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 decants emergency medicine patient 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:
At the Grace this is considered to be an ''inpatient'' location. 
*[[GRA CAU]]
 
*[[HSC CAU]]
 
*[[STB CAU]]
== Collection instructions ==
If a patient is admitted from a GRA-CAU:
*[[Previous Location]] GRA-CAU
*[Previous Service]] as '''Family Medicine'''
*[[Pre-admit Inpatient Institution field | Pre-admit Inpatient]]:  GRA-CAU
 
 
===Note===
*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. 
 
 
=== EMIP ===
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)
*If a patient is still considered an ER patient in a CAU, they can potentially be an EMIP if they get accepted by internal medicine but subsequently are discharged or sent to another hospital.  At STB our CAU contains inpatients mostly under family medicine but can be under internal medicine (they are not under the ER physician).  If the CAU is considered part of ER then I guess patients that are accepted by internal medicine and go out elsewhere could be EMIP's.  It depends how you view the area.  Is the CAU considered the same as ER or not?  Management will have to determine how they want this done.  Currently no one at STB collects data at all on the patients in the CAU. --[[User:LKolesar|LKolesar]] 11:49, 2017 October 27 (CDT)
 
== CAU Details ==
 
*Start date:  2017-Oct-16
*Location: 4E (E4)
*Number of beds: 10
*Manager: Kathy Kwiatkowski (see Grace N3 contact information)


==WRHA ER models of care plan article==
==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
[http://home.wrha.mb.ca/improvement/files/models-of-care-emergency-department.pdf 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 [[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.


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}}


[[Category:Site Specific Collection Guide]]
[[Category:Overflow]]
[[Category:Overflow]]
[[Category:Admit/Discharge]]
[[Category:Admit/Discharge]]
[[Category:Dispo]]
[[Category:Dispo]]
[[Category: CAU]]
[[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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