Transfer Ready DtTm tmp entry: Difference between revisions

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{{Discuss|

For the date cutoff are we referring to admission date, transfer ready date, or discharge date? [[User:Surbanski|Surbanski]] 10:22, 2020 October 16 (CDT)}}

* For the date cutoff are we referring to admission date, transfer ready date, or discharge date? [[User:Surbanski|Surbanski]] 10:22, 2020 October 16 (CDT)

** The [[Transfer Ready DtTm]]

}}

== Data Collection Instructions ==

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Then either check the box on the new line when you finally complete the patient, or lather rinse repeat.

{{Discuss|So do we need a transfer ready time for every physical move - for example, ER to D4, D4 to H4? Or only when a patient moves to a '''lower''' level of care. So when ER --> D4, no transfer ready time, but D4 --> WRS3, we would have a transfer ready time.

{{Discuss|

* This is my dilemma with our definition, it is the '''intent''' which I cannot qualify thru the data. if I see an entry in transfer ready date but the physical transfer location is the same or higher level of care, I have to consider that transfer ready date to be valid. I rely that the entry is correct. I rather have the definition to be consistent with the level of care (except for Deaths) so I can quality check the transfer date entry and remove the '''intent''' as part of the definition. The goal is to measure bed wastage and when the patient moves to the same or higher level of care, that is not bed wastage to me. --[[User:JMojica|JMojica]] 10:18, 2020 October 16 (CDT) }}

* So do we need a transfer ready time for every physical move - for example, ER to D4, D4 to H4? Or only when a patient moves to a '''lower''' level of care. So when ER --> D4, no transfer ready time, but D4 --> WRS3, we would have a transfer ready time.

** no new entry for same level of care, but entry for '''higher or lower''' level of care. Why higher as well? Because once a patient actually moves to a higher level of care, the original determination that they were transfer ready almost certainly is no longer valid. The only exception might be the original ER entry - that is a high level of care location, but would we expect someone to become transfer ready there and then still move to the ward? Probably not. I'd say no entry for that part, but should see what Julie has to say. Ttenbergen 15:16, 2020 October 16 (CDT)

}}

{{Discuss| Moving this into a different topic because it's about how to interpret these, not how to enter them

* This is my dilemma with our definition, it is the '''intent''' which I cannot qualify thru the data. if I see an entry in transfer ready date but the physical transfer location is the same or higher level of care, I have to consider that transfer ready date to be valid. I rely that the entry is correct. I rather have the definition to be consistent with the level of care (except for Deaths) so I can quality check the transfer date entry and remove the '''intent''' as part of the definition. The goal is to measure bed wastage and when the patient moves to the same or higher level of care, that is not bed wastage to me. --[[User:JMojica|JMojica]] 10:18, 2020 October 16 (CDT)

** When the patient was deemed transfer ready, additional time in the ward was "wasted time" - if we could have sent them elsewhere we would have. If the patient later crashes, that doesn't make it not-wasted time - they could have crashed anywhere. So the interpretation that a pt moving to a higher level of care after transfer ready is not wasted time is not right. We discussed this repeatedly at task. The only way this makes sense is if it is done by intent. Ttenbergen 15:16, 2020 October 16 (CDT)}}

}}

@@ Line 13: / Line 13: @@
 {{Discuss|
-For the date cutoff are we referring to admission date, transfer ready date, or discharge date? [[User:Surbanski|Surbanski]] 10:22, 2020 October 16 (CDT)}}
+* For the date cutoff are we referring to admission date, transfer ready date, or discharge date? [[User:Surbanski|Surbanski]] 10:22, 2020 October 16 (CDT)
+** The [[Transfer Ready DtTm]]
+}}
 == Data Collection Instructions ==
@@ Line 35: / Line 37: @@
 Then either check the box on the new line when you finally complete the patient, or lather rinse repeat.
-{{Discuss|So do we need a transfer ready time for every physical move - for example, ER to D4, D4 to H4? Or only when a patient moves to a '''lower''' level of care. So when ER --> D4, no transfer ready time, but D4 --> WRS3, we would have a transfer ready time.
+{{Discuss|
-* This is my dilemma with our definition, it is the '''intent''' which I cannot qualify thru the data. if I see an entry in transfer ready date but the physical transfer location is the same or higher level of care, I have to consider  that transfer ready date to be  valid. I rely that the entry is correct. I rather have the definition to be consistent with the level of care (except for  Deaths) so I can quality check the transfer date entry and remove the '''intent'''  as part of the definition. The goal is to measure bed wastage and  when the patient moves to the same or higher level of care, that is not bed wastage to me. --[[User:JMojica|JMojica]] 10:18, 2020 October 16 (CDT) }}
+* So do we need a transfer ready time for every physical move - for example, ER to D4, D4 to H4? Or only when a patient moves to a '''lower''' level of care. So when ER --> D4, no transfer ready time, but D4 --> WRS3, we would have a transfer ready time.
+** no new entry for same level of care, but entry for '''higher or lower''' level of care. Why higher as well? Because once a patient actually moves to a higher level of care, the original determination that they were transfer ready almost certainly is no longer valid. The only exception might be the original ER entry - that is a high level of care location, but would we expect someone to become transfer ready there and then still move to the ward? Probably not. I'd say no entry for that part, but should see what Julie has to say. Ttenbergen 15:16, 2020 October 16 (CDT)
+}}
+{{Discuss| Moving this into a different topic because it's about how to interpret these, not how to enter them
+* This is my dilemma with our definition, it is the '''intent''' which I cannot qualify thru the data. if I see an entry in transfer ready date but the physical transfer location is the same or higher level of care, I have to consider  that transfer ready date to be  valid. I rely that the entry is correct. I rather have the definition to be consistent with the level of care (except for  Deaths) so I can quality check the transfer date entry and remove the '''intent'''  as part of the definition. The goal is to measure bed wastage and  when the patient moves to the same or higher level of care, that is not bed wastage to me. --[[User:JMojica|JMojica]] 10:18, 2020 October 16 (CDT)
+** When the patient was deemed transfer ready, additional time in the ward was "wasted time" - if we could have sent them elsewhere we would have. If the patient later crashes, that doesn't make it not-wasted time - they could have crashed anywhere. So the interpretation that a pt moving to a higher level of care after transfer ready is not wasted time is not right. We discussed this repeatedly at task. The only way this makes sense is if it is done by intent. Ttenbergen 15:16, 2020 October 16 (CDT)}}
+}}
 {{Data Integrity Check List}}