Previous Service field

This field is currently being implemented, please check the instructions and put a discussion for anything that isn't clear. 

The Previous_Service field contains info about the service taking care of the patient prior to admission to the current location.

Collection Instruction

For each patient,

• enter the option that most closely matches
  • for medicine ward-to-ward moves, enter "medicine" as previous service
  • for ICU-to-ICU moves, enter "Critical Care" if no other specific service is documented

(can't just omit because then we would not know if omitted intentionally")

• if the service is not listed, code “other”
  • in these cases we don't care about the details; if we see too many others we may add additional options in future
• if previous service is not applicable, enter not applicable
  • Template:Discussion under what circumstances would that be? Ttenbergen 12:14, 2016 March 21 (CDT) Ttenbergen 20:08, 2016 April 18 (CDT)

from OR

If a patient comes from an OR/RR, code the responsible surgical service as previous service.

Patients from ER

• for pts ER to ward/unit, would the previous service be Emergency Medicine or Medicine as pt was accepted to Medicine service in ER?
  • it would be "Emergency Medicine" unless a different service had accepted them and is handing them off to Medicine

ICU to ICU moves

• If a patient comes from the ICU to the ward, or ICU to ICU, are we still entering "not applicable", or are we supposed to start entering something more specific (surgical/medicine/etc.)Mlagadi 15:31, 2016 April 18 (CDT)
  • Julie, thoughts on how ICU-to-ICU should be collected in new scheme? I could add "not applicable" or "Critical Care Medicine" or something else. Thoughts? Ttenbergen 20:05, 2016 April 18 (CDT)

Nursing Home Wards (HSC/GRA)

• currently we treat these pts as discharges or readmits from Grace Nursing Home ie not as a continuous admission or interhospital transfer. These pts are covered by one of the Medicine attendings while here. Do you want the previous service to be entered as Medicine then? [User:SCortilet|Scortilet]]
  • still waiting to hear back from Julie on that. Ttenbergen 13:23, 2016 May 11 (CDT)

Direct Admission / from ACF

• there is the option of "direct admission" under the previous service, so if a patient comes from ambulatory care clinic direct to the ward do we select direct admission or the service they saw in amb care? Lisa Kaita 08:46, 2016 April 15 (CDT)
  • Interesting question; the intent there was just to replace the "direct admit" from ER Wait. But what should be the right entry? Will need to look into this. Ttenbergen 16:02, 2016 April 18 (CDT)

From ACF

• There is no option in the drop down for a patient coming from ACF. Previously, we would just put "not an inpatient" but this option is not in the selection. (This is for the ICU people). -LKolesar 10:04, 2016 April 15 (CDT)

From Cancer Care/Oncology

• Can you add Cancer Care/Oncology and Infectious Disease as we get frequent admissions from them?--CMarks 12:48, 2016 April 11 (CDT)

other (known but not on list)

• If gastroenterology sends a pt should we use general surgery?--LKolesar 10:42, 2016 May 11 (CDT)
  • No, please use "other (known but not on list)" Ttenbergen 13:23, 2016 May 11 (CDT)

Data Use

Used to be:

• ER_Wait#Reporting_and_Analysis
• Sending service to ICU will be reported to the Critical Care Director.

Template:CCMDB Data Integrity Checks

None as of 11:58, 2016 March 21 (CDT).

• Template:Discussion Do we need any? Ttenbergen 11:58, 2016 March 21 (CDT)

Implementation

The field is populated with options from the s_previous_service table.

Legacy

For medicine this concept is related to ER Wait.

For critical care this concept is related to Service Sending to ICU.