Off ward field

The Off ward field is set to true if the patient spent any time in an off-ward bed between Arrive DtTm and Dispo DtTm.

Collection Instructions

The field is located underneath the Service/Location field.

If the patient meets the definition at the top, check the "off ward" checkbox.

The Pre-admit Inpatient Institution field and Previous Location field of the next encounter would use the Service/Location field of the previous collection location where available, not the off-ward location.

The Service/Location field would contain the laptop's regular collection location, not the off-ward location.

The Dispo field of the next encounter would use the Service/Location field of the next collection location where available, not the off-ward location.

Questions

Not intended for off-ward tests

• I just want to make sure I am understanding this correctly. These instructions imply that any time a patient goes for a CT/MRI/OR, then the box should be checked off. Is this correct?Mlagadi 14:36, 2016 June 29 (CDT)
  • No, we want to know if they are in an off-ward bed, eg. bed borrows. I have updated the instruction to reflect that. Please correct further if needed or remove this comment if now clear. Ttenbergen 10:33, 2016 July 4 (CDT)

• I have yet to see an actual definition-by my inference at HSC - we are assuming it is when patients belonging to our ward/unit-are actually housed or located elsewhere but still under our ward identifier: eg.#1: D4 has beds overflowed on H7a-they are still entered as D4; #2: all our med ward patients transferred to Rehab and still under the various medicine teams are kept still within our initial medicine ward identifier. I do not think it is meant for off unit tests or procedures.--Llemoine 15:03, 2016 June 29 (CDT)
  • Lou is right. Ttenbergen 10:33, 2016 July 4 (CDT)

Question - This does replace other off-ward collection

• I am unclear as to the definition of "Off Ward".....does this apply to ICU patients only? Does this apply to HSC and STB only? Is the "any time off ward" meant to replace the previous OVZ concept (Var 5) that is currently used for medicine? Could some examples/scenarios please be provided? Thanks, Pamela Piche 08:19, 2016 June 30 (CDT)
  • Yes, we used to do this differently for ICU and Med, this new way of doing it replaces that. Only place that still does something else is CCU Service Tracking and only at STB.m Ttenbergen 10:33, 2016 July 4 (CDT)

EMIP

EMIPs are in their collection location, e.g. GRA_EMIP, so they are not off ward. Don't check the field.

Parked in ER

Parked in ER (which we will no longer collect) for ICU transfers is before Arrive DtTm, so they are not "off ward". Don't check the field. Does this refer to the D4 beds temporarily on H7a and all our patients sitting on RR6 as we keep them under our initial ward profile location?

• --Llemoine 07:53, 2016 June 27 (CDT)

Data Use

Relevant to occupancy and some patient risks.

See also

• Identifying patients in boarding locations.
• Bed borrow

Legacy

We used to collect related information in multiple places. Once we are comfortable with the new dispo fields we want to stop collection of the old fields. The fields are:

• ICU Var 3 - Overflow
• ICU Var 4 - Parked in ER
• ICU Var 5 - Overflow

Old data would be transferred to new fields where the translation is not ambiguous. We can keep a snapshot of Centralized with the data pre-translation in case we ever want to go back to it.