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 information about the "originating service" for those patient's who where already in a prior inpatient location before coming to their current service location.

Collection Instruction

For each patient,

• enter the option that most closely matches
  • for medicine ward-to-ward moves, code "medicine" as previous service
  • for ICU-to-ICU moves, code "Critical Care" if no other specific service is documented
  • for pt from ER, code "Emergency Medicine" unless a different service had accepted them and is handing them off to Medicine
• for pt direct from ambulatory care not via ER, code "not applicable"
• if the service is not listed, code "other (known but not on list)"
  • in these cases we don't care about the details; if we see too many others we may add additional options in future

From Cardiac Cath Lab

• A patient goes to emergency, then is sent to the cardiac cath lab for an angiogram. What is the previous service? Is it Emergency Medicine or Cardiology? Did we come to a conclusion the last staff meeting?
  • I think the conclusion was that a pt can't really go to the cath lab without a cardiologist involved, so sending service would be cardiology. Ttenbergen 10:52, 2016 June 13 (CDT)

from OR

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

Nursing Home Wards (HSC/GRA)

We treat patients that went through the HSC/GRA Nursing Home as having been discharged. So, admission from there should be as if admitted from home, so put "not applicable" into the Previous Service field. This does not affect the Visit Admit DtTm field definition - remember, that is defined by EPR entry.

Data Use

Patients with Previous Location field critical care must have Previous Service field critical care, and patients from medicine must have previous service medicine.

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

• Can't be empty.
• query check_previous_location_vs_service_inconsistent: patients with Previous Location field in medicine must have previous service medicine; patients from ICU (except CCU) must have previous service "critical care".
  • Template:Discussion I notice when MICU gets a patient from CCU and I put in "cardiology" in the previous service field, I get an error message that states: "If from medicine should be previous service medicine. if from ICU should be previous service critical care." Well I believe if I get a patient directly from CCU it should be Cardiology service but your error checks are not allowing this currently. Please fix. --LKolesar 13:56, 2016 June 15 (CDT)
    • CCMDB.mdb_Change_Log_2016#2016-Jun-16 should no longer check this for CCU. If fixed please delete this entry. If not, please update what still wrong. Ttenbergen 10:23, 2016 June 16 (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.