Admit From & Discharged To: Difference between revisions

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=== From other hospital via ER ===

If a patient is admitted to another hospital first, then transferred to your ER, then is sent up to unit, code that they were admitted from another hospital not your ER. Also indicate this in the Hospital Number Code box.

If a patient is '''admitted''' to another hospital first, then transferred to your ER, then is sent up to unit, code that they were admitted from another hospital not your ER. Also indicate this in the Hospital Number Code box.

If a patient is treated in another emergency, is transferred to your emergency and then to your unit code them as admitted from your ER. I got this information from Trish.[[User:GHall|GHall]] 18:06, 9 September 2011 (CDT)

* This isn't done on Medicine at HSC unless it says '''Direct'''. Some of the ICU data collectors feel we no longer need to code the hospital prior to your ER. Does anyone out there know if this rule still applies? Does anyone know if there are rules for Medicine and then different ones for ICU? For example if a patient is in Brandon Hospital ICU comes to your ER then to your ICU. What are people putting? your ER or Brandon ICU? Has anyone had this discussion with Trish?If a few people answer consistently I will remove this discussion.Thanks![[User:GHall|GHall]] 16:18, 8 August 2011 (CDT)

**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)

**Laura could you add the following to the discussion:

@@ Line 13: / Line 13: @@
 === From other hospital via ER ===
-If a patient is admitted to another hospital first, then transferred to your ER, then is sent up to unit, code that they were admitted from another hospital not your ER. Also indicate this in the Hospital Number Code box.
+If a patient is '''admitted''' to another hospital first, then transferred to your ER, then is sent up to unit, code that they were admitted from another hospital not your ER. Also indicate this in the Hospital Number Code box.
+If a patient is treated in another emergency, is transferred to your emergency and then to your unit code them as admitted from your ER. I got this information from Trish.[[User:GHall|GHall]] 18:06, 9 September 2011 (CDT)
 {{Discussion}}
-* This isn't done on Medicine at HSC unless it says '''Direct'''. Some of the ICU data collectors feel we no longer need to code the hospital prior to your ER. Does anyone out there know if this rule still applies? Does anyone know if there are rules for Medicine and then different ones for ICU? For example if a patient is in Brandon Hospital ICU comes to your ER then to your ICU. What are people putting? your ER or Brandon ICU? Has anyone had this discussion with Trish?If a few people answer consistently I will remove this discussion.Thanks![[User:GHall|GHall]] 16:18, 8 August 2011 (CDT)
 **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)
 **Laura could you add the following to the discussion: