Chronic Health Facility
General Information for the Chronic Health Facility entry in Pre acute living situation field.
Use the "chronic health" entry for patients coming from any part of
- Deer Lodge
- St. Amant
- Riverview
- any hospice, though these should obviously be rare
- Selkirk Mental Health Centre
We are aware that these sites also have e.g. PCH beds, but for clarity, just collect anyone from these sites as chronic health.
Living in a PCH is relevant to generating the Overstay colour.
If a patient's discharge to a Chronic Health Facility is delayed, you might be able to code Awaiting/delayed transfer to long-term care/PCH.
PCH vs CHF
Template:Discussion The data so far are not consistent – some refer to Riverview as PCH and some has Chronic Health Facility in Pre acute living situation field.
- are collectors all following the guideline above?
- When patients come from these facilities – Riverview, Deer Lodge, St Amant – is it easy to distinguish which care program area they are from (e.g. Riverview Personal Care, CVA/Stroke, Long Term Vent, Palliative,etc.; Deer Lodge Chronic Care/ Dementia, Personal Care, Peritoneal Dialysis, etc.) ? --p:Julie Mojica 11:34, 2018 January 12 (CST)
- Always PCH:
- I have been using PCH because they were total care.--p:Con Marks 12:30, 2018 January 12 (CST)
- Always CHF:
- Hi, I have been entering chronic health for the above listed facilities as per WIKI instructions for the Pre acute living situation field. Is it time for a change in collection practice? p:Pam Piche 07:57, 2018 January 15 (CST)
- I have been putting Chronic Health facility.The direction at the top of the article says any part of,so that's why I put chronic health facility.p:Gail Hall 11:44, 2018 January 15 (CST)
- PCH / CHF as documented:
- I think I may have been putting personal care home when they come from that area of Deer Lodge or Riverview, but otherwise chronic health care facility. Each patient is sent with a transfer form/summary to the receiving facility and it usually identifies where they are from, also the history and physicals usually identify where they are from as well. I'm uncertain if you can identify by EPR, you may need to be familar with their wards/facility to know for certain. p:Lisa Kaita 13:08, 2018 January 12 (CST)
- Well stated Lisa-this is now more frequent with the "blended care" at these sites as stated-PCH/Geri-rehab-Palliative Care: so-if you want accurate data or your general Chronic Health choice; your call.--p:Louise lemoine 07:52, 2018 January 15 (CST)
- Template:Discussion so Louise you commented on Lisa statement however, what are you coding? Thanks. --p:Trish Ostryzniuk 11:19, 2018 January 15 (CST)
- Well stated Lisa-this is now more frequent with the "blended care" at these sites as stated-PCH/Geri-rehab-Palliative Care: so-if you want accurate data or your general Chronic Health choice; your call.--p:Louise lemoine 07:52, 2018 January 15 (CST)
- I put in PCH when the charting says PCH from Riverview or DLC, if not indicated, then i put in Chronic Health Facility. --p:Allyson Alcudia 11:55, 2018 January 15 (CST)
- Sometimes it is clear that they came from the PCH part of Riverview or Deer Lodge, so in that event, I use PCH. If it is not clear I use Chronic Health Facility. For St Amant I use chronic health only. --LKolesar 07:23, 2018 January 19 (CST)
- Same as what Laura does above, except if they come from St. Amant Group Home, I put in Supportive Housing.ENagy 14:33, 2018 January 23 (CST)ENagy
- I think I may have been putting personal care home when they come from that area of Deer Lodge or Riverview, but otherwise chronic health care facility. Each patient is sent with a transfer form/summary to the receiving facility and it usually identifies where they are from, also the history and physicals usually identify where they are from as well. I'm uncertain if you can identify by EPR, you may need to be familar with their wards/facility to know for certain. p:Lisa Kaita 13:08, 2018 January 12 (CST)
- rare / unsure:
- I do not recall any patients that have been admitted to ACCU "from" these sites but will keep this in mind if and when I do have one. p:Marla Penner
- In all honesty, it is so long since I had an admission from one of those places that I do not recall.--p:Joyce Peterson 12:32, 2018 January 15 (CST)
- Same here. I don't often see patients from these facilities admitted to ICU. I do recall putting PCH for a few patients, but I don't remember which facility they were from. --Jvelasco 14:51, 2018 January 16 (CST)
- StAmant and Selkirk = CHF // DL and RV rarely see them coming from there however I put from PCH unless saw that they were from rehab then entered CHF. Good reminder to code them all from CHF thanks p:Shirley Kiesman
- If the chart does not specifically state what area they have come from, I think I have been putting chronic health care facility.--p:Marla Penner 12:26, 2018 January 15 (CST)
- I think I have been putting chronic health-it is trickier when they are discharged as to whether to put PCH /Deer Lodge/Riverview etc. p:Stephanie Cortilet
- I think I have been putting chronic health facility as well (for sure with St Amant). I can't recall if I have ever put PCH, however, if they are specifically saying that the patient is coming from a PCH unit, then I may have entered that. It is hard to say when you aren't looking at the specific chart information. p:Michelle Lagadi
Template:Discussion What is the outcome of this, then? I tried to group the answers above a little, but am notsure what the outcome is or whether we need to change directions or...?