Boarding Loc
| Projects | |
| Active?: | active |
| Program: | CC and Med |
| Requestor: | internal |
| Collection start: | 2019-Sep-20 |
| Collection end: | |
This isn't so much a project as way to track how patients physically move around the hospital. See Change from Service Location to Service, Boarding Loc and Transfer Ready DtTm tmp entry for information about it and why we needed to change it to this model.
This project tracks where and when a patient arrives into a new physical location.
Data Collection Instructions
How to enter this
You can use the "Make loc" button to generate and pre-populate these entries.
- Use tmp fields:
- Project: Boarding Loc
- Enter start_dt: arrival date at physical location, under column E.
- Enter start_tm: arrival time at physical location, under column M.
- These will be the actual arrivals on the unit, which might of course be before the Accept DtTm ( see why)
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Cannot see the link of why. Is this still true? we wanted the start dttm on the first unit be the same as the Accept DtTm and that start dttm can be actual arrival or after arrival on the first unit. --JMojica 13:42, 2021 July 26 (CDT) |
- checkbox: not used for this project
- Item:
- no location entered is the default (that entry will not be allowed in a complete record)
- change the original entry to the first location the patient was during the admission in this record, e.g. ER, specific medicine ward etc
- for any physical move to another unit, enter an additional Boarding Loc entry:
- for "home" locations or other locations where there is a specific entry listed in the dropdown (eg ER)
- item: the actual ward, e.g. STB_B5 or HSC_MICU
- comment: leave blank, or alternately you can leave what is automatically added; the main office doesn't use this part for anything for home locations, it is only used as per directions on this page and ignored otherwise.
- for "boarding" and COVID Suspect locations
- item: "<your site> - boarding" (eg. "HSC - boarding", resp. "HSC - ICU boarding")
- comment: actual unit
- for COVID Positive locations
- item: "<your site> - COVID unit" (eg. "GRA - COVID unit")
- comment: actual unit
- no location entered is the default (that entry will not be allowed in a complete record)
Template:First Service and Boarding Loc same
Combining Transfer Ready DtTm tmp entry and Boarding Loc records
- There needs to be one Transfer Ready DtTm tmp entry for each Boarding Loc and vice versa. To mark which entries belong together, use the same integer number in the "combiner" field in Patient Viewer Tab Cognos ADT2 for both records and in sequential order according to Boarding start_dt and start_tm. The presence of matching records is validated by query s_tmp_check_combined_Boarding_Loc_and_TransferReadyDtTm, and their sequential status by query s_tmp_check_combined_BL_and_TRDtTm_nonsequential.
- the integer number should be entered at the time that the paired Boarding Loc and Transfer Ready DtTm tmp entry are entered, as Julie uses this data early to report on
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GRA MICU
- Grace ICU boarding in ER choose Boarding Location GH-Emergency
- Grace Main ICU choose Boarding Location and GH-Intensive Care
- Grace Recovery Room (ICU) choose Boarding Location and GH-Recovery Room and enter comment Covid+ICU
- For External(SDC/NFA) ICU beds choose Boarding Loc and GH-External ICU and enter exact location in comments
Special Case - cross-program boarding
If a patient is accepted by your service but remains at a location of a different service for some time before moving to your service, you need to enter a Boarding Loc entry for that period.
For Critical Care collection, this could happen if the team runs a code on a patient and accepts care for that patient, but for a period of time hasn't yet moved the patient. For Critical Care, you would enter a generic "<Site>_Med" (ie GRA_Med, HSC_Med, STB_Med) for this patient so we don't have CC collectors keeping track of where regular, boarding or covid locations are. The generic "<Site>_Med" entry would only be available on CC laptops.
For Medicine laptops this isn't an issue because all CC locations are explicitly included in Boarding Loc.
Special Case - Parked
- For patients who are Parked in ER, just follow usual instructions, a special entry is no longer needed, since the ER delay will take care of them.
Special Case - EMIP/ECIP
Special Case - Erroneous Unit information in Cognos EPR Report
See Process for bad data in Cognos
Should be entered promptly
Occupancy per ward is being reported and/or requested. I have to change my program using the boarding loc info - have two fields arrival and departure per boarding location. It is very important that the location and dates arrived must be promptly entered so I can calculate occupancy accurately for the right physical location. --JMojica 09:38, 2020 October 14 (CDT)
Start/End Dates
- Start: 2019-Sep-01: new admissions on and after this date.
- End: there is no planned end date
Data Integrity Checks (automatic list)
Data Use
Critical care and Medicine programs want to know this to better understand patient flow and bed utilization.
SAS Program
The SAS program calculates the time spent in a borrowed bed at each ICU stay and summarize the total bed-days in a given interval that are taken up by boarders from elsewhere and how much a certain unit is boarding elsewhere.
- Time spent in borrowed bed = Next Arrival Date_time - First Arrival Date_time
- where Next Arrival Date_time = Dispo Date_time if there is no more next arrival date_time.
- Time spent in borrowed bed = Next Arrival Date_time - First Arrival Date_time
The SAS program is saved in X:\Julie\SAS_CFE\CFE_macros\Bed_Borrow.sas
Background
See Bed borrow as aggregator page for other boarding and borrow related concepts.
The concept is similar to EMIPs but we will keep the EMIP separate from this project. The current EMIP will stay the same.--JMojica 10:37, 2019 September 20 (CDT)