| | DiscussQuestion | DiscussWho |
|---|
| Beds occupied by transferrable patients (Critical Care) |
| Julie |
| ER Delay |
- I have re-updated Created_Variables_Common_maker_2021 query, for some reason the change I had made was not reflected in the master version. Ready to test. Ttenbergen 13:25, 2022 June 28 (CDT)
- emailed Tina some inconsistencies found in ER Delays Aug 15,2022. --JMojica 13:21, 2022 August 29 (CDT)
- are these still an issue? Ttenbergen 11:15, 2024 May 1 (CDT)
- I will re-check again. Can't remember if have been resolved. --JMojica 14:40, 2024 October 2 (CDT)
- I just had a look at that sas file (they open as text files) to see how you define transfer delay. If that file is still being used we may have a problem, it still defines tdelay different if a pt goes to a higher level of care, goes AMA or dies, and we changed that some time ago. So is this still the reference of how you calculate this? Ttenbergen 22:50, 2024 November 16 (CST)
- This data is problematic before 2011-Q2,the only reason there are any is because it derives them for EMIPs. Some data may be available in Moves for Medicine, but that would still leave a gap. Ttenbergen 23:09, 2024 November 16 (CST)
- OK, will be working on this getting data from Moves for Medicine from period Sept 2007 to June 3, 2011. will give to Pagasa for upload to Arrive DtTm field. I will update the WIKI as soon as done. Conclusion: for Medicine, prior Sept 2007, no ER delay while for Critical Care, no ER Delay prior July 1, 2016 -- these are treated as missing. --JMojica 16:35, 2024 December 11 (CST)
- This measure is not referenced by any of the Reports pages. Which reports actually use this? Is it wrapped into a specifically stratified indicator like beds lost or similar? Ttenbergen 15:14, 7 December 2025 (CST)
| all
Julie |
| Readmission to MedWard |
- when we were setting up LAU collection readmission data we realized that we are not clear on what exactly is included in a Discharged to community. We should decide how to define that and whether it should apply here and/or for other reports.
- In a meeting with Dan, Julie and Tina we also realized we need to include the newer home with supports etc in the definition of where someone was discharged to, and we may want to base this on Visit_Admit_dttm instead and so consider re-admission to either CC or med. If I understand right, the current definition considers someone who is re-admitted to ED the next day but then spends a week in CC before coming to a medicine bed is not considered a re-admission to medicine. I think EMIPs are excluded in the same way.
| Julie |
| Transfer Delay (Critical Care) |
- The Dispo location will be used to define the destination. As per Dr. Garland & Dr. Paunovic.
- I think we discussed at Task that we will do this differently now... right?
- The above is really about stratification, and not the indicator itself. Do you really only use it to stratify delays, or do you also report other indicators such as Length of Stay with it. Even if it is single-use, I think we should probably treat any generated value we use to stratify pretty much as we do Indicators, possibly using the same templates on the wiki. The stratification affects averages and totals, so it needs to be transparent. This is likely a can of worms because there must be much stratification in the reports. Ttenbergen 14:50, 7 December 2025 (CST)
| Julie |
| Transfer Delay (Medicine) |
- How about scenario Med(with TR) -> HOBS -> Med(with TR) -> hosp discharge
- According to the definition that would result in two delays but we only get a single Delay metric per record. So is it
- (a) sum (time from TR1 to start of HOBS, time from TR2 to hosp discharge)
- (b) sum (time from TR1 to start of HOBS, entire time at subsequent med level of care locations)
- In Beds occupied by transferrable patients (Medicine) you state that the metric is per patient, but is it really per patient, per record or per boarding loc? So if a patient goes from a boarding loc to another and back to the first, you presumably report the sum of the time at that loc for that pt, but for an average, would the N be 1 patient or 2 records? To take that further, if the pt goes to ICU and then comes back, would the N become 3? the inclusion criteria on that page don't really clarify how this is resolved.
I realize we were breaking out these indicators and trying to have each explained all on page for ease of use by report users, but this is an example where I think it would be better to define things like 'the transfer delay complex' as individual indicators, individual stratifiers, and then possibly define a compound indicator that combines them, but refers to the earlier definitions. It makes it slightly harder to follow, but hopefully anyone who actually looks at a data definition value coherence of the details over light reading.
- Also, I realize it's more friendly to read in indicators that something is "per patient", but I think it is also important to be specific about this, so suggest we should change this to be the actual N used in any of our indicators.
- in file 20_... for GRA data Julie provides an explanation that may resolve this question. I am putting it below. If I understand that one correctly,
- W1 - W1TR - W2 - H1 - W3 - W3TR - Dispo would result in a delay of dispo-W1TR
- W1 - W2 - W2TR - H1 - W3 - W3TR - Dispo would result in a delay of dispo-W3TR
- Is that the right understanding? If Julie agrees the discussion can go.
| Julie |
| Unit Mortality | I seem to remember hearing that this excludes palliative patients or something like that. If not, did it use to? If it used to and changed we should state that here. If it still does, or never did, we might want to be specific about that above so it doesn't come up again. | Julie |