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Not currently being collected
'''E'''mergency '''C'''ritical Care '''I'''n'''P'''atient.
{{DiscussTask |We keep discussing whether [[EMIP]] like patients should be collected in Critical Care. Consensus is that they are rare, but for consistency it would be good if we caught them. At task meeting 2020 Jan 29, reviewed. Question: Is this easy to get from EPR?  Trish reviewed with [[p:Lisa kaita]] and apparently fairly easy to catch.
 
*Currently any ECIP are documented in CCMDB TMP project [[Boarding Loc]].
== ECIPs related to MICUs / under one of the Critical Care services ==
**2020 Feb 12:  DB Task meeting discussed to continue adding as borrow location as Tina is currently working on EPR lists dump via Congnos?  SO we will wait for better solution before any further changes and to continue with current practice to capture these
A critical care / MICU ECIP is a patient who was under the care of a Critical Care service in the ER and never made it to the MICU (see [[EMIP]] for scenarios). See [[Cognos_SubServices table]] in [[CCMDB.accdb]] for list.  
***2020 Feb 18: Allan thoughts were not to add ECIP, call it NCIP because they are not only in ER. I think he was not clear about what this is suppose to be. Not resolved.}}
{{Discuss |
* Actually I am not sure if "* Critical Care / *" would always be MICU, the list includes "HSC Critical Care / Orthopedics" and "HSC Critical Care / Plastics", what does that even mean? Ttenbergen 15:36, 2020 October 6 (CDT)
}}
 
Such a patient will show up in the [[Cognos Report Integrator]] listings just like an [[EMIP]] patient.  
{{Discuss |
* Are collectors finding these in [[Cognos Admitter]] / [[Patient Viewer Tab Cognos ADT]]?


* How are these entered when they are found?
}}
== ECIPs related to SICUs / '''not''' under one of the Critical Care services ==
A surgical / SICU ECIP is a patient who...
{{Discuss |
* what would even be the actual definition of a surgical / SICU ECIP ? Ttenbergen 15:36, 2020 October 6 (CDT)
}}
A patient who is '''not''' under the care of one of the Critical Care services (see [[Cognos_SubServices table]] in [[CCMDB.accdb]] for list) may show up in the [[Cognos Report Integrator]] listings if they were under one of a set of services we identified (see "* Surgery /*" in [[Cognos_SubServices table]] in [[CCMDB.accdb]] for list). However, we have no way to tell a patient under e.g. a surgery service who then went to a unit (or home) from a patient under such service who should have gone to ICU but didn't get there.
{{Discuss |
* As per email discussion with Lisa: "We could also have a safety net where by the other ICU collectors could email the collectors at HSC when they receive an admission from HSC ER?"
**  If others receiving an admission from HSC ER would be a filter, we might actually have that info in Cognos, it just would not be showing up in your (ie HSC’s) data at this time. But that would mean collectors would always need to review patients who went to another ICU from the HSC ER (and likely the same for the STB ER, possibly even the GRA one...), so that seems like a lot of overhead. Are we OK to just identify SICU ECIPs as a population we likely usually don't capture? Ttenbergen 15:36, 2020 October 6 (CDT)
}}


'''E'''mergency '''C'''ritical Care '''I'''n'''P'''atient.


We keep discussing whether [[EMIP]] like patients should be collected in Critical Care. Consensus is that they are rare, but for consistency it would be good if we caught them.  We are seeing increasing occurring at the Grace.


This was on the task team's list for a while but there was no appetite to start doing this.  
== Collecting this info under [[Boarding Loc]] ==
{{Discuss |
*Somewhere on this page it said "Currently any ECIP are documented in CCMDB TMP project [[Boarding Loc]]." How so? The only [[Boarding Loc]] entry for this I can find is "GRA_ER". There is a discussion about this under [[Boarding_Loc#Special_Case_-_EMIP.2FECIP]] but it is incomplete. Ttenbergen 15:36, 2020 October 6 (CDT)
}}


Email from Trish 2016-11-10:
== ECIPs in other locations ==
: Main office should take this to TASK meeting.  ICU patient entire LOS in ER before being sent to another ICU at another site or to another Physician Service.
{{Discuss |
:I know we are all keen are having data to see what patient flow is and if there are ICU patient under ICU attending but they stay in ER before they go to another ICU because not bed in own ICU or other reasons, then should we capture these? Really not physically in own ICU, but is in ER occupying bed under an ICU attending?
2020 Feb 18: Allan thoughts were not to add ECIP, call it NCIP because they are not only in ER. I think he was not clear about what this is suppose to be. Not resolved.
** So where else would these be? We already collect the PACU ones as boarding, but are there other locations at HSC? Eg does someone get accepted on H6 and then remains there instead of coming to the unit? Ttenbergen 15:36, 2020 October 6 (CDT) }}


:Now that we have the ERP Reports, we can find things like this however, we need to discuss if value to ICU database to include.  I know everyone is interested in patient flow and I was previously told that there is not that much delay when ICU attending accept patient, then when they are transferred to ICU. But there are a number we have seeing that sit it ER under ICU attending in one center then go from that ER to another site ICU.
== How to identify ECIPs in [[Cognos EPR Report]] ==
As [[EMIP]], but with a Critical Care service.


== How to you pick out ECIP in EPR Reports ==
== How to identify critical care /MICU ECIPs in EPR Reports ==
EPR reports:  
EPR reports:  


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