Direct admit

Direct admissions are patients who are accepted from another site (within region or from out-of-town) and come directly to the next site.

Usually, these patients should go straight to the accepting ward at the second site. However they occasionally move through the ER and are sometimes delayed there. In that case, they need to be collected as Parked in ER.

• There are two types of Direct admits:
  • already an Inpatient
  • not an Inpatient

Collection Instruction

• The Visit Admit DtTm field and the Accept DtTm field will be the same
• in Tmp Boarding Loc enter <site>_ER, the date and time will be the same as the Visit Admit DtTm field and the Accept DtTm field

The rest is the same as for any other patient, expand to see details.

Previous Location field, enter the previous physical location of the patient From an inpatient location- the Pre-admit Inpatient Institution and the Previous Location will be the same Not from an inpatient location- the Pre-admit Inpatient Institution would be not applicable and the Previous Location would be their last physical location e.g. Thompson ER Service/Location would be <site>_Med, <site>_CC, STB_MICU, STB_ICCS, STB_ACCU, HSC_IICU. Previous Service field, enter the sending service, otherwise enter Unknown or not applicable or other known but not on list in Service tmp entry enter the accepting service, with the same date/time as the Accept DtTm field First boarding location =ER, with the same date/time as the Accept DtTm field If the patient is transferred to another ward/unit of same service, add another line in the Tmp Boarding Loc for the next location ( this would be boarding location #2 and the date/time is the same as the Arrive DtTm field ). if they are transferred to a different service which we are collecting then a new profile. in Tmp enter Transfer Ready DtTm tmp entry if applicable, if not transfer ready check off column B

Data use / Reporting

What reports use this?

• Critical Care Inter-facility Transfer Report

inter facility transfers report (semi annual and Fiscal year) given to Critical Care Admin Director and Quality Officer.

• Patient Flow - where patient were have been admitted FROM

How is it used?

• To distinguish the reason of transfer due to bed management reason
• To distinguish the reason of transfer due Medical Necessity reason
• To determine the flow of patients from teaching hospital to teaching hospital, teaching to community, community to teaching, community to community, from outside city/province facility to regional hospital.

Data to be Reported

• for Inpatient direct admit
  • Site Ward via ED
  • Site ICU via ED

• For Non Inpatient direct Admit (e.g. Emergency, Ambulatory Clinic, PCH, Home, Nursing Station)
  • Site Emergency via ED
  • Site Ambulatory via ED
  • PCH via ED
  • Home via ED
  • Nursing Station via ED

Legacy

Collection for this was changed as part of the 2016 Time and Place changes.

This used to be relevant to ER Wait and ICU Var 4 - Parked in ER, Parked in ER tmp entry.

This used to be collected as Parked in ER tmp entry, and prior to that as <hosp> - ER (parked) entries in s_dispo table. Changed as of PatientFollow_Project#Transition_dates .

Content of the article was deleted 2016-06-30 so it doesn't inadvertently show up in searches. See article history if needed.