Definition of a Medicine Program Admission

For Critical Care, see Definition of an ICU_admission

The definition of a "Medicine patient" for the Regional Medicine Database is:

• admitted under a Medicine service attending physician. If patient doesn't meet this definition then we don't collect data and enter into the Medicine database.

Collection for internal medicine patients starts at Accept DtTm ie possibly while in ER, regardless of where they are, including if they are still in the ER (i.e. EMIP).

Med and ICU will be same definition and can then be collapsed. This is also discussed in Change to start collection at accept rather than arrive time. Ttenbergen 11:48, 2020 October 27 (CDT)

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Clear out or reconcile EPR Reports, Discharge Register, Transfer Register, Definition of a Medicine Service admission, Definition of an ICU admission

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Special cases - Inclusion of extra patients

Allan to ask Nick Hajidiacos what he wants and why.

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Allan to ask Nick Hajidiacos what he wants and why.

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This is about the inclusion of some pt not attended by Internal Medicine Attendings. Generally we only include pts under Internal Medicine Service, but the following are exceptions where we collect even though pt is under other physician:

• all "HSC Internal Med / Neurology" patients that are admitted to HSC HOBS, once they are discharged/transferred out of HOBS, we no longer follow the patient. (per Dan Roberts, see also HSC Medicine Collection Guide)
• all nephrology patients

many to D5 (Low Level of care hierarchy) under service of nephrology, neurology, oncology (ward being a non-teaching medicine but those services continue to care for their patient unless accepted by Dr Dowhanic or Arneja(who won't handle the HD population)) not sure what that line means now with the new model; would collectors need to include any non-med-service patients for this? If not, what are we actually saying with it?

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• At STB patients admitted under SBGH Internal Med/Nephrology are collected and included in the database.

Special cases - Exclusion of medicine service patients

We don't collect the following as medicine patients

• patients at any site admitted under the oncology service, e.g.
  • STB_Med - E6 Occasionally Medicine-Oncology service patients are admitted for Chemo treatments/observation, these patients are not included in the data base. These are short stay patients with only nursing IPN entries. If these patients develop complications they are transferred to Internal medicine service for the duration of hospital stay.

If I excluded all "SBGH Internal Med / Oncology", "HSC Oncology / Radiation", "HSC Oncology / Medicine", would we miss any that we care about? Somewhere else this was described as "who are here only for chemo" - are any of them here for reasons other than chemo that we would want to collect? Ttenbergen 16:39, 2020 November 2 (CST) Does the above info answer the question about STB chemo patients? Pamela Piche 13:27, 2020 November 5 (CST) It doesn't answer it explicitly. You tell me how this works for the chemo pts, but what I need confirmed before excluding the service altogether is whether there are ever pts other than chemo pts under that service that we might not want to lose. You are almost saying that, but I want to be sure we are not forgetting a scenario. Also, still waiting to hear back from Allan talking to Med leadership about this whole thing. Ttenbergen 22:24, 2020 November 5 (CST)

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• patients admitted to HSC_H6 under "HSC Internal Med / Respiratory" or "HSC Internal Med / Neurology"
  • H6 is also a medicine contingency ward, so we do follow some patients on H6 Lisa Kaita 10:59, 2020 November 4 (CST)

• STB_Med - interventional radiology will admit a patient for an overnight procedure, we are not following these
• This is correct, we do NOT follow interventional radiology patients who stay overnight for procedures. Your first clue that it's not an internal medicine is the attending physician. The attending physician will be an interventional radiologist, not an internal medicine doc. DPageNewton 08:11, 2020 November 19 (CST)

In Cognos I don't see a service that makes me think interventional radiology, but it might just be a service not included in the dump. Collectors: Do these patients show up in Cognos, and if so, how do you decide that this is what they are and they should be excluded? Ttenbergen 16:39, 2020 November 2 (CST) At this point I have not come across an interventional radiology patient in cognos admitter. See above for how we determine if it's an interventional radiology patient. If there is a way to definitely exclude them from the admitter that would be helpful. There are enough other exclusion patients in there already. DPageNewton 08:11, 2020 November 19 (CST) Tina, Debbie may have further info to clarify the above regarding overnight admissions following procedures

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