Swap Locations: Difference between revisions

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{{DA |

* Would it make sense to talk to STB about how the swing beds are used by ER?

* Would it make sense to talk to STB about how the swing beds are used by ER? I don't think talking to anyone about how the swing beds are used by er would be helpful. I've explained in great detail a number of times, to a number of people why this occurs. I can't think of anything different that could potentially be done to work around the issue as it occurs in the first place. [[User:DPageNewton|DPageNewton]] 10:59, 2020 December 3 (CST)

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{{Discuss |

* Is there ever "room for interpretation" where both collectors would still consider the pt on their unit, or where both would consider them already/still on the other unit? If not, how and why?

* Is there ever "room for interpretation" where both collectors would still consider the pt on their unit, or where both would consider them already/still on the other unit? If not, how and why? I don't think there is room for "interpretation" as the entry for the "swing bed" is simply ignored, as if it weren't there. We at St. B. have been dealing with this issue since the beginning of time. [[User:DPageNewton|DPageNewton]] 10:59, 2020 December 3 (CST)

** another question here :

I supposed this swing bed is already happening in the past, before we have this COGNOS admitter. How it is handle? 1) is it included – such that the accept date is taken from that line of swing bed or 2) excluded and the next line where the Accommodation has an entry is the one chosen? I think we need to decide first if to include or not before solving the exclusion process. who to ask? --[[User:JMojica|JMojica]] 16:02, 2020 December 2 (CST)

I supposed this swing bed is already happening in the past, before we have this COGNOS admitter. How it is handle? 1) is it included – such that the accept date is taken from that line of swing bed or 2) excluded and the next line where the Accommodation has an entry is the one chosen? I think we need to decide first if to include or not before solving the exclusion process. who to ask? --[[User:JMojica|JMojica]] 16:02, 2020 December 2 (CST) we do 2) excluded and the next line where the Accommodation has an entry is the one chosen? [[User:DPageNewton|DPageNewton]] 10:59, 2020 December 3 (CST)

*** Absolutely agreed, Julie. But there is also an element of us reporting info different than maybe what other, EPR based reports would show. [[#"Swing beds" at STB]] shows the list of swing bed locations that show up in the Cognos data. They all are associated by name and data to the ward locations. So anyone generating data from EPR/Cognos would associate these with the units, not the previous location. We would be the only place associating them with still being in the ER. I just reviewed the raw Cognos data, and we get the bed, but not the bed start and end dttm. If we could get that we would be able to figure out what percentage of total LOS is affected by this, but it probably has the biggest impact on ER wait times - It sounds like anyone just looking at Cognos data would underestimate that time because pts look like they are on unit already. [[User:Ttenbergen|Ttenbergen]] 09:56, 2020 December 3 (CST)

*** Absolutely agreed, Julie. But there is also an element of us reporting info different than maybe what other, EPR based reports would show. [[#"Swing beds" at STB]] shows the list of swing bed locations that show up in the Cognos data. They all are associated by name and data to the ward locations. So anyone generating data from EPR/Cognos would associate these with the units, not the previous location. We would be the only place associating them with still being in the ER. I just reviewed the raw Cognos data, and we get the bed, but not the bed start and end dttm. If we could get that we would be able to figure out what percentage of total LOS is affected by this, but it probably has the biggest impact on ER wait times - in the example I gave above, yes the er wait time is what would be affected. [[User:DPageNewton|DPageNewton]] 10:59, 2020 December 3 (CST)It sounds like anyone just looking at Cognos data would underestimate that time because pts look like they are on unit already. [[User:Ttenbergen|Ttenbergen]] 09:56, 2020 December 3 (CST) I've spoken with the ward clerks on E5 on more than one occasion, and have been told, that when there is a swing bed entry for example, between an er location, and a ward location, the patient is still physically in the er, and has not been transferred up to the ward. e.g. #2-if the swing bed location is between say, E5, and another usual ward or unit location, then the patient is still physically on E5. In this example the los for E5 would be affected. I think that this is a concept that is not so easy to explain in words, especially if you're not particularly familiar with the ins and outs of epr. [[User:DPageNewton|DPageNewton]] 10:59, 2020 December 3 (CST)

