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Pre-admit Inpatient Institution field: Difference between revisions

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clarifications for new coding schema; please review and request clarification where needed.
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This does not include patients who just arrived at an ER elsewhere and were not admitted as inpatient there.
If that location is already an inpatient location, then the pre admit inpatient institution will be the same the [[Previous Location]].
For example, a patient arriving from Selkirk Hospital ward via the local ER would have the ER coded in the [[Previous Location field]] and Selkirk ward coded in the [[Pre-admit Inpatient Institution field]].


== Collection Instruction ==
== Collection Instruction ==
For each patient,  
For each patient,  
* enter the most recent '''in-patient''' location where the patient has been admitted during this continuous episode of hospitalization at this or other hospitals.
* enter the most recent '''in-patient''' location where the patient has been admitted during this continuous episode of hospitalization at this or other hospitals
** for places where we collect: <site>_Med, <site>_CC, STB_ICCS, STB_ACCU
** for wards where we don't collect: <site>_Ward
{{Ex |
*HSC MICU --- family medicine ward at the Vic --- HSC_ER --- STB_ER --- cath lab --- HSC_MICU.
**Code the Pre-admit Inpatient Institution field as: VIC_Ward}}
* if you know the situation but nothing on the list matches closely, enter '''other - known but not listed'''
* if you know the situation but nothing on the list matches closely, enter '''other - known but not listed'''
* if the situation is unknown, enter '''location missing/unknown'''
* if the situation is unknown, enter '''location missing/unknown'''
* if the patient did not come from an '''in'''patient location, enter "not applicable", for example if they came from home or a clinic. The ER is '''not''' an inpatient location.
* if the patient did not come from an '''in'''patient location, enter "not applicable"  
 
for example if they came from home or a clinic. The ER (at your site or elsewhere) is '''not''' an inpatient location, so enter "not applicable"  for these
If you know how we code the location exactly, you can type it. Otherwise press the "?" button to take you to the [[S dispo chooser‎]] to help filter options if desired.
 
Example:
*VIC_ICU---family medicine ward at the Vic---HSC_ER---STB_ER---cath lab---HSC_MICU.  
**Code the Pre-admit Inpatient Institution field as: VIC_Ward


=== Where to find this information ===
=== Where to find this information ===
If patient came from a different Winnipeg hospital this will be recorded in the  “Visit History” on the EPR.
If patient came from a different Winnipeg hospital this will be recorded in the  “Visit History” on the EPR.
=== [[EMIP]]/[[Bed borrow]] ===
see those articles
*If a patient arrives on your ward from a bed borrow location, code [[Pre-admit Inpatient Institution field]]/[[Previous Location field]] as the home location, not the bed borrow one.


=== Ambiguous locations ===
=== Ambiguous locations ===
The following '''ARE''' considered inpatient locations in this context:
The following '''ARE''' considered inpatient locations in this context:
* day-surgery patients ending up on our unit directly
* day-surgery patients ending up on our unit directly
{{Discuss | what are those entered as then? }}


The following '''ARE NOT''' considered inpatient locations, enter "NA / not applicable"
The following '''ARE NOT''' considered inpatient locations, enter "NA / not applicable"
* care homes, including units with higher levels of care at any '''[[Chronic Health Facility]]'''
* care homes, including units with higher levels of care at any '''[[Chronic Health Facility]]'''
* [[Grace Nursing Home Ward]] - We consider admissions from there as re-admissions, so would be coded as if they had come from home. Consistent with that we will consider these '''not''' inpatient locations, so code them as "NA / not applicable".
(As per meeting with Dr Roberts 2016-05-05)


=== intra-facility and inter-facility transfers  ===
=== intra-facility and inter-facility transfers  ===
If a patient gets transferred to another ward in the same or different hospital, enter the '''previous ward''' as both the [[Previous Location field]] and the [[Pre-admit Inpatient Institution field]].
If a patient gets transferred to another ward in the same or different hospital, enter <site>_Med, <site>_Ward or <site>_CC (as appropriate) as both the [[Previous Location field]] and the [[Pre-admit Inpatient Institution field]].
 
=== direct admit / transfer / parked in ER ===
see [[Direct admit]] / [[Parked in ER]]
 
===Code Readmission from [[Grace Nursing Home Ward]] as NA ===
We consider admissions from there as re-admissions, so would be coded as if they had come from home. Consistent with that we will consider these '''not''' inpatient locations, so code them as "NA / not applicable".
(As per meeting with Dr Roberts 2016-05-05)


=== several pre-admit locations ===
=== several pre-admit locations ===
If a patient travels through several pre-admit inpatient locations we will only have data on the last one. We understand that. Just to be clear.
If a patient travels through several pre-admit inpatient locations we will only have data on the last one. We understand that. Just to be clear.


Example: Pt was on a ward as an inpatient then went to ICU, then was transferred to the ward you are collecting on. Previous location would be ICU and previous inpatient institution would also be ICU.
{{Ex |  Pt was on a ward as an inpatient then went to ICU, then was transferred to the ward you are collecting on. Previous location would be ICU and previous inpatient institution would also be ICU.}}


=== ward -> ER -> ICU ===
{{Location dropdown cleanup}}
* [[GRA_ICU_Collection_Guide#GRA_ER_use_as_borrow_location]]


== Data Use / Purpose ==
== Data Use / Purpose ==
Retrieved from "https://ccmdb.kuality.ca/index.php?title=Pre-admit_Inpatient_Institution_field"