2020-03 HSC COVID unit transition

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  • 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.
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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)
  • 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 ?)

HSC_D4_COVID

  • 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.
  • 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.--Trish Ostryzniuk 16:38, 2020 March 18 (CDT)
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How will we identify these patients in EPR

  • 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.
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Transition plan

Tina will pull data from the D4 and D5 laptops and collectors will need to restore the data, instructions to come before collection on March 19.

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:

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.

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 might be able to get data from EPR Report directly, but not immediately

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

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  • 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?
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