ECIP: Difference between revisions

How to identify critical care /MICU ECIPs in EPR Reports: Much easier to catch these in Cognos, so eliminating the EPR instruction.
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'''E'''mergency '''C'''ritical Care '''I'''n'''P'''atient.  
'''E'''mergency '''C'''ritical Care '''I'''n'''P'''atient.  


== ECIPs related to MICUs / under one of the Critical Care services ==
== Entering an ECIP ==
They are really just a special case of a Critical Care patient whose only [[Boarding Loc]] entry is that site's ER. See [[Change to GRA Med, HSC Med, STB Med Service Location]], [[2020-10 EMIP changes]].
 
== Identifying an ECIP ==
=== ECIPs related to '''MICUs''' / under one of the Critical Care services ===
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.  
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.  
{{Discuss |
{{Discuss |
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{{Discuss |
{{Discuss |
* Are collectors finding these in [[Cognos Admitter]] / [[Patient Viewer Tab Cognos ADT]]?  
* Are collectors finding these in [[Cognos Admitter]] / [[Patient Viewer Tab Cognos ADT]]?  
* How are these entered when they are found?
* How are these entered when they are found?
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**  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)
**  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)
*On the online  Bed Board  (https://whiteboard.manitoba-ehealth.ca/whiteboard/icu), there is a column OFF_service Patients which means any patient overflowing to either Resuscitation room in ED, PACU/PARR, ICCS, etc. and entry is real time.  For HSC SICU, the common overflow  location is PACU (haven’t seen any at ER).  Only  GRA ICU shows overflows in ER. This may give us a clue for possible ECIP but not sure how DC will crosscheck the online bed board if the timing won't synchronized.  maybe we just have to ignore  SICU ECIP if there is such a thing. --[[User:JMojica|JMojica]] 16:27, 2020 October 6 (CDT)
*On the online  Bed Board  (https://whiteboard.manitoba-ehealth.ca/whiteboard/icu), there is a column OFF_service Patients which means any patient overflowing to either Resuscitation room in ED, PACU/PARR, ICCS, etc. and entry is real time.  For HSC SICU, the common overflow  location is PACU (haven’t seen any at ER).  Only  GRA ICU shows overflows in ER. This may give us a clue for possible ECIP but not sure how DC will crosscheck the online bed board if the timing won't synchronized.  maybe we just have to ignore  SICU ECIP if there is such a thing. --[[User:JMojica|JMojica]] 16:27, 2020 October 6 (CDT)
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== 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)
}}
== ECIPs in other locations ==
{{Discuss |
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) }}


== How to identify ECIPs in [[Cognos EPR Report]] ==
== How to identify ECIPs in [[Cognos EPR Report]] ==
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[[Category: Hospital EPR]]
[[Category:Hospital EPR]]
[[Category: Overflow]]
[[Category:Overflow]]
[[Category:EMIP]]
[[Category:EMIP]]