Continuous Stay: Difference between revisions

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This article is about [[Multiple Encounter]] patients who have not been discharged in between encounters.  
This article is about [[Multiple Encounter]] patients who have not been discharged in between encounters.  


== Definition ==
== Medicine Definition ==
A continuous stay for a patient per site is having the same [[Visit Admit DtTm]] for  the multiple encounters.  
A continuous stay for a patient per site is having the same [[Visit Admit DtTm]] for  the multiple encounters.  


=== Reports using this concept ===
=== Reports using this concept ===
Used in Medicine
Used in [[Directors Quarterly and Annual Report (Medicine)|Directors Quarterly and Annual Report]]
 
== Critical Care Definition ==
=== Definition used in SAS (ie in reports) ===
*Currently, the multiple encounters of an ICU episode from same or different site is not being done or reported.
As per email from Julie:
  The program in Med is defining the conditions of new admission and if not TRUE will all be categorized as continuous stay (the cut off values are consulted and approved by Dr Roberts). Yours is the other way around, you are defining the continuous stay and if not TRUE will be a new admission.  
   
   
Criteria for new admission per hospital:
*if to be done in the future, Dr. Allan Garland prescribed it based on the paper he did (Sept 7, 2012).
    1. Pts who have first and only admission
** Link one or more ICU whether same or diff hospitals.  
    2. AMA Patient from prior admission
    3. Patient is transferred to a different hospital, the admission for that hospital ends and the patient becomes a new admission to the second hospital
        (a) except if reason is lab test and stay in the second hospital <1 day '''[[Bed holds|bec bed is usually put on hold]]''' on the first hospital
{{Discuss | who = Julie |
* This def of [[Bed holds]] is not consistent with the one in [[Bed holds]]; they probably should be, i.e. the same definition should be used throughout. Are they actually consistent in your program? Can we remove the detail from here and link to bed hold?
}}
    4. Pts with previous encounters and admitted from ER, Home, Outside City or Province or previously discharged to Home, Outside City or Province
    5. Pts with previous encounters and admitted from unit within the hospital but the prior encounter was discharged to Home, Outside City or Province
    6. Pt discharge to or admit from  OR/ RR but more than 7 days
    7. Pt discharge to Ward or then admit from  OR/ RR but more than 30 days
    8. Pt discharge to Ward or then admit from  Ward but var1 is not same as previous var2
    9. None of the above but has gap > 90 days then consider new admission
Critical Care is different and much simple.  Allan Garland prescribed it based on the paper he did. Link one or more ICU whether same or diff hospitals.  
    Sept 7, 2012 Dr Allan Garland definition if linked ICU
     1. Gap <= 24 hr and (TO=blank or from=blank)
     1. Gap <= 24 hr and (TO=blank or from=blank)
     2. Gap <= 48 hr and previous to = ICU/OR/PACU and from = ICU/OR/PACU
     2. Gap <= 48 hr and previous to = ICU/OR/PACU and from = ICU/OR/PACU
     3. I added the cases discharge to CCU but database has no HSC CCU prior May 1999 **;
     3. the cases discharge to CCU but database has no HSC CCU prior May 1999 **;
             From= CCU/OR/PACU and previous to= CCU and 2 < diff < 20   
             From= CCU/OR/PACU and previous to= CCU and 2 < diff < 20   
   
   
Julie
== Related articles ==  
== Related articles ==  
{{Related Articles}}
{{Related Articles}}

Latest revision as of 18:07, 4 February 2022

This article is about Multiple Encounter patients who have not been discharged in between encounters.

Medicine Definition

A continuous stay for a patient per site is having the same Visit Admit DtTm for the multiple encounters.

Reports using this concept

Used in Directors Quarterly and Annual Report

Critical Care Definition

  • Currently, the multiple encounters of an ICU episode from same or different site is not being done or reported.
  • if to be done in the future, Dr. Allan Garland prescribed it based on the paper he did (Sept 7, 2012).
    • Link one or more ICU whether same or diff hospitals.
   1. Gap <= 24 hr and (TO=blank or from=blank)
   2. Gap <= 48 hr and previous to = ICU/OR/PACU and from = ICU/OR/PACU
   3. the cases discharge to CCU but database has no HSC CCU prior May 1999 **;
           From= CCU/OR/PACU and previous to= CCU and 2 < diff < 20  

Related articles

Related articles:

Need to update this with new fields.