Accept DtTm field

Data Element (edit)
Field Name:	Accept DtTm
CCMDB Label:	Accept DtTm
CCMDB tab:	not stated
Table:	L_Log table
Data type:	date
Length:	not stated
Program:	Med and CC
Created/Raw:	Raw
Start Date:	2016-07-01
End Date:	2300-01-01
Sort Index:	43

The date and time when the patient is accepted from the ER department ONLY.

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Legacy implementation right in the table

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Collection Instruction

Only for patients admitted from your own ER department enter the date/time that the service physician accepted the patient, leave blank for all others.

• For admissions arriving via the ER the Accept DtTm is found on the transfer register report.
• If the pt is previous location EMIP, Julie still wants the accept dttm for these patients. --LKolesar 12:35, 2017 May 31 (CDT)

• If there is no clear record of the accept date/time, leave the Accept DtTm field blank and check Accept DtTm missing field check box.
• If there is an accept date but no time documented, entered the Accept Date, and enter the time as: 00:00
• If the Accept DtTm > Arrive DtTm, make accept = arrive

Cognos is populating accept time for all patients, so this instruction will have to be updated once everything is finalized. --Jvelasco 13:55, 2020 July 7 (CDT) see also: #Is there a reason NOT to just enter these from Cognos for all? Ttenbergen 12:06, 2020 July 9 (CDT)

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Direct Admissions/Transfers

For patients who have been accepted from another hospital but have a wait time in ER (who used to be called Direct Admissions/Parked in ER), use the visit ID date and time for the Accept DtTm field as it is clearly marked in the EPR.

Source (everyone to use SAME source)

• If from ER use the EPR Reports - Transfer Register

• (STB to no longer get this info from Orders ).--Trish Ostryzniuk 16:36, 2020 May 14 (CDT)

When does collection start?

see

• Definition of an ICU admission
• Definition of a Medicine Service admission

Data Use

Patient flow

• medicine program: to monitor delays to move patient from ER to Med ward bed
• as of July 2016 onward - ICU same purpose

Accept DtTm is used as part of the formula to calculate delay in the transfer of patient from ER bed to Med ward or ICU bed - see ER Delay. This measures the amount of time for the patient already accepted in Medicine or Critical Care service but still using the ER bed and resources.

Is there a reason NOT to just enter these from Cognos for all?

The Cognos Admitter will populate this field automatically with the service accept dtm. Deciding when not to add the time is actually a bit of a curve ball. Is there any reason to not just let it populate this field for all? Ttenbergen 15:10, 2020 June 3 (CDT) what is Cognos definition of Accept DtTm - is it the time of physical transition of service or verbal agreement only from the sending service to the receiving service? if the latter, it has an effect on occupancy. you can still automatically populate it but when using it, I will be selective. --JMojica 15:43, 2020 June 3 (CDT) I am not sure what you mean here - transition of service isn't really a physical thing, and it would be whenever someone enters it into the record (since the computer would not record when something verbal happened). If you will be selective about it we should put under #Data Use below what that means. I will put this on the list for the next task meeting to hash out details now that it seems like this is a likely change to make. Ttenbergen 08:53, 2020 June 4 (CDT) by selective, I mean case to case where the patient is coming from. if the patient is direct admit from other sites to this site, the physical arrival is the logical date-time to use as Service Accept_Dttm. if patient moves from one service to another service within the same site, the service accept dtm is appropriate.

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Data Integrity Checks (automatic list)

none found

Legacy

• 2017_January: also enter lines in TMP for all AcceptDateSources.

• The source for gathering the accept date/time may vary from site to site see #Possible documentation locations

• This field is part of the 2016 Time and Place changes.
  • For medicine this concept is related to admit date and time (when pt is from ER). It does not simply replace the field, so this value still needs to be entered for patients not from ER. Resp. field L_Log.R_AdmDate and L_Log.R_AdmTime
  • For critical care this concept is related to Service Sending to ICU. (There is no comparable field in ICU for this in the old system).