previous Location field, enter one of
    • HSC - ER (parked)
    • GRA - ER (parked)
    • CON - ER (parked)
    • OAK - ER (parked)
    • STB - ER (parked)
  • For Non Inpatient -
    • go to Tmp Project 'Accept Location' and follow the instruction on how to enter the non inpatient location they were last sent from

Data to be Reported

  • for Inpatient direct admit
    • Site Ward via ED
    • Site ICU via ED
  • For Non Inpatient direct Admit (e.g. Emergency, Ambulatory Clinic, PCH, Home)
    • Site Emergency via ED
    • Site Ambulatory via ED
    • PCH via ED
    • Home via ED

for patient leaving a ward/unit via parked in ER

Into Dispo, enter the new ward that the patient will go to. The option ER (direct) will not be available.

Dates

  • Start Date = Oct 10, 2017
  • End Date = Indefinite

Data use

What reports use this?

  • inter facility transfers report (semi annual and Fiscal year) given to Critical Care Admin Director and Quality Officer.
  • patient flow - where patient were have been admitted FROM


How is it used?

  • To distinguish the reason of transfer due to bed management reason
  • To distinguish the reason of transfer due Medical Necessity reason
  • To determine the flow of patients from teaching hospital to teaching hospital, teaching to community, community to teaching, community to community, from outside city/province facility to regional hospital.

related concepts

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