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 our internal 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.
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 transfered to other locations within same 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
- In ER under Medicine service and left your hospital to Home or died in ER
- In ER under Medicine service and transferred to other locations under different service in your hospital
- In ER under Medicine service and discharged to other locations in another hospital
NOT an EMIP
- In ER under Medicine service and then moved to a Medicine service ward (i.e. a regular Medicine admission)
- In ER under Medicine service and then moved to other ward but under Medicine service (i.e. a case of off ward patients).
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)
- In early February, I ran the reports for HSC for overflows to look at this issue. I ran one week only (Feb 1-8). It showed 5 patients that went to GH6 ward as medical overflows. It also showed 8 patients that went to CCDU under medicine during this week. I am unsure if these are already captured or should be captured or not. I just did this as requested by Trish. Just letting you know my findings. --LKolesar 07:20, 2017 February 27 (CST)
No ICU counterpart
see ECIP for more info
Serial numbers used
Patients in EMIP have their own serial numbers starting at number 150.