Continuous Stay: Difference between revisions
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== Definition == | == Definition == | ||
A pair of records for the same patient is a continuous stay if: | A pair of records for the same patient is a continuous stay if: | ||
* | * [[Dispo DtTm]] 1 and admit2 are 5 or fewer minutes apart in the same hospital | ||
{{Discuss | who = Julie | This will likely have changed when we eliminated the 5 minute rule for local transfers; Julie, could you confirm that this was also changed wherever it has an impact? }} | {{Discuss | who = Julie | | ||
* | * This will likely have changed when we eliminated the 5 minute rule for local transfers; Julie, could you confirm that this was also changed wherever it has an impact? | ||
* | * Does this use [[Arrive DtTm]] or [[Accept DtTm]] in the new schema? | ||
* the [[ | }} | ||
* the first admission doesn't end with [[ | * [[Dispo DtTm]] 1 and admit2 are between 30[[Transfer time rule| *]] minutes and 48 hrs apart in different hospitals | ||
{{Discuss | who = Julie | | |||
* Does this use [[Arrive DtTm]] or [[Accept DtTm]] in the new schema? | |||
}} | |||
* the combination of [[Dispo field]] field in the first the [[Service/Location field]] in the second match | |||
* the [[Previous Location field]] in the second and the [[Service/Location field]] in the first match | |||
* the first admission doesn't end with [[Dispo field]] = AMA | |||
{{Discuss | who = Julie | | |||
* That last line seems to be obvious in new schema from the other definitions... is AMA still at all relevant here or can it be taken out? | |||
}} | |||
=== Continuous encounter with intermission at non-collected ward === | === Continuous encounter with intermission at non-collected ward === | ||
If all of | If all of | ||
* [[ | * [[Dispo field]] and [[Previous Location field]] are both <local hospital> | ||
* [[ | * [[Dispo field]] on the first record is the same as [[Previous Location field]] on the second | ||
* the two | * the two fields are not a collected ward | ||
then this is likely a continuous stay. | then this is likely a continuous stay. | ||
=== Continuous encounter with intermission in OR === | === Continuous encounter with intermission in OR === | ||
For ICU patient transferring to another ICU area Or ICU patient who went to OR and/or comes from OR or Recovery to an ICU between same or different hospital, the max time to consider a continuous link is <= 2days (48 hours). If more than 2 days, the next ICU admission is considered as new admission and not a transfer. | For ICU patient transferring to another ICU area Or ICU patient who went to OR and/or comes from OR or Recovery to an ICU between same or different hospital, the max time to consider a continuous link is <= 2days (48 hours). If more than 2 days, the next ICU admission is considered as new admission and not a transfer. | ||
{{ | {{Discuss | who = Julie | | ||
* would it make sense to take out the ICU requirement for this? The same might be rarer for Medicine patients but would still be true. I will implement [[Encounter processing]] like that for now unless I hear otherwise. Ttenbergen 12:06, 2015 January 22 (CST) | * would it make sense to take out the ICU requirement for this? The same might be rarer for Medicine patients but would still be true. I will implement [[Encounter processing]] like that for now unless I hear otherwise. Ttenbergen 12:06, 2015 January 22 (CST) | ||
* Glad you put that in Tina, I was going to make a similar comment.--[[User:CMarks|CMarks]] 12:48, 2015 January 22 (CST) }} | ** Glad you put that in Tina, I was going to make a similar comment.--[[User:CMarks|CMarks]] 12:48, 2015 January 22 (CST) | ||
}} | |||
=== Reports using this concept === | === Reports using this concept === | ||
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3. Patient is transferred to a different hospital, the admission for that hospital ends and the patient becomes a new admission to the second hospital | 3. Patient is transferred to a different hospital, the admission for that hospital ends and the patient becomes a new admission to the second hospital | ||
(a) except if reason is lab test and stay in the second hospital <1 day '''[[Bed holds|bec bed is usually put on hold]]''' on the first hospital | (a) except if reason is lab test and stay in the second hospital <1 day '''[[Bed holds|bec bed is usually put on hold]]''' on the first hospital | ||
{{Discuss | who = Julie | | |||
* This def of [[Bed holds]] is not consistent with the one in [[Bed holds]]; they probably should be, i.e. the same definition should be used throughout. Are they actually consistent in your program? Can we remove the detail from here and link to bed hold? | |||
}} | |||
4. Pts with previous encounters and admitted from ER, Home, Outside City or Province or previously discharged to Home, Outside City or Province | 4. Pts with previous encounters and admitted from ER, Home, Outside City or Province or previously discharged to Home, Outside City or Province | ||
5. Pts with previous encounters and admitted from unit within the hospital but the prior encounter was discharged to Home, Outside City or Province | 5. Pts with previous encounters and admitted from unit within the hospital but the prior encounter was discharged to Home, Outside City or Province | ||