Admit From & Discharged To: Difference between revisions

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**I have recently had this discussion with Trish and also have spoken with Alan Garland in our task group meetings about this issue in the past. Alan had wanted the originating hospital because it can sometimes reflect outcomes. For example: if a pt first presents at a rural hospital and needs to be transferred to a tertiary hospital the time in transit could mean a worse outcome for the pt. Also presenting to a community hospital with a condition that requires tertiary care like a heart cath does delay the timing of the procedure and could compromise the outcome in some cases.

When I spoke with Trish recently she was unclear about this but told me to clarify with Dr.Garland. I did send him an email to try to be absolutely sure, but I have not heard back from him. He may be on vacation. I will follow this up in September when the task group meetings resume. Thanks for questioning this . If anyone has anything further to add it would be good to get this discussion prior so that I can present everyone's views. --[[User:LKolesar|LKolesar]] 14:16, 9 August 2011 (CDT)

**Thanks Laura for your response. Until we get it straightened out I will put patients coming from another hospital as admitted from that hospital even if they come through my ER. That way Dr Garland gets his info.[[User:GHall|GHall]] 19:58, 9 August 2011 (CDT)

=== From other hospital via Angio ===

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 **I have recently had this discussion with Trish and also have spoken with Alan Garland in our task group meetings about this issue in the past.  Alan had wanted the originating hospital because it can sometimes reflect outcomes.  For example:  if a pt first presents at a rural hospital and needs to be transferred to a tertiary hospital the time in transit could mean a worse outcome for the pt.  Also presenting to a community hospital with a condition that requires tertiary care like a heart cath does delay the timing of the procedure and could compromise the outcome in some cases.
 When I spoke with Trish recently she was unclear about this but told me to clarify with Dr.Garland.  I did send him an email to try to be absolutely sure, but I have not heard back from him.  He may be on vacation.  I will follow this up in September when the task group meetings resume.   Thanks for questioning this .  If anyone has anything further to add it would be good to get this discussion prior so that I can present everyone's views.   --[[User:LKolesar|LKolesar]] 14:16, 9 August 2011 (CDT)
+**Thanks Laura for your response. Until we get it straightened out I will put patients coming from another hospital as admitted from that hospital even if they come through my ER. That way Dr Garland gets his info.[[User:GHall|GHall]] 19:58, 9 August 2011 (CDT)
 === From other hospital via Angio ===