Dispo field
| Data Element (edit) | |
| Field Name: | dispo |
| CCMDB Label: | Dispo |
| CCMDB tab: | Dispo |
| Table: | L Log table |
| Data type: | number |
| Length: | long |
| Program: | Med and CC |
| Created/Raw: | Raw |
| Start Date: | 2016-07-01 |
| End Date: | 2300-01-01 |
| Sort Index: | 41 |
The Dispo field contains information about what happens to the patient at the end of their admission.
Collection Instruction
surviving patients
- Enter:
- see Visits to temporary locations for dispo to temporary locations, ie. OR, dialysis, procedure suites of all types, imaging suites/radiology
- HSC Stepdown Units
- AMA see also BedHeldEnd DtTm
Homeless patients
- If a homeless patient is discharged, either to a place like Siloam Mission, shelter or even without a specific plan, then code them as discharged to home. Consider whether they might have left AMA.
- If discharged to an Alternative Integrated Accommodation with services use home with support services
Prison / Jail / Correctional Institution
If a patient is discharged to prison, jail or a correctional institution, code this as "TRSF to Correctional Facility" as dispo to be consistent with EPR
See Prison / Jail / Correctional Institution for additional coding instructions that may apply.
Additional options similar to "Home"
We have several "Home" like discharge options that may appear in COGNOS:
- Home with Support Services - Discharged to a private residence or apartment with support from the community at home or referred to services. example home care. Note a patient with instructions to return for follow-up or referral to a specialist (as part of a routine discharge order) is NOT considered discharge home with support service/referral
- TRSF Group/Supportive housing - use Dispo home
|
I thought we had decided at JALT to collect this as presented by EPR... do I remember this wrong? I had already added it in [[]]. Ttenbergen 22:52, 11 March 2025 (CDT) |
- TRSF to Residential Care- Includes transfer to long-term care home (24 hour nursing), mental health and /or addiction treatment center or hospice/palliative care facility.
If the entry from ADT doesn't align with what is found in the chart then correct the entry to what you think is correct.
Chronic Health Facility
This is somewhat messy and fluid, so see Chronic Health Facility
Discharged to ER or Urgent Care
If you discharge a patient to the ER or Urgent Care, you can't enter this in the dispo field. The reason is that this should not happen. If it really does happen:
- enter Not Canada or USA - unknown/other (this is a very rare entry so when we see it, we can question it. Put a note in to the Notes field so Pagasa can check there first.)
- email Pagasa so she can enter your ER / Urgent Care location as dispo.
We don't want ER to be available in the dropdown because it had been mistakenly entered a number of times. If it turns out there are a lot of legitimate discharges to ER we will make the option available.
Manitoba Nursing Station
- use outside city -unknown/other
Deceased patients
See
- Deceased patients#General instructions for deceased patients
- Guideline for coding organ donation after death
- Visits to temporary locations
"Can we remove the items that are no longer Service/Locations, Previous Locations, Pre-admit Inpatient Institutions or dispo locations from the dropdowns?"
We can and will remove them, but that can only happen once no more laptops use them. We will need to keep track of this and then remove them when ready. If I removed them now, then any box that currently has them enter would misbehave.
| SQL query of what is currently available |
- query of what is currently used: query z_s_dispo_inactivatable
Data Use
- Unit Mortality
- Intra or Inter Transfer Rate
- Discharges out of hospital
- Organ donor rate
- AMA Rate
- Linking admissions
Cross checks
Data Integrity Checks (automatic list)
| App | Status | |
|---|---|---|
| Check pre acute consistent | CCMDB.accdb | declined |
| Function Validate Dispo | CCMDB.accdb | implemented |
| Check function location NE dispo | CCMDB.accdb | implemented |
| Query check ICD10 dx implying death must have appropriate dispo | CCMDB.accdb | implemented |
| Query check dispo lower acuity than location | CCMDB.accdb | retired |
| Link suspect dead then alive query | Centralized data front end.accdb | implemented |
| Link suspect mismatch to ours incomplete query | Centralized data front end.accdb | implemented |
| Link_suspect_not_same_visitAdmitDtTm query | Centralized data front end.accdb | implemented |
| Query cardiac arrest throughout admission | Centralized data front end.accdb | needs review |
| Link_suspect_visitAdmitDtTm_mult_to-from-home query | Centralized data front end.accdb | ready to implement |
Implementation
The field is populated with options from the s dispo table.
Related Articles
| Related articles: |
Legacy
- 2025-03-11
- one other option in EPR for discharge to was "TRSF to Residential Care" - we decided not to switch to this because we currently record more detailed information.
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|
That more detailed info included things like HSC Lennox Bell; we discussed whether or not we need to document the details of this. If so, the following is likely a starting point:
|
- 2025-03-07
- started to collect "TRSF to Correctional Facility" as dispo to be consistent with EPR; for Previous Location continue to use the old entry "Institution, NOS"
earlier legacy info
This field is part of the 2016 Time and Place changes and was affected by the PatientFollow_Project.
It a combination of our previous
Data from these fields has been back-populated to the this field so data is available from the beginning of the database.
Related articles:
Very early missing Discharge-tos
There were 6762 very old ICU records who are listed as survived but didn’t have a discharge-to. This is from HSC-only days when there simply were no checks.
When data was brought across from the old discharge to field the dispo fields of these records were set to 'survive(Legacy)'.