STB Medicine Collection Guide: Difference between revisions

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Some patients are admitted by medicine service but spend entire stay in into off-service beds throughout the hospital. See [[OVER#STB collection instructions]] for data entry info.

=== Process for identifying ~~EMIP and Overflow patients~~ ===

=== Process for identifying EMIPs ===

See [[EMIP]] for definitions and general collection information.

*We obtain our ~~own~~ lists of EMIP patients for medicine from the EPR. This is done by logging into EPR reports using your login that you use for initial computer log in. You then select 'pt list reports', then select 'discharge register', put in location 'ER' with the time frame that you wish to look at.(You cannot select more than 31 days in your time frame). You also need to put <ALL> in the attending provider spot. In the generated list, the patients that had been accepted by medicine will be indicated by the medical service in the list. Because the pt was discharged elsewhere but had been accepted by the medicine service, this defines the EMIP's. ~~Some patients in the list may not be under medicine service, we do not use these.~~ We run ~~these results~~ at least once a week. ~~--[[User:LKolesar|LKolesar]] 13:32, 2016 October 26 (CDT)~~

We obtain our lists of EMIP patients for medicine from the [[EMIP Report]]. We run this report at least once a week.

*For overflows, you need to also use EPR reports, select 'pt list reports', then select 'transfer register' , location 'ER' and select 'from and to' for a selected time frame. You need to go over this list to see if any of the medical service patients went to an off-service ward. You do not put in the overflows right away because they may eventually be admitted to a medicine ward. If not, they will be considered an overflow. --[[User:LKolesar|LKolesar]] 07:58, 2016 October 27 (CDT)

For EMIP entry there is a separate paper log sheet that has its' own sequential numbers.

* For EMIP pts, you cannot put discharge to an ER, so if that is where they went, put the place they went after ER (usually a ward). Do not put a transfer ready date and time unless the pt is going home. Just put "no transfer ready" in the tmp.

==== Discussion: EMIPs going to family medicine and then some ====

*If the pt in ER was accepted by medicine but ends up going to the ward under family medicine, do not include these patients in the database.

** {{discussion}} These are not EMIPs?! Is that true everywhere? If so the info needs to move to [[EMIP]]. Ttenbergen 13:15, 2016 October 26 (CDT)

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***** We are talking about two different things. You are talking about a patient who continues to be attended to by medicine after the ER, but not in the usual physical locations; those are overflows. I am talking about a patient who is attended to by medicine in the ER, but who is then admitted to a non-medicine ward/unit '''and attended to by that non-medicine service'''. Example would be a patient who deteriorates and goes to ICU. We want to track those patients as EMIPs. Ttenbergen 11:42, 2016 November 7 (CST)

*****When a patient arrives in MICU I will always check the transfer orders. It clearly shows there if the pt had been accepted by medicine service in ER before the pt came to the ICU. In this case I will put STB EMIP as the previous location. (this is very rare) --[[User:LKolesar|LKolesar]] 08:08, 2016 November 10 (CST)

=== Process for identifying Overflow patients ===

For overflows, you need to also use EPR reports, select 'pt list reports', then select 'transfer register' , location 'ER' and select 'from and to' for a selected time frame. You need to go over this list to see if any of the medical service patients went to an off-service ward. You do not put in the overflows right away because they may eventually be admitted to a medicine ward. If not, they will be considered an overflow. --[[User:LKolesar|LKolesar]] 07:58, 2016 October 27 (CDT)[[Category: Overflow]]

See [[Overflow]] for definitions and general collection information.

@@ Line 14: / Line 14: @@
 Some patients are admitted by medicine service but spend entire stay in into off-service beds throughout the hospital. See [[OVER#STB collection instructions]] for data entry info.
-=== Process for identifying EMIP and Overflow patients ===
+=== Process for identifying EMIPs ===
 See [[EMIP]] for definitions and general collection information.
-*We obtain our own lists of EMIP patients for medicine from the EPR. This is  done by logging into EPR reports using your login that you use for initial computer log in.  You then select 'pt list reports',  then select 'discharge register', put in location 'ER'  with the time frame that you wish to look at.(You cannot select more than 31 days in your time frame). You also need to put <ALL> in the attending provider spot.  In the generated list, the patients that had been accepted by medicine will be indicated by the medical service in the list.  Because the pt was discharged elsewhere but had been accepted by the medicine service, this defines the EMIP's.  Some patients in the list may not be under medicine service, we do not use these. We run these results at least once a week. --[[User:LKolesar|LKolesar]] 13:32, 2016 October 26 (CDT)
+We obtain our lists of EMIP patients for medicine from the [[EMIP Report]].  We run this report at least once a week.
-*For overflows, you need to also use EPR reports, select 'pt list reports', then select 'transfer register' , location 'ER' and select 'from and to' for a selected time frame.  You need to go over this list to see if any of the medical service patients went to an off-service ward.  You do not put in the overflows right away because they may eventually be admitted to a medicine ward.  If not,  they will be considered an overflow. --[[User:LKolesar|LKolesar]] 07:58, 2016 October 27 (CDT)
 For EMIP entry there is a separate paper log sheet that has its' own sequential numbers.
 * For EMIP pts, you cannot put discharge to an ER, so if that is where they went, put the place they went after ER (usually a ward). Do not put a transfer ready date and time unless the pt is going home.  Just put "no transfer ready" in the tmp.
+==== Discussion: EMIPs going to family medicine and then some ====
+{{discussion}}
 *If the pt in ER was accepted by medicine but ends up going to the ward under family medicine, do not include these patients in the database.
 ** {{discussion}} These are not EMIPs?! Is that true everywhere? If so the info needs to move to [[EMIP]]. Ttenbergen 13:15, 2016 October 26 (CDT)
@@ Line 31: / Line 32: @@
 ***** We are talking about two different things. You are talking about a patient who continues to be attended to by medicine after the ER, but not in the usual physical locations; those are overflows. I am talking about a patient who is attended to by medicine in the ER, but who is then admitted to a non-medicine ward/unit '''and attended to by that non-medicine service'''. Example would be a patient who deteriorates and goes to ICU. We want to track those patients as EMIPs. Ttenbergen 11:42, 2016 November 7 (CST)
 *****When a patient arrives in MICU I will always check the transfer orders.  It clearly shows there if the pt had been accepted by medicine service in ER before the pt came to the ICU.  In this case I will put STB EMIP as the previous location. (this is very rare) --[[User:LKolesar|LKolesar]] 08:08, 2016 November 10 (CST)
+=== Process for identifying Overflow patients ===
+For overflows, you need to also use EPR reports, select 'pt list reports', then select 'transfer register' , location 'ER' and select 'from and to' for a selected time frame.  You need to go over this list to see if any of the medical service patients went to an off-service ward.  You do not put in the overflows right away because they may eventually be admitted to a medicine ward.  If not,  they will be considered an overflow. --[[User:LKolesar|LKolesar]] 07:58, 2016 October 27 (CDT)[[Category: Overflow]]
 See [[Overflow]] for definitions and general collection information.