Direct admit: Difference between revisions
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* above it seems to say these no longer need to be via ED, or does the report still only list the ED ones? [[User:Ttenbergen|Ttenbergen]] 09:58, 2021 September 8 (CDT) | * above it seems to say these no longer need to be via ED, or does the report still only list the ED ones? [[User:Ttenbergen|Ttenbergen]] 09:58, 2021 September 8 (CDT) | ||
* I think we might want to mention here that we capture these by Visit Admit {{=}} first service (or however else we do it) since we don't list a data based definition yet. | * I think we might want to mention here that we capture these by Visit Admit {{=}} first service (or however else we do it) since we don't list a data based definition yet. | ||
}} | ** with the tmp boarding loc, I will be able to know the direct admit via ER if the first boarding loc=ER and previous location is not own ER and already an inpatient. we just need to add that via ED means first boarding loc is own site ER. --[[User:JMojica|JMojica]] 16:15, 2022 January 19 (CST) }} | ||
* Counts for Inpatient direct admit | * Counts for Inpatient direct admit |
Revision as of 16:15, 2022 January 19
Direct admissions are patients who are accepted from another site (within region or from out-of-town) and come directly to the next site.
These patients can go straight to the accepting ward at the second site, or they can be admitted via the ER.
Collection Instruction
- There are two types of Direct admits:
- already an Inpatient - the Pre-admit Inpatient Institution and the Previous Location will be the same
- not an Inpatient - the Pre-admit Inpatient Institution would be not applicable and the Previous Location would be their last physical location e.g. Thompson ER
- The Visit Admit DtTm field and the first Service tmp entry will be the same
- The COGNOS service time is often later than the Visit Admit DtTm field so the first Service tmp entry must be changed to = Visit Admit DtTm field
- For First Boarding Loc with the same date/time as the first Service tmp entry
- if via ER, enter own <site>_ER for first Boarding Loc
- if direct to Ward, enter own <site> physical location for first Boarding Loc
Data use / Reporting
What reports use this?
inter facility transfers report (semi annual and Fiscal year) given to Critical Care Admin Director and Quality Officer.
- Patient Flow - where patient were have been admitted FROM
How is it used?
- To distinguish the reason of transfer due to bed management reason
- To distinguish the reason of transfer due Medical Necessity reason
- To determine the flow of patients from teaching hospital to teaching hospital, teaching to community, community to teaching, community to community, from outside city/province facility to regional hospital.
Data to be Reported
- Counts for Inpatient direct admit
- Site Ward via ED
- Site ICU via ED
- Counts For Non Inpatient direct Admit (e.g. Emergency, Ambulatory Clinic, PCH, Home, Nursing Station)
- Site Emergency via ED
- Site Ambulatory via ED
- PCH via ED
- Home via ED
- Nursing Station via ED
- Time spent at ED before transfer to Ward or ICU
Legacy
Collection for this was changed as part of the 2016 Time and Place changes.
This used to be relevant to ER Wait and ICU Var 4 - Parked in ER, Parked in ER tmp entry.
This used to be collected as Parked in ER tmp entry, and prior to that as <hosp> - ER (parked) entries in s_dispo table. Changed as of PatientFollow_Project#Transition_dates .
Content of the article was deleted 2016-06-30 so it doesn't inadvertently show up in searches. See article history if needed.
Related articles
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