Clinical Assessment Unit: Difference between revisions

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CAU - Clinical Assessment Unit
Clinical Assessment Units are wards to which emergency department decants patients who are are waiting on acquisition of resources (diagnostics and consults) for 24 hrs or more before they are safely returned to community. At some time these were considered part of the ER, but as of 2020-10 they are all Family Medicine. Special collection instructions applied at some point, but now they are simply one of the many units we don't collect on.


This unit is part of the '''emergency medicine department.''' It is a location where patients are harboured who are are waiting on acquisition of resources (diagnostics and consults) for 24 hrs or more before they are safely returned to community.
=== Site Specific information ===
'''How these are collected differs at the different sites'''. See for more info:
*[[GRA CAU]]
*[[HSC CAU]]
*[[STB CAU]]


This is currently '''not''' considered to be an ''inpatient'' location at the HSC and STB yet. Considered to be an inpatient at the Grace.  
==WRHA ER models of care plan article==
[http://home.wrha.mb.ca/improvement/files/models-of-care-emergency-department.pdf WRHA Models of ER Care] article (2017-10-02)


== Collection instructions ==
== Retirement of s_dispo entries ==
{{Discussion}}
We used to collect the CAUs as separate locations from local wards because they used to be managed by the ER, and so could have contained [[EMIP]]s. As of 2021 they are all managed by Family Medicine, and so for our considerations are just another hospital ward where we don't collect, coded as e.g. HSC_Ward.  
*changes are in progress.
If a patient is admitted from a CAU, code [[Previous Location]] as one of  
*'''HSC - ER (CAU)'''
**code [[Previous Service]] as '''Emergency Medicine''' (as confirmed by Con and Lou)Sept 2017.
*'''GRA - ER (CAU)'''
{{Discussion}}
** I was just speaking with Marusia and she told me that the CAU patients here at the Grace are being treated as admitted patients rather than ER patients.  They are being admitted currently to 4 East under Family Medicine.  The thinking was that they have been dealt with by ER but not deemed ready for discharge but they do not want them being seen as ER patients.  Should we be admitting them as from an inpatient unit with Family Medicine being the prior service? Thanks [[p:Stephanie Cortilet | Stephanie]]
***I will check what HSC CAU and STB CAU is doing?  HSC has a CAU, but last month they were under ER service, not sure if that has changed yet. Not sure if STB has a CAU set up yet?
***Based on info you provided, it makes sense then that this is an ADMIT from is an Inpatient location and Previous Service is Family medicine.
*'''STB - ER (CAU)'''
{{Discussion}}
*not sure what physician service that the patient is under when moved to CAU at STB? Lookng into it.[[User:TOstryzniuk|Trish Ostryzniuk]] 14:53, 2017 October 25 (CDT)


=== EMIP ===
All *CAU entries for incomplete pts were changed to *ward entries, and the *CAU entries in [[S dispo table]] were retired.
In Sept 2017 Con investigated whether any patients in the CAU are ever [[EMIP]]s; she found that there should not be. If any collector comes across an EMIP from one of these locations, please update this.
{{discussion}}
*need to resolve [[EMIP]] and figure out where that info will live. Ttenbergen 11:30, 2016 December 29 (CST)


== CAU Details ==
On discussion with Julie it was decided to keep the s_dispo entries around and not convert them. The loc type is Ward in s_dispo which is enough when reporting - usually being combined as <site> ward.
==='''HSC'''===
was previous called [[Clinical Assessment Unit]].  As of Oct 3, 2017, referred to as CAU.  
*Start date: {{Discussion}}
**when was CCDU opened?  Was it January 2011. 
*Location: GH7
**plans to move to GB2 - (when current GB2 (Addictions, moves to RR2) coming spring 2018. No specific date yet.
*[[Pre-admit Inpatient Institution field | Pre-admit Inpatient]]?: No. No yet. We have been treating it as an extension of the ER.  There are plans to change model of care sometimes in 2018.
*[[Previous Service]]: Emergency Medicine 
**Plans to change care model in 2018 spring 018
*Number of beds:  10 
**2 flex beds (over census)in spring 2018.  
*Manager: {{Discussion}}


==='''GRA'''===
== Related articles ==
*Start Date: due to open: Monday, 2017-Oct-16  {{Discussion}}  
{{Related Articles}}
**update article and delete discussion if start date is confirmed.
*Location: E4  (4E)
*[[Pre-admit Inpatient Institution field | Pre-admit Inpatient]]:  Yes
*[[Previous Service]]:  Family Medicine
*Number of beds: 10
*Manager: Kathy Kwiatkowski (see Grace N3 contact information)


==='''STB'''===
*Start date: 2017-Oct-3
*Location: L2
*[[Pre-admit Inpatient Institution field | Pre-admit Inpatient]]: {{Discussion}}
*[[Previous Service]]:  {{Discussion}}
*Number of beds: {{Discussion}}
*Manager: {{Discussion}}
[[Category:Site Specific Collection Guide]]
[[Category:Overflow]]
[[Category:Overflow]]
[[Category:Admit/Discharge]]
[[Category:Admit/Discharge]]
[[Category:Dispo]]
[[Category:Dispo]]
[[Category:CAU]]

Latest revision as of 10:24, 2022 June 22

Clinical Assessment Units are wards to which emergency department decants patients who are are waiting on acquisition of resources (diagnostics and consults) for 24 hrs or more before they are safely returned to community. At some time these were considered part of the ER, but as of 2020-10 they are all Family Medicine. Special collection instructions applied at some point, but now they are simply one of the many units we don't collect on.

Site Specific information

How these are collected differs at the different sites. See for more info:

WRHA ER models of care plan article

WRHA Models of ER Care article (2017-10-02)

Retirement of s_dispo entries

We used to collect the CAUs as separate locations from local wards because they used to be managed by the ER, and so could have contained EMIPs. As of 2021 they are all managed by Family Medicine, and so for our considerations are just another hospital ward where we don't collect, coded as e.g. HSC_Ward.

All *CAU entries for incomplete pts were changed to *ward entries, and the *CAU entries in S dispo table were retired.

On discussion with Julie it was decided to keep the s_dispo entries around and not convert them. The loc type is Ward in s_dispo which is enough when reporting - usually being combined as <site> ward.

Related articles

Related articles:
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