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| == collection instructions == | | == collection instructions == |
| === for patient arriving at a ward/unit via parked in ER === | | === for patient arriving at a ward/unit via parked in ER === |
| Into [[Previous Location field]], enter
| | * [[Previous Location field]], enter one of |
| *HSC - ER (direct) | | **HSC - ER (direct) |
| *GRA - ER (direct) | | **GRA - ER (direct) |
| *CON - ER (direct) | | **CON - ER (direct) |
| *OAK - ER (direct) | | **OAK - ER (direct) |
| *STB - ER (direct) | | **STB - ER (direct) |
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| Into [[Pre-admit Inpatient Institution field]], enter the other site/unit/ward (including the HSC/STB/GRA EMIPs) they were last sent from .
| | *[[Pre-admit Inpatient Institution field]], enter the other site/unit/ward (including the HSC/STB/GRA [[EMIP]]s) they were last sent from |
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| Into [[Previous Service field]], enter the service of the sending site if available, otherwise enter ''Unknown''.
| | * [[Previous Service field]], enter the service of the sending site if available, otherwise enter ''Unknown'' |
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| ==== Special Case: Pt from other site ER as direct admit but never admitted at that site ==== | | ==== Special Case: Pt from other site ER as direct admit but never admitted at that site ==== |
| Pt from other site ER, never admitted at that site, sent to your ward/unit as direct admit.
| | Follow normal admission coding practice for patients from out-of-town ERs. We understand that this means they will not show up as direct admits in our data. |
| Code as:
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| * [[Previous Location field]]: <your> - ER
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| * [[Previous Service field]]: Emergency Medicine
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| * [[Pre-admit Inpatient Institution field]]: NA / not applicable
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| We are aware that the previous ER would not be reflected in our collection. | | ==== Special case: EMIP-like patient from out of town ==== |
| | We don't have a code for an [[EMIP]] outside the city. And, we will not allow a patient who just comes from an ER as direct / parked. Follow normal admission coding practice for patients from out-of-town ERs. Do not use the ER (direct) codes. |
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| ===== example =====
| | We understand that this means they will not show up as direct admits in our data. |
| Pt was examined & treated in the Selkirk ER (but not admitted as an inpatient) & then sent '''''as a direct admit''''' to HSC but stopped in HSC ER & was treated there till a ward bed was ready. Code as
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| * [[Previous Location field]]: HSC ER
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| * [[Previous Service field]]: Emergency Medicine
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| * [[Pre-admit Inpatient Institution field]]: NA / not applicable
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| {{discussion}}
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| My understanding of "direct" admissions is that they must be an inpatient on a ward or unit or an EMIP in another facility. A pt sent from one ER to another ER that was never assessed by medicine or ICU would not be a direct admission. If they send a pt from, for example, Selkirk ER, the patient would still have to be accepted by either medicine or ICU once they arrive in the accepting ER. This would just be a standard admission (not a direct admission). If the patient was an EMIP in Selkirk (already assessed and accepted by their medicine service) and then transferred to a different hospital ER, then the previous location would be Selkirk EMIP, the previous service would be medicine and the pre admit inpatient location would be Selkirk EMIP.--[[User:LKolesar|LKolesar]] 08:55, 2017 October 13 (CDT)
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| *I agree - I made the change in the definition of Direct admit as already an 'in-patient'. However, EMIPs in other facilities are not in our down list and we don't want to add them. Therefore we will miss them in the database but that is fine because transfers from ER to ER to ER will create more confusions/questions. Let us simplify the process and follow the Special Case guideline above - enter Previous Location as simply ER (not ER direct). --[[User:JMojica|JMojica]] 09:53, 2017 October 13 (CDT)
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| **If the sending ER is one of the city hospitals and does have an option of EMIP, then we would still use this I assume?--[[User:LKolesar|LKolesar]] 11:19, 2017 October 13 (CDT)
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| *** if within region EMIPs, we will enter 'ER (direct)'. I added them above. --[[User:JMojica|JMojica]] 11:51, 2017 October 13 (CDT)
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| === for patient leaving a ward/unit via parked in ER === | | === for patient leaving a ward/unit via parked in ER === |