2020-03 HSC COVID unit transition: Difference between revisions

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{{Discuss  |
This page is about the transition of collection units at HSC to accommodate the new COVID unit.  
* This page is about the transition of collection units at HSC to accommodate the new COVID unit. Tina is using this as a brain dump for the moment, please don't edit for now. }}


== Background ==
== Background ==
* '''Thursday March 19.20''' – patients in [[HSC_D5]] will be moving to [[HSC_WRS3]] (Level 3 of 735 Notre Dame Ave. old womens Hosp)
* '''Thursday March 19.20''' – patients in [[HSC_D5_Pre_COVID]] will be moving to [[HSC_WRS3]] (Level 3 of 735 Notre Dame Ave. old womens Hosp)
 
* '''Friday March 20.20''' – patients in [[HSC_D4_pre_COVID]] will be moving to [[HSC D5]]
* '''Friday March 20.20''' – patients in [[HSC D4]] will be moving to [[HSC D5]]
* '''Friday March 20.20''' - '''D4''' will be the new COVID-19 ward ([[HSC_D4_COVID]] ?)
 
* '''Friday March 20.20''' - '''D4''' will be the new COVID-19 ward ([[#HSC_D4_COVID]] ?)


=== HSC_D4_COVID ===
=== HSC_D4_COVID ===
{{Discuss |  
{{Discuss |  
*Will we collect there? Exposure should be limited, but how much would we be able to get off charts, and would that still be useful? If we want to collect there, we will likely need a new [[Service/Location]] [[HSC_D4_COVID]]. If we are going to consider collecting the COVID ward at all (from EPR, no exposure), let’s not do it on paper, let’s do it on a laptop. That way the data we can get without exposure is at least available for intermediate analysis.
* As of 2020-03-19 we will try to collect patients data on this ward while preventing exposure. Probably enter patients from EPR and then collect details retrospectively. More to come. }}
*2020-Mar-18:  email sent to Renner, Lynch, Walker and Garland if there is expectation to gather info there for database, but it would be retropective, as I would no allow my staff into there fore this purpose.--[[User:TOstryzniuk|Trish Ostryzniuk]] 16:38, 2020 March 18 (CDT) }}


== How will we identify these patients in EPR ==
== How will we identify these patients in EPR ==
{{Discuss |
EPR reports should work for the new locations as usual.  
* What is not clear to me is how this will all look on our EPR reports,  I am assuming that we will now select WRS3 for D5, and D5 will now be the D4 census.    I did a quick check on the EPR and currently the list of options includes WRS3 (closed) as an option.  
}}


== Transition plan ==
== Transition plan ==
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* Old D4 laptop ([[Laptop identifier]] H4) will need to do this first thing on the morning of Friday, March 20  
* Old D4 laptop ([[Laptop identifier]] H4) will need to do this first thing on the morning of Friday, March 20  


Tina will duplicate all records for units D4 and D5 that don't have a [[Dispo_DtTm]]. The [[Service/Location]] and [[Serial number]] sequences will be as follows:
Tina will duplicate all records for units D4 and D5 that don't have a [[Dispo_DtTm]]. The [[Service/Location]] and [[Serial number]] sequences will be as follows.
 
==== H5 (old D5) ====
* for patients who currently have [[Service/Location]] [[HSC_D5]]:  
* for patients who currently have [[Service/Location]] [[HSC_D5]]:  
** one copy will be [[HSC_D5_Pre_COVID]], same [[Serial number]] as before, [[Dispo]] will be [[HSC_WRS3]]
** original remains with renamed location [[HSC_D5_Pre_COVID]], '''negative'' of [[Serial number]] as before, [[Dispo]] will be [[HSC_WRS3]]
** other copy will be [[HSC_WRS3]], '''negative''' of same [[Serial number]] as before, [[Previous Location]] will be [[HSC_D5_Pre_COVID]]
** other copy will be [[HSC_WRS3]], same [[Serial number]] as before, [[Previous Location]] will be [[HSC_D5_Pre_COVID]]
** (Previously completed/vetted patients in [[CFE]] with [[Service/Location]] [[HSC_D5]] will be changed to [[HSC_D5_Pre_COVID]], [[Serial number]]s and [[D_ID]]s will not be changed.
{{DT |
** This will '''NOT''' result in [[Orphans in Centralized data.mdb]] for these patients, since the the D5 entry was renamed and therefore the dispo_ID remains the same
** This may result in [[Orphans in Centralized data.mdb]] for these patients, since the the D5 entry was renamed and therefore the dispo_ID remains the same, but the serial was turned negative. Tina will discuss with Pagasa }}
 
==== H4 (old D4) ====
* for patients who currently have [[Service/Location]] [[HSC_D4]]:  
* for patients who currently have [[Service/Location]] [[HSC_D4]]:  
** one copy will be [[HSC_D4]], same [[Serial number]] as before, [[Dispo]] will be [[HSC_D5]]
** original will remain with renamed location [[HSC_D4_pre_COVID]], '''negative'' of [[Serial number]] as before, [[Dispo]] will be [[HSC_D5]]
** other copy will be [[HSC_D5]], '''negative''' of same [[Serial number]] as before, [[Previous Location]] will be [[HSC_D4]]
** other copy will be [[HSC_D5]], same [[Serial number]] as before, [[Previous Location]] will be [[HSC_D4_pre_COVID]], [[Accept_DtTm]] blank and [[Arrive_DtTm]] blank
** (Previously completed/vetted patients in [[CFE]] with [[Service/Location]] [[HSC_D4]] will require no change since, if we were to collect the new D4 it would be as [[HSC_D4_COVID]] .
{{DT |
** This will '''NOT''' result in [[Orphans in Centralized data.mdb]] for these patients, since the HSC_D4 entry remains'''
** This may result in [[Orphans in Centralized data.mdb]] for these patients, since the the D5 entry was renamed and therefore the dispo_ID remains the same, but the serial was turned negative. Tina will discuss with Pagasa }}


'''Collector will have to set the [[Dispo_DtTm]] to official transition time, doesn't so much matter what they use but should be consistent in the two records.'''
'''Collector will set the [[Dispo_DtTm]] and [[Arrive_DtTm]] to official transition time, doesn't so much matter what they use but should be consistent in the two records.'''


Collectors will continue the same serial pool they used for the old [[Service/Location]] at the new one. That way they can just up the count from where they were.  
Collectors will continue the same serial pool they used for the old [[Service/Location]] at the new one. That way they can just up the count from where they were.  


We will not need to add _a, _b, _d to the new locations because including the laptop identifier in D_ID takes care of that.  
We will not need to add _a, _b, _d to the new locations because including the laptop identifier in D_ID takes care of that.  
We might be able to get data from EPR Report directly, but not immediately


=== Why not do this with one entry rather than 2? ===
=== Why not do this with one entry rather than 2? ===

Revision as of 22:19, 2020 March 19

This page is about the transition of collection units at HSC to accommodate the new COVID unit.

Background

HSC_D4_COVID

  • As of 2020-03-19 we will try to collect patients data on this ward while preventing exposure. Probably enter patients from EPR and then collect details retrospectively. More to come.
  • SMW


  • Cargo


  • Categories

How will we identify these patients in EPR

EPR reports should work for the new locations as usual.

Transition plan

Tina will pull data from the D4 and D5 laptops and collectors will need to do a CCMDB data.mdb restore from Regional Server before collection.

  • Old D5 laptop (Laptop identifier H5) will need to do this first thing on the morning of Thursday, March 19
  • Old D4 laptop (Laptop identifier H4) will need to do this first thing on the morning of Friday, March 20

Tina will duplicate all records for units D4 and D5 that don't have a Dispo_DtTm. The Service/Location and Serial number sequences will be as follows.

H5 (old D5)

    • This may result in Orphans in Centralized data.mdb for these patients, since the the D5 entry was renamed and therefore the dispo_ID remains the same, but the serial was turned negative. Tina will discuss with Pagasa
  • SMW


  • Cargo


  • Categories

H4 (old D4)

    • This may result in Orphans in Centralized data.mdb for these patients, since the the D5 entry was renamed and therefore the dispo_ID remains the same, but the serial was turned negative. Tina will discuss with Pagasa
  • SMW


  • Cargo


  • Categories

Collector will set the Dispo_DtTm and Arrive_DtTm to official transition time, doesn't so much matter what they use but should be consistent in the two records.

Collectors will continue the same serial pool they used for the old Service/Location at the new one. That way they can just up the count from where they were.

We will not need to add _a, _b, _d to the new locations because including the laptop identifier in D_ID takes care of that.

Why not do this with one entry rather than 2?

We could have had one entry, started at old location and then ended at new location. The transition might have been quite prolonged since a pt may have been on ward for long time, and might stay there for long time, especially with D5 population. We would have been in a transition status for months. Possibly longer than this new arrangement will stay. With the current dynamic state, best to have a transition we can complete in a predictable time frame.

Reporting

Med reporting is by ward and combined. service location D5 before March 19 and WRS3N can be together.

Cross checks

  • SMW


  • Cargo


  • Categories
  • Have not yet checked how this will impact CFE Data Integrity Checks. Pagasa, of the top of your head which would be impacted and how?
  • SMW


  • Cargo


  • Categories

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