EMIP
EMIP stands for Emergency Medicine "IN" patient and is used as a Service/Location field in the Medicine database. It is used for patients who are admitted to the medicine service and spend their entire admission under the medicine service in the ER (emergency department). We are tracking this as VIC_EMIP, GRA_EMIP, STB_EMIP and HSC_EMIP.
Patient admitted to Family Medicine and then ICU...
- Hi guys, can you help Michelle at VIC with this question? What do you do if you have an EMIP under another service in ER, never goes to that service, but then goes to ICU?Trish Ostryzniuk 18:51, 2017 February 16 (CST)
- I have just come across a patient who was admitted under family medicine, but while in the ER deteriorated, and ended up being admitted to the MICU. I am not sure what to enter for Previous Location field/Pre-admit Inpatient Institution field. If I enter EMIP, then it requires the previous service to be medicine, instead of family medicine. Should I ignore the initial acceptance to family medicine, and just code this patient as an ER admission? If this is the case, then my temp studies for accept dt/source will be a little bit complicated. Please advise! Thanks,Michelle Lagadi
- If they were admitted to Family Medicine, but never to a service where we collect, they were not an EMIP, because never a medical patient. The Previous Location field would be the physical location, ie Emergency Room. The Previous Service field would be family medicine. Pre-admit Inpatient Institution field would be following usual instructions - were they an inpatient? Ttenbergen 23:29, 2017 February 20 (CST)
- They were accepted, so yes they were technically an in-patient. They deteriorated while in the ER however, so they ended up consulting the ICU before they physically made it up to the ward.Mlagadi 11:22, 2017 February 21 (CST)
- If they were admitted to Family Medicine, but never to a service where we collect, they were not an EMIP, because never a medical patient. The Previous Location field would be the physical location, ie Emergency Room. The Previous Service field would be family medicine. Pre-admit Inpatient Institution field would be following usual instructions - were they an inpatient? Ttenbergen 23:29, 2017 February 20 (CST)
- I have just come across a patient who was admitted under family medicine, but while in the ER deteriorated, and ended up being admitted to the MICU. I am not sure what to enter for Previous Location field/Pre-admit Inpatient Institution field. If I enter EMIP, then it requires the previous service to be medicine, instead of family medicine. Should I ignore the initial acceptance to family medicine, and just code this patient as an ER admission? If this is the case, then my temp studies for accept dt/source will be a little bit complicated. Please advise! Thanks,Michelle Lagadi
Collection Instructions
identifying patients
see EMIP Report; see individual articles (eg HSC_EMIP) for who collects this at which site, and see site specific collection guides for details on the collection process, papers, binders.
Entering patients
- Service/Location field - your EMIP (e.g. GRA_EMIP)
- Previous Service field - likely emergency medicine, unless some other service accepted them prior to medicine, and was never able to get them out of the ER either, and medicine accepted the patient from them -in order for a pt to be an EMIP they must have been accepted by Medicine for admission otherwise they would just be an Emergency patient
- Accept DtTm field - the time Medicine accepted them, i.e. the time they became an EMIP
- Arrive DtTm field - same as Accept DtTm field
- Previous Location field - use normal instructions
- See Overstay_Predictor_Project_Collection_Instructions#Possible_Scenario_-_EMIP_patient_that_never_made_it_to_the_ward for how to code overstay for these patients.
Patients discharged to other locations in hospital
Collection includes patients who are discharged to a non-medicine location in the hospital. So, if an EMIP patient is transferred to an ICU, that ICU would use e.g. GRA_EMIP as Previous Location. If a pt who starts out on the EMIP track turns into a medicine off ward patient, collect them as you would any other off-ward patient.
EMIP scenario
- Entire LOS in ER under Medicine service and left your hospital to Home or died in ER
- Entire LOS in ER under Medicine service and discharge to other locations under different service in your hospital
- Entire LOS in ER under Medicine service and discharge to other locations under different service in another hospital
NOT an EMIP
- if LOS has partial stay in ER under Medicine service and then move to a Medicine service ward (i.e. a regular Medicine admission)
- if LOS has partial stay in ER under Medicine service and then move to other ward but under Medicine service (i.e. a case of OVER)(overflow) Template:Discussion Would like to make sure this has a link to the relevant concept... is this Off_ward_field? Ttenbergen 16:24, 2017 January 26 (CST)
HSC Community and Clinical Decision Unit (CCDU)
Template:Discussion Are there ever EMIPs in HSC Community and Clinical Decision Unit (CCDU)? Would we catch them? Ttenbergen 11:27, 2016 December 29 (CST)
No ICU counterpart
see ECIP for more info
Serial numbers used
Patients in EMIP have their own serial numbers starting at number 150.