Continuous Stay

This article is about Multiple Encounter patients who have not been discharged in between encounters.

Definition

A continuous stay for a patient per site is having the same Visit Admit DtTm for the multiple encounters.

Reports using this concept

Used in Medicine

Definition used in SAS (ie in reports)

As per email from Julie:

The program in Med is defining the conditions of new admission and if not TRUE will all be categorized as continuous stay (the cut off values are consulted and approved by Dr Roberts). Yours is the other way around, you are defining the continuous stay and if not TRUE will be a new admission. 

Criteria for new admission per hospital:
   1. Pts who have first and only admission
   2. AMA Patient from prior admission
   3. Patient is transferred to a different hospital, the admission for that hospital ends and the patient becomes a new admission to the second hospital 
        (a) except if reason is lab test and stay in the second hospital <1 day bec bed is usually put on hold on the first hospital

This def of Bed holds is not consistent with the one in Bed holds; they probably should be, i.e. the same definition should be used throughout. Are they actually consistent in your program? Can we remove the detail from here and link to bed hold?

• SMW

• Cargo

• Categories

   4. Pts with previous encounters and admitted from ER, Home, Outside City or Province or previously discharged to Home, Outside City or Province
   5. Pts with previous encounters and admitted from unit within the hospital but the prior encounter was discharged to Home, Outside City or Province
   6. Pt discharge to or admit from  OR/ RR but more than 7 days 
   7. Pt discharge to Ward or then admit from  OR/ RR but more than 30 days
   8. Pt discharge to Ward or then admit from  Ward but var1 is not same as previous var2
   9. None of the above but has gap > 90 days then consider new admission 

Critical Care is different and much simple.  Allan Garland prescribed it based on the paper he did. Link one or more ICU whether same or diff hospitals. 
   Sept 7, 2012 Dr Allan Garland definition if linked ICU
   1. Gap <= 24 hr and (TO=blank or from=blank)
   2. Gap <= 48 hr and previous to = ICU/OR/PACU and from = ICU/OR/PACU
   3. I added the cases discharge to CCU but database has no HSC CCU prior May 1999 **;
           From= CCU/OR/PACU and previous to= CCU and 2 < diff < 20  

Julie

Related articles

Need to update this with new fields.