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| === Borrowed Bed Or Pt Boarding On Other Unit === | | === Borrowed Bed Or Pt Boarding On Other Unit === |
| For direct transfers within the Winnipeg region, should we enter the Last Boarding Location as the [[Previous Location]] ? No because these are only temporary location. Use the service taking care of the patient : '''<site>_Med''', GH-CC, HSC_MICU, HSC_SICU, HSC_IICU, STB MICU, STB_ICCS, STB_ACCU. | | For direct transfers within the Winnipeg region, should we enter the Last Boarding Location as the [[Previous Location]] ? No because these are only temporary location. Use the service taking care of the patient : '''<site>_Med''', GH-CC, HSC_MICU, HSC_SICU, HSC_IICU, STB MICU, STB_ICCS, STB_ACCU. |
| {{Discuss| To clarify for LAU inpatients ie. Oak, Conc, Vic, etc. often will be transferred to the facility UC for stabilization and sometimes be returned to originating unit in the LAU facility or will transfer out to STB ER for further assessment or as a direct to STB ER or a STB med unit. In the direct scenarios is the previous location coded as the LAU inpatient unit or the LAU UC? Thanks! ````
| | === Direct Transfers Scenario === |
| * Does LUA mean Lower Acuity Unit? It is not specifically listed in the dispo table - can we consider it as '''generic <site> ward'''? If LAU is an inpatient location, maybe the choice for preadmit inpt location is '''<site> Ward''' and the previous location is '''STB ER''' if transfer out to STB ER or '''STB Med''' if direct transfer to STB Med or '''<site> ward''' if returning back to the LAU facility. --[[User:JMojica|JMojica]] 11:38, 2024 February 26 (CST)
| | #from Outside Winnipeg facilities - whether inpt or not, if they went to <own site> ER (e.g. STB ER) for triage, previous location is <own site> ER (e.g. STB ER). If they just stop by only at <own site> ER, then previous location is the outside facility service - it does not matter if from ICU (e.g. Thompson ICU) or ER (e.g. Thompson ER) service of that outside facility as long as the pre-admit inpt has been filled up correctly (e.g. Thompson ICU) , then in TMP Boarding, put <own site> ER (e.g. STB ER) as first boarding loc. |
| Yes Julie the LAU locations include VIC_ward, CON_ward, etc. and yes, is the entry for the preadmit inpatient Institution. These patients almost always transfer to the facility UC area for advanced assessment and treatment then sometimes transfer back to the LAU unit in which case is not for the data base. What I'm asking is whether the previous location should be entered the same as the preadmit inpatient Institution ie. site_ward or should the entry be site_UC. Since UC/ER is not an inpatient unit but rather a temporary location should the previous location be site_ward to be congruent with the instructions above that state:
| | #from Within Winnipeg facilities - |
| ** Yes to simplify depending on the temporary location, for this case previous location can be <site> ward.
| | ##For transfers among HSC/STB/GRA, we are linking all the admissions so we need to be specific for the sending and receiving service. If already inpatients, and no in-between procedures, pre-admit inpt is the same as previous location. if there is temporary location in-between, then previous location is equal to the temporary location (e.g. ER, OR, RR, Cath Lab, Dialysis, Radiology). If not yet an inpt and coming from <other site> ER then previous location is <other site> ER. |
| *** For direct transfers within the Winnipeg region, should we enter the Last Boarding Location as the Previous Location ? No because these are only temporary location. Use the service taking care of the patient : <site>_Med, GH-CC, HSC_MICU, HSC_SICU, HSC_IICU, STB MICU, STB_ICCS, STB_ACCU.'' Should the examples include generic site_ward? Thanks, [[User:Ppiche|Pamela Piche]] 11:56, 2024 February 26 (CST)
| | ###When to use generic ward - If the patient from our sending service (e.g. HSC SICU) was discharged to a service we are not collecting (e.g. Step down ward) and then transfer again to the service (e.g. HSC Med) we are collecting, having no in-between procedure then the dispo of sending service, pre-admit inpt and previous location are all generic ward (e.g. HSC ward). For the case having in-between procedure, say, sending service is HSC Med to a surgery ward, then OR, then to HSC SICU, the dispo of the sending and pre-admit inpt are generic ward (e.g. HSC ward) and previous location is the temporary location e.g. HSC OR. |
| **** yes, you are correct, we should use the service taking care of the patient as previous location. When will generic ward be used - if the origin of the patient is not from the ward we are collecting. --[[User:JMojica|JMojica]] 14:41, 2024 February 26 (CST)
| | ##For those we no longer collect sites CON/OAK/VIC - inpatients from CON, OAK, VIC who are directly transferred to HSC/STB/GRA, then the pre-admit inpt will '''not''' be N/A and the previous location is the same as the pre-admit inpt. If not yet an inpt from CON/OAK/VIC and transfers only from their UC triage, then previous location is the CON/OAK/VIC UC. |
| *****If direct transfers between facilities that stop by receiving ER the dispo for the sending facility is not ER but the receiving service and direct transfers between facilities that stop by the sending ER the dispo is not the ER but the receiving service. Should this concept extend to all direct transfers that stop by an ER at either sending or receiving facility? So for the direct VIC_ward patient that stops by VIC UC should the previous location be coded as VIC_ward or VIC UC? If UC is used does this appear as a VIC "EMIP"? Is previous location of VIC_ward more accurate in this scenario? There is a direct MICU patient from Thompson ICU that stopped by Thompson ER. Should the previous location be coded as Thompson ER or Thompson ICU? If coded as Thompson ER does this appear as a Thompson ECIP? Is the previous location code of Thompson ICU more accurate in this scenario? I am seeking clarification as to the correct coding in these scenarios. Thank you, [[User:Ppiche|Pamela Piche]] 07:10, 2024 February 27 (CST)
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| * We have 2 direct transfers -
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| ** 1. from outside Winnipeg facilities - whether inpt or not, if they went to <own site> ER (e.g. STB ER) for triage, previous location is <own site> ER (e.g. STB ER). If they just stop by only at <own site> ER, then previous location is the outside facility service - it does not matter if from ICU (e.g. Thompson ICU) or ER (e.g. Thompson ER) service of that outside facility as long as the pre-admit inpt has been filled up correctly (e.g. Thompson ICU) , then in TMP Boarding, put <own site> ER (e.g. STB ER) as first boarding loc.
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| ** 2. within WPG facilities - since we are linking all admissions of all hospitals we are collecting, we need to be specific for the sending and receiving service. For those we no longer collect sites CON/OAK/VIC - inpatients from CON, OAK, VIC who are directly transferred to HSC/STB/GRA, then the pre-admit inpt will '''not''' be N/A and the previous location is the same as the pre-admit inpt. If not yet an inpt from CON/OAK/VIC and transfers only from their UC triage, then previous location is the CON/OAK/VIC UC. For transfers among HSC/STB/GRA - if already inpatients, and no in-between procedures, pre-admit inpt is the same as previous location. if there is temporary location in-between, then previous location is equal to the temporary location (e.g. ER, OR, RR, Cath Lab, Dialysis, Radiology). If not yet an inpt and coming from <other site> ER then previous location is <other site> ER.
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| --[[User:JMojica|JMojica]] 10:02, 2024 February 27 (CST)
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| *Thanks Julie for the clarifications. Could the clarifications be added to wiki instructions? [[User:Ppiche|Pamela Piche]] 11:01, 2024 February 27 (CST)}}
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| {{Location dropdown cleanup}} | | {{Location dropdown cleanup}} |
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