2020-10 COVID unit collection

This page explains how we will collect data on patients located in COVID units or other temporary units starting 2020-Oct-15.

Instructions

Which laptops will they be collected on?

• At sites that use PatientFollow Project, patients will be assigned to laptops based on that.
• At sites that still use per unit allocation, patients in COVID locations will be assigned based on their service: they will be picked up by the collector who collects the main unit for the service covering them. Filter Cognos EPR Report / EPR Reports Integrator by service to identify patients on COVID units.

Lisa changed this from "service" to "location". I changed it back. The way we discussed this, those patients would already be on one of our regular medicine services. We want to move to having that service's collector capture the patient, rather than a designated "collector for patients on a covid ward". As far as I understand we should already be filtering by service rather than location so we can capture other boarding patients in Cognos. Is that not what people are doing? Ttenbergen 22:30, 2020 October 8 (CDT) I understand the concept of collecting per service, but if your instructions are how to filter in EPR Reports we filter by location and then once that report is generated we then look through the service of each location to see what patients belong to each collector Lisa Kaita 06:45, 2020 October 9 (CDT)

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How will they be entered on the laptops

• Use the home unit for the service that covers the patient as the Service/Location (e.g. for HSC H service pt on COVID unit, enter HSC_H4)
• Enter a Boarding Loc entry of <your site> - COVID unit (e.g. "HSC - COVID unit") for any admission to and time spent in a COVID unit
  • enter the actual location into the comment field, e.g. JK3

• If the patient moves to another unit from a COVID unit:
  • at PatientFollow Project sites, or if the move is to a Service/Location also collected on this laptop, enter a Boarding Loc entry for this move
  • at non-PatientFollow Project sites, and if the Service/Location is not collected on this laptop, discharge the patient from this laptop as they will be collected by the corresponding other collector

• If the patient moves to the COVID unit from another unit:
  • at PatientFollow Project sites, or if the move is from a Service/Location also collected on this laptop, enter a Boarding Loc entry for this move
  • at non-PatientFollow Project sites, and if the previous location is not collected on this laptop, discharge the patient from the first laptop and enter them on the laptop responsible for the new Service/Location

As in the first wave will we exclude those patients that are not under any of our medicine services? Ie. neurology and respiratory patients but we do include nephrology patients. I figured we would filter by service, in which case that would be addressed. We would need to figure out what to do with Nephro. Ttenbergen 22:30, 2020 October 8 (CDT)

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Background

Physical locations of COVID isolation, cohorting and expansion keep changing. Every change we make to Service/Location causes extra disruption to collection, documentation, training, vacation coverage hand-over and data processing steps so we needed a flexible method that doesn't require decisions and changes every time locations are opened, closed or moved.

We will start to treat COVID and other contingency locations like any other Boarding Loc.