Change from Service Location to Service, Boarding Loc and Transfer Ready DtTm tmp entry: Difference between revisions
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{{Discuss | | {{Discuss | | ||
* What to enter for [[Pre-admit Inpatient Institution]], [[Previous Location]] and [[Dispo]]: Would other sites or programs enter [[GRA_Med]] or specific location? We will need to update linking and cross checks based on this. Ttenbergen 17:30, 2020 October 15 (CDT) | * What to enter for [[Pre-admit Inpatient Institution]], [[Previous Location]] and [[Dispo]]: Would other sites or programs enter [[GRA_Med]] or specific location? We will need to update linking and cross checks based on this. Ttenbergen 17:30, 2020 October 15 (CDT) | ||
}} | * entries must be specific in these fields so linking can be done correctly for those cases in transition (i.e. partly in the old way and partly in the new way). --[[User:JMojica|JMojica]] 09:44, 2020 October 16 (CDT) }} | ||
{{Discuss| | {{Discuss| | ||
I had a patient admitted on a COVID ward Oct 9 so they were under Service Location HSC_D4, with the boarding location HSC - COVID unit. On Oct 15, he moved from B2 to D4. His chart numbers are still my chart numbers. Am I putting another boarding location entry as HSC - Home medicine ward for D4? }} | I had a patient admitted on a COVID ward Oct 9 so they were under Service Location HSC_D4, with the boarding location HSC - COVID unit. On Oct 15, he moved from B2 to D4. His chart numbers are still my chart numbers. Am I putting another boarding location entry as HSC - Home medicine ward for D4? | ||
* yes, another entry in boarding loc but choose HSC_D4 instead of home med ward. Because eventually for the OCT to DEC report, I need to change all the generic home ward to specific ward to link all the med stays. --[[User:JMojica|JMojica]] 09:44, 2020 October 16 (CDT)}} | |||
=== LOS check === | === LOS check === |
Revision as of 09:44, 2020 October 16
This page contains info about the change of multiple Service/Location options per site for the medicine collectors to a single <site>_Med entry (GRA_Med, HSC_Med, STB_Med), with additional details being stored in Boarding Loc, Service tmp entry and Transfer Ready DtTm tmp entry.
The change
For reasons in #Background we are breaking down the Service/Location details into three separate entries instead; see those pages for details:
- Boarding Loc for the physical location
- Service tmp entry to track the service covering a patient
- Transfer Ready DtTm tmp entry since there might now be more than one change of
For any new records, enter the new, generic value for your site and program as Service/Location: GRA_Med, GRA_CC, HSC_Med, HSC_CC, STB_Med, STB_CC.
For any records you have already started, continue to use the same Service/Location you started with; if you run into trouble or inconsistencies with that, you can change it to the new generic Service/Location. Let Tina know when you have sent the last pr who uses one of the old locations so she can disable it.
Pre-admit Inpatient Institution, Previous Location and Dispo entries will continue to follow the same instructions as before.
Implementation dates
- GRA Med: Patients with Accept DtTm >= 2020-10-01
- S8 - STB_CICU - Stephanie Cortilet: since Steph pre-enters, start with Patients with Accept DtTm >= 2020-10-16
- everywhere else: Patients with Accept DtTm >= 2020-10-15 (As in those that will show in Cognos on the morning of 2020-10-16)
Loose ends
what to enter for transfers to/from these locations
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I had a patient admitted on a COVID ward Oct 9 so they were under Service Location HSC_D4, with the boarding location HSC - COVID unit. On Oct 15, he moved from B2 to D4. His chart numbers are still my chart numbers. Am I putting another boarding location entry as HSC - Home medicine ward for D4?
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LOS check
These need to be addressed soon-ish but are not show stoppers. Also, probably not relevant to collectors.
Wiki updates
- Service/Location
- Grace Medicine Collection Guide, HSC Medicine Collection Guide, STB Medicine Collection Guide
- quite possibly Medicine Curriculum or even the main curriculum, because ICU people would need to know to discharge to GRA_Med rather than specific unit as before.
- Locations table since GRA will basically no longer follow that model
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Background
PatientFollow Project and frequent changes due to COVID unit changes (specifically 2020-10 COVID unit collection) brought forward the limitations of our old Service/Location concept: it mixes multiple concepts of service and location, and has other curve balls like EMIP / 2020-10 EMIP changes . We needed a better way to encode this, but still needed an entry for the Service/Location field.
Prior state
Collectors would enter a Service/Location that combined the concept of which service takes care of a patient, and where they were physically located. Any physical moves would be entered as Boarding Loc, but be not very specific. A new record would be made if a patient moved to a new ward/service, with strange exceptions such as EMIP. There could be only one Transfer Ready DtTm per record (which would usually mean per unit stay).