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 {{DA |
-* Would it make sense to talk to STB about how the swing beds are used by ER?
+* Would it make sense to talk to STB about how the swing beds are used by ER? I don't think talking to anyone about how the swing beds are used by er would be helpful. I've explained in great detail a number of times, to a number of people why this occurs. I can't think of anything different that could potentially be done to work around the issue as it occurs in the first place. [[User:DPageNewton|DPageNewton]] 10:59, 2020 December 3 (CST)
 }}
 {{Discuss |
-* Is there ever "room for interpretation" where both collectors would still consider the pt on their unit, or where both would consider them already/still on the other unit? If not, how and why?
+* Is there ever "room for interpretation" where both collectors would still consider the pt on their unit, or where both would consider them already/still on the other unit? If not, how and why? I don't think there is room for "interpretation" as the entry for the "swing bed" is simply ignored, as if it weren't there. We at St. B. have been dealing with this issue since the beginning of time. [[User:DPageNewton|DPageNewton]] 10:59, 2020 December 3 (CST)
 **  another question here :
-I supposed this swing bed  is  already happening in the past, before we have this COGNOS admitter.  How  it is handle? 1) is it included  – such that the accept date is taken from that line of swing bed or 2) excluded  and  the next line  where the Accommodation has an entry is the one chosen?  I think we need to decide first if to include or not before solving the exclusion process. who to ask?   --[[User:JMojica|JMojica]] 16:02, 2020 December 2 (CST)
+I supposed this swing bed  is  already happening in the past, before we have this COGNOS admitter.  How  it is handle? 1) is it included  – such that the accept date is taken from that line of swing bed or 2) excluded  and  the next line  where the Accommodation has an entry is the one chosen?  I think we need to decide first if to include or not before solving the exclusion process. who to ask?   --[[User:JMojica|JMojica]] 16:02, 2020 December 2 (CST) we do 2) excluded  and  the next line  where the Accommodation has an entry is the one chosen? [[User:DPageNewton|DPageNewton]] 10:59, 2020 December 3 (CST)
-*** Absolutely agreed, Julie. But there is also an element of us reporting info different than maybe what other, EPR based reports would show. [[#"Swing beds" at STB]] shows the list of swing bed locations that show up in the Cognos data. They all are associated by name and data to the ward locations. So anyone generating data from EPR/Cognos would associate these with the units, not the previous location. We would be the only place associating them with still being in the ER. I just reviewed the raw Cognos data, and we get the bed, but not the bed start and end dttm. If we could get that we would be able to figure out what percentage of total LOS is affected by this, but it probably has the biggest impact on ER wait times - It sounds like anyone just looking at Cognos data would underestimate that time because pts look like they are on unit already. [[User:Ttenbergen|Ttenbergen]] 09:56, 2020 December 3 (CST)
+*** Absolutely agreed, Julie. But there is also an element of us reporting info different than maybe what other, EPR based reports would show. [[#"Swing beds" at STB]] shows the list of swing bed locations that show up in the Cognos data. They all are associated by name and data to the ward locations. So anyone generating data from EPR/Cognos would associate these with the units, not the previous location. We would be the only place associating them with still being in the ER. I just reviewed the raw Cognos data, and we get the bed, but not the bed start and end dttm. If we could get that we would be able to figure out what percentage of total LOS is affected by this, but it probably has the biggest impact on ER wait times - in the example I gave above, yes the er wait time is what would be affected. [[User:DPageNewton|DPageNewton]] 10:59, 2020 December 3 (CST)It sounds like anyone just looking at Cognos data would underestimate that time because pts look like they are on unit already. [[User:Ttenbergen|Ttenbergen]] 09:56, 2020 December 3 (CST) I've spoken with the ward clerks on E5 on more than one occasion, and have been told, that when there is a swing bed entry for example, between an er location, and a ward location, the patient is still physically in the er, and has not been transferred up to the ward. e.g. #2-if the swing bed location is between say, E5, and another usual ward or unit location, then the patient is still physically on E5. In this example the los for E5 would be affected. I think that this is a concept that is not so easy to explain in words, especially if you're not particularly familiar with the ins and outs of epr. [[User:DPageNewton|DPageNewton]] 10:59, 2020 December 3 (CST)
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