ECIP

Emergency Critical Care InPatient.

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 from Service Location to Service, Boarding Loc and Transfer Ready DtTm tmp entry, 2020-10 EMIP changes.

"But I never had an ECIP code"

No one had an ECIP code. This sort of thing was not collected until now, and we used to think it doesn't exist. It exists now. However, since we no longer use special codes for these, no ECIP codes were generated.

Instructions for STB?

For STB: ECIPs under MICU service to Medicine units enter the following for the Medicine profile: For Previous Location enter STB_MICU For Pre-admit Inpatient Institution enter STB_MICU For Previous Service enter critical care Is that really specific to STB, or even specific at all? Doesn't that just mean following the usual instructions for these three fields? If so, we don't want to duplicate them here, because if anything about them changes, we would miss this spot in any updates. Ttenbergen 12:42, 2020 November 10 (CST)

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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 s_Cognos_Services table in CCMDB.accdb for list.

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)

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Such a patient will show up in the Cognos Report Integrator listings just like an EMIP patient.

Are collectors finding these in Cognos Admitter / Patient Viewer Tab Cognos ADT? How are these entered when they are found? ECIPs are not showing on cognos admitter lists so far Pamela Piche 08:18, 2020 November 5 (CST)

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ECIPs related to SICUs / not under one of the Critical Care services

A surgical / SICU ECIP is a patient who...

what would even be the actual definition of a surgical / SICU ECIP? There is no surgical equivalent to a "Critical Care service" it seems. Ttenbergen 15:36, 2020 October 6 (CDT)

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A patient who is not under the care of one of the Critical Care services (see s_Cognos_Services 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 s_Cognos_Services 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.

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) 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. --JMojica 16:27, 2020 October 6 (CDT)

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How to identify ECIPs in Cognos EPR Report

As EMIP, but with a Critical Care service.