EMIP
EMIP stands for Emergency Medicine "IN" patient and is used as a location / in the Medicine database. It is used for patients who are admitted to the medicine service and spend their entire admission under the medicine service in the ER (emergency department).
- We are tracking this at VIC, GRA, STB.
- HSC start 2016_Oct_1
Collection Instructions
- Service/Location field - your EMIP (e.g. GRA_EMIP)
- Previous Service field - likely emergency medicine, unless some other service accepted them prior to medicine, and was never able to get them out of the ER either, and medicine accepted the patient from them -in order for a pt to be an EMIP they must have been accepted by Medicine for admission otherwise they would just be an Emergency patient
- Accept DtTm field - the time Medicine accepted them, i.e. the time they became an EMIP
- Arrive DtTm field - same as Accept DtTm field
- Previous Location field - use normal instructions
- See Overstay_Predictor_Project_Collection_Instructions#Possible_Scenario_-_EMIP_patient_that_never_made_it_to_the_ward for how to code overstay for these patients.
identifying patients
see Identifying patients in boarding locations
Patients discharged to other locations in hospital
Collection includes patients who are discharged to a non-medicine location in the hospital. So, if an EMIP patient is transferred to an ICU, that ICU would use e.g. GRA_EMIP as Previous Location. If a pt who starts out on the EMIP track turns into a medicine off ward patient, collect them as you would any other off-ward patient.
EMIP scenario
- Entire LOS in ER under Medicine service and left your hospital to Home or died in ER
- Entire LOS in ER under Medicine service and discharge to other locations under different service in your hospital
- Entire LOS in ER under Medicine service and discharge to other locations under different service in another hospital
NOT an EMIP
- if LOS has partial stay in ER under Medicine service and then move to a Medicine service ward (i.e. a regular Medicine admission)
- if LOS has partial stay in ER under Medicine service and then move to other ward but under Medicine service (i.e. a case of OVER)
JMojica 12:13, 2016 June 2 (CDT)
No ICU counterpart
see ECIP for more info
While these do, in theory, happen in ICU, we will not collect them.
Locations
VIC EMIP
See VIC_Medicine_Collection_Guide#Identifying_OVER_and_EMIP_patients.
GRA EMIP
- start date: November, 2010
- see GRA_Medicine_Collection_Guide#EMIPs_at_the_Grace for how these are identified at the Grace.
STB_EMIP
See STB_Medicine_Collection_Guide#Process_for_identifying_Overflow_and_EMIP_patients
HSC_EMIP
Serial numbers used
Patients in EMIP have their own serial numbers starting at number 150.