Dispo field

Data Element (edit)
Field Name:	dispo
CCMDB Label:	Dispo
CCMDB tab:	Dispo
Table:	L Log table
Data type:	number
Length:	long
Program:	Med and CC
Created/Raw:	Raw
Start Date:	2016-07-01
End Date:	2300-01-01
Sort Index:	41

The Dispo field contains information about what happens to the patient at the end of their admission.

• SMW

Legacy implementation right in the table

• Cargo

• Categories

• Forms

Collection Instruction

surviving patients

• Enter:
  • for places where we collect, use the Service/Location used by the counterpart laptop: <site>_Med, GH-CC, HSC MICU , HSC SICU, HSC_IICU, STB MICU, STB_ICCS, STB_ACCU
  • for wards where we don't collect: <site>_Ward or other external entry e.g. home
• see Visits to temporary locations for dispo to temporary locations, ie. OR, dialysis, procedure suites of all types, imaging suites/radiology
• HSC Stepdown Units

• AMA see also BedHeldEnd DtTm

Homeless patients

If a homeless patient is discharged, either to a place like Siloam Mission, shelter or even without a specific plan, then code them as discharged to home. Consider whether they might have left AMA.

Prison / Jail / Correctional Institution

If a patient is discharged to prison, jail or a correctional institution, code this as a Institution NOS.

• Pre acute living situation field should be coded as: Jail/correctional institution.

possible further differentiation for dispo home

JALT EPR has more granular options for some dispo home; do we want to add these? "No return from Pass/leave" would be AMA for us ..maybe AMA is enough "Trsf to group/supportive housing" includes shelters which our instruction is to code as "home" -YES "HOME with Support" - we would only code this as "Home", but this detail would be relevant for overstay "TRSF to correctional facility" - we put as institution, nos unless we add the option

• SMW

• Cargo

• Categories

Chronic Health Facility

• use <site>_ward e.g. Riverview stroke rehab, Oaks ward
• If the patient is discharged to the PCH portion of Deer Lodge or Riverview use Winnipeg PCH

you removed {{PCH Riverview Deer Lodge}}; that template is also linked from Chronic Health Facility. The two will now show inconsistent content. When content is driven by a template like that it is always so it stays consistent across the wiki. Pls have a look at Template:PCH Riverview Deer Lodge and Chronic Health Facility to consider if (a) the two should really be inconsistent now or (b) we should re-instate the template and fix its content. Catch me on teams if you want more information or help with this. Ttenbergen 14:05, 2024 October 16 (CDT) Lets set up a time to discuss this, I don't think I knew they were templates, I thought I was editing an article Lisa Kaita 13:16, 2024 October 31 (CDT) we have pts discharged to AIA (alternative integrated accommodation) located at 698portage ave, opened April 15, 2024, should we add this as an option to the dispo dropdown? Lisa Kaita 08:39, 2024 December 17 (CST)

• SMW

• Cargo

• Categories

Discharged to ER or Urgent Care

If you discharge a patient to the ER or Urgent Care, you can't enter this in the dispo field. The reason is that this should not happen. If it really does happen:

• enter Not Canada or USA - unknown/other (this is a very rare entry so when we see it, we can question it. Put a note in to the Notes field so Pagasa can check there first.)
• email Pagasa so she can enter your ER / Urgent Care location as dispo.

We don't want ER to be available in the dropdown because it had been mistakenly entered a number of times. If it turns out there are a lot of legitimate discharges to ER we will make the option available.

Manitoba Nursing Station

• use outside city -unknown/other

Deceased patients

See

• Deceased patients#General instructions for deceased patients
• Guideline for coding organ donation after death
• Visits to temporary locations

"Can we remove the items that are no longer Service/Locations, Previous Locations, Pre-admit Inpatient Institutions or dispo locations from the dropdowns?"

We can and will remove them, but that can only happen once no more laptops use them. We will need to keep track of this and then remove them when ready. If I removed them now, then any box that currently has them enter would misbehave.

ExpandSQL query of what is currently available

SELECT s_dispo.location_name, s_dispo.Site, s_dispo.active, s_dispo.inpatient, s_dispo.previous_location, s_dispo.s_location, s_dispo.dispo FROM s_dispo WHERE (((s_dispo.Site)>"") AND ((s_dispo.active)=True) AND ((s_dispo.inpatient)=True)) OR (((s_dispo.Site)>"") AND ((s_dispo.active)=True) AND ((s_dispo.previous_location)=True)) OR (((s_dispo.Site)>"") AND ((s_dispo.active)=True) AND ((s_dispo.s_location)=True)) OR (((s_dispo.Site)>"") AND ((s_dispo.active)=True) AND ((s_dispo.dispo)=True));

• query of what is currently used: query z_s_dispo_inactivatable

Data Use

• Unit Mortality
• Intra or Inter Transfer Rate
• Discharges out of hospital
• Organ donor rate
• AMA Rate
• Linking admissions

Data Integrity Checks (automatic list)

	App	Status
Check pre acute consistent	CCMDB.accdb	declined
Function Validate Dispo	CCMDB.accdb	implemented
Check function location NE dispo	CCMDB.accdb	implemented
Query check ICD10 dx implying death must have appropriate dispo	CCMDB.accdb	implemented
Query check dispo lower acuity than location	CCMDB.accdb	retired
Link suspect dead then alive query	Centralized data front end.accdb	implemented
Link suspect mismatch to ours incomplete query	Centralized data front end.accdb	implemented
Link_suspect_not_same_visitAdmitDtTm query	Centralized data front end.accdb	implemented
Query cardiac arrest throughout admission	Centralized data front end.accdb	needs review
Link_suspect_visitAdmitDtTm_mult_to-from-home query	Centralized data front end.accdb	ready to implement

Implementation

The field is populated with options from the s dispo table.

Legacy

This field is part of the 2016 Time and Place changes and was affected by the PatientFollow_Project.

It a combination of our previous

• Discharge To
• Var 2 - Discharge-to Ward
• ICU Var 6 - AMA
• Survive / Expired

Data from these fields has been back-populated to the this field so data is available from the beginning of the database.

Related articles:

• Organ Donor/Braindead

Very early missing Discharge-tos

There were 6762 very old ICU records who are listed as survived but didn’t have a discharge-to. This is from HSC-only days when there simply were no checks.

When data was brought across from the old discharge to field the dispo fields of these records were set to 'survive(Legacy)'.