Definition of a Medicine Program Admission

For Critical Care, see Definition of an ICU_admission

The definition of a "Medicine patient" for the Regional Medicine Database is:

• admitted under a Medicine service attending physician. If patient doesn't meet this definition then we don't collect data and enter into the Medicine database.

Collection for internal medicine patients starts at Accept DtTm ie possibly while in ER, regardless of where they are, including if they are still in the ER (i.e. [[EMIP).

Med and ICU will be same definition and can then be collapsed. This is also discussed in Change to start collection at accept rather than arrive time. Ttenbergen 11:48, 2020 October 27 (CDT)

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Clear out or reconcile EPR Reports, Discharge Register, Transfer Register, Identifying ICU admissions, Definition of a Medicine Service admission, Definition of an ICU admission

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Inclusion of some pt not attended by Internal Medicine Attendings

Allan to ask Nick Hajidiacos what he wants and why.

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Generally we only include pts under Internal Medicine Service, but the following are exceptions where we collect even though pt is under other physician:

• all neuro patients that are admitted to HOBS, once they are discharged/transferred out of HOBS, we no longer follow the patient. (per Dan Roberts, see also HSC Medicine Collection Guide)
• all nephrology patients
• many to D5 (Low Level of care hierarchy) under service of nephrology, neurology, oncology (ward being a non-teaching medicine but those services continue to care for their patient unless accepted by Dr Dowhanic or Arneja(who won't handle the HD population))
• At SBGH Nephrology does admit to STB B5 and will on occasion take over a patient when they are transferred off service to 6AS.

Exclude the following

We don't collect the following as medicine patients

• patients at any site admitted under the oncology service, e.g.
  • STB_E6_B - Occasionally Medicine-Oncology service patients are admitted to receive Chemo treatments, these patients are not included in the data base
• patients admitted to HSC_H6 under respiratory service, or neurology service
• STB E5 - interventional radiology will admit a patient for an overnight procedure, we are not following these

Special cases

See Category:Overflow for various special cases, and whether they would be included or not.

Related Articles

• Definition of an ICU admission.

Legacy

HSC

• Denise was printing out ADT initally, subsequently Diana Montgomery was handed the task.
• Not sure who made this contact, was it Linda or Allan Garland.--TOstryzniuk