Continuous Stay

This article is about Multiple Encounter patients who have not been discharged in between encounters.

Definition

A pair of records for the same patient is a continuous stay if:

discharge1 and admit2 are 5 * minutes - x Template:Discussion minutes apart in the same hospital
discharge1 and admit2 are 30 * minutes - 48 hrs apart in different hospitals
the combination of discharge-to and Med Var 2 - Discharge-to Ward field in the first the location field in the second match
the admit-from field in the second and the location field in the first match
the first admission doesn't end with Med Var 6 - AMA resp ICU Var 6 - AMA

Continuous encounter with intermission at non-collected ward

If all of

Discharge to and Admit from are both <local hospital>
Var 2 - Discharge-to Ward on the first record is the same as Var 1 - Admit-from Ward on the second
the two vars are not a collected ward

then this is likely a continuous stay.

Continuous encounter with intermission in OR

For ICU patient transferring to another ICU area Or ICU patient who went to OR and/or comes from OR or Recovery to an ICU between same or different hospital, the max time to consider a continuous link is <= 2days (48 hours). If more than 2 days, the next ICU admission is considered as new admission and not a transfer. Template:Discussion

would it make sense to take out the ICU requirement for this? The same might be rarer for Medicine patients but would still be true. I will implement Encounter processing like that for now unless I hear otherwise. Ttenbergen 12:06, 2015 January 22 (CST)
Glad you put that in Tina, I was going to make a similar comment.--CMarks 12:48, 2015 January 22 (CST)

Reports using this concept

Which ones?

Julie's definition

	need to integrate Julie's definition pasted below into this page

The reason why I don’t know is because my program in Med is defining the conditions of new admission and if not TRUE will all be categorized as continuous stay (the cut off values are consulted and approved by Dr Roberts). Yours is the other way around, you are defining the continuous stay and if not TRUE will be a new admission.

Criteria for new admission per hospital:
1. Pts who have first and only admission
2. AMA Patient from prior admission
3. Patient is transferred to a different hospital, the admission for that hospital ends and the patient becomes a new admission to the second hospital
(a) except if reason is lab test and stay in the second hospital <1 day bec bed is usually put on hold on the first hospital
4. Pts with previous encounters and admitted from ER, Home, Outside City or Province or previously discharged to Home, Outside City or Province
5. Pts with previous encounters and admitted from unit within the hospital but the prior encounter was discharged to Home, Outside City or Province
6. Pt discharge to or admit from OR/ RR but more than 7 days
7. Pt discharge to Ward or then admit from OR/ RR but more than 30 days
8. Pt discharge to Ward or then admit from Ward but var1 is not same as previous var2
9. None of the above but has gap > 90 days then consider new admission

Critical Care is different and much simple. Allan Garland prescribed it based on the paper he did. Link one or more ICU whether same or diff hospitals.
Sept 7, 2012 Dr Allan Garland definition if linked ICU
1. Gap <= 24 hr and (TO=blank or from=blank)
2. Gap <= 48 hr and previous to = ICU/OR/PACU and from = ICU/OR/PACU
3. I added the cases discharge to CCU but database has no HSC CCU prior May 1999 **;
From= CCU/OR/PACU and previous to= CCU and 2 < diff < 20

Julie