2020-04 HSC COVID unit transition

This page is about the April transition of collection units at HSC to accommodate the new COVID unit. See 2020-03 HSC COVID unit transition about earlier transitions in March.

Background

	Lisa asked - Patient x under A goes to A4 then becomes suspect and moves to D2 then becomes positive and moves to D4 but stays under A the whole time, do we make a new profile for each move? Or keep as one profile? Julie wrote - We should have a cut-off date for the additional covid ward D2 and MS3. As I understand these new wards are for covid positives. Once dates are confirmed, then we start collecting at D2 and WS3. For Lisa's example, there can be 3 options assuming no official date yet for D2 as COVID positive ward : 1) A4, D2 together and new record D4 2) A4 one record, D4 new record – drop D2 (suspect only) because we don’t collect on that ward 3) A4 as one record and D2,D4 together as new record Which one? not sure, I have to think. Maybe option (2). If all the covid wards are operational, how to handle the case where the patient stayed in 2 official covid wards consecutively - 1) separate records or 2)one continuous record? I think we should consider (2) as continuous. Any thoughts? Tina commented - Keep in mind with all this that having a single record is maybe less work, but having multiple might actually make it more straighfwd to track all this. Also, how collectors get this out of EPR might be easier if we do it one way than another.

	Related to ICU, how will the patient originally at HSC_MICU then move to either H7 or A7 under the care of MICU be collected - will the move to H7/A7 be a new record or continuation?

The dates are not yet finalized

?? Thursday April 19.20 – patients in HSC_H4H (GH7 HOBS) will be moving to HSC_B2
?? April .20 - MS3 will be another new COVID-19 ward (HSC_MS3) with 29 adult beds
?? April .20 - D2 will be another new COVID-19 ward (HSC_D2_C) with 32 adult beds
?? .20 - H7 (H7 and H733 old CCU) will be additional 17 beds for ICU (HSC_MICU and/or HSC_SICU)
- it is not yet clear if this ward is allocated for MICU only or SICU only or both - waiting for the decision.
?? .20 - A7 will be additional 14 beds for ICU (HSC_MICU and/or HSC_SICU)
- it is not yet clear if this ward is allocated for MICU only or SICU only or both - waiting for the decision.

Wards involved:

- HSC_D2_C
- HSC_B2
- HSC_MS3
- HSC_A7_MI
- HSC_A7_SI
- HSC_H7_MI
- HSC_H7_SI

	and their originals... I lose track, needs to be filled in.

Service Locations

Tmp entries

	Do we need any?

Transition plan

There is no transition plan for the new COVID wards and the additional ICUs. Just need to add in the s_dispo table
This transition plan is only for the patients in H4H who were moved to HSC_B2

collector instructions

change the Service/Location of the record to the new location (ie from HSC_H4H to HSC_B2 )
- Multi DC are collecting the H4H patients
  - HSC_H4H_a to HSC_B2
  - HSC_H4H_b to HSC_B2
  - HSC_H4H_d to HSC_B2
  - HSC_H4H_h to HSC_B2
- the new ward B2 does not need a subscript anymore because the Laptop identifier replaces it.
enter the actual location as part of Boarding Loc:
- for patients who had no location borrowing during transition:
  - change the "no borrow" line to "HSC_H4H" and enter the time the patient arrived in H4H
  - add a line for "HSC - Home medicine ward" with the time that the patient was actually moved
- if there were patients who actually were in a borrow location during the transition, let's talk about how we would enter those

data processor instructions

	Depending on how we do this with tmp vs service location we may end up with linking issues and orphans; need to review.

Reporting

service location HSC_H4H before April ?? and HSC_B2 can be together.
all COVID wards namely HSC_D4_C, HSC_D2_C, HSC_MS3 can be together.
HSC_MICU, HSC_A7_MI, HSC_H7_MI can be together.
HSC_SICU, HSC_A7_SI, HSC_H7_SI can be together.

Cross checks

	We have no CCMDB.accdb Data Integrity Checks yet for Boarding Loc , so that won’t limit our options. Is this the time to add cross-checks?

	Have not yet checked how this will impact CFE Data Integrity Checks. Pagasa, of the top of your head which would be impacted and how?