Definition of a Medicine Program Admission: Difference between revisions

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-''For Critical Care, see [[Definition of an ICU_admission]]''
+*''For Critical Care, see [[Definition of an ICU_admission]]''
-The definition of a "Medicine patient" for the Regional Medicine Database is:
+*The following situations ARE included for the Regional Medicine Database:
-*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.
+**Admitted under a Medicine service attending physician anywhere in the hospital (including, for example, if they are remaining in ED because there is no medicine ward bed yet).
+**Admitted to a Medicine ward location but rather than being cared for by the regular ward team, the primary care service is Nephrology
+***Once such a person is transferred out of the Medicine ward location, we no longer follow the patient.
+**Admitted to a Medicine ward location but rather than being cared for by the regular ward team, he primary care service is Neurology.
+***This includes "HSC Internal Med / Neurology" patients 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]])
+***More generally, once such a person is transferred out of the Medicine ward location, we no longer follow the patient.
+**Admitted to a Medicine ward location but rather than being cared for by the regular ward team, the primary care service is Oncology -- ''EXCEPT'' if admitted ONLY for chemotherapy
+***A subtlety here is that if during the chemotherapy the patient has a complication and now is admitted for that complication (i.e. no long "only for chemotherapy") then we will include them in the Medicine database.
+***Once such a person is transferred out of the Medicine ward location, we no longer follow the patient.
+*As always, collection for internal medicine patients starts at [[Accept DtTm]] ie [[Accept_DtTm_field#Direct_Admissions.2FTransfers|possibly while in ER]], regardless of where they are, including if they are still in the ER (i.e. [[EMIP]]).
-Collection for internal medicine patients starts at [[Accept DtTm]] ie [[Accept_DtTm_field#Direct_Admissions.2FTransfers|possibly while in ER]], regardless of where they are, including if they are still in the ER (i.e. [[EMIP]]).
-{{DT | Clear out or reconcile [[EPR Reports]], [[Discharge Register]], [[Transfer Register]], [[Definition of a Medicine Service admission]], [[Definition of an ICU admission]]}}
-__TOC__
-=== Special cases - Inclusion of extra patients ===
-{{DA |
-* Allan to ask Nick Hajidiacos what he wants and why.
-}}
-{{DiscussTask |
-* Allan to ask Nick Hajidiacos what he wants and why.
-}}
-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'''
 {{Discuss |
-* 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))
+* 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?
 }}