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.

Site Specific information

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

• GRA CAU
• HSC CAU
• STB CAU

WRHA ER models of care plan article

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

Do we actually need to differentiate these from wards?

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.

Emailed Collectors to change the remaining entries to local ward instead. Waiting to hear back now. Ttenbergen 17:03, 2021 April 1 (CDT) need to consider what to do with records that are in Boarding Loc.

added: no added date action: no action date

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as per Julie: "I have checked the database and there are also CAU entries at GRA and STB in pre-admit institution, previous loc and dispo (GRA_CAU, STB_CAU). Do they move location too? Can we ask the DC? If so, make it generic _ward. In the tmp Boarding Loc, there are 12 cases GH-CAU – so it looks like Internal med is borrowing CAU Bed. What to do here – change to GRA boarding? I am not sure if the more recent entries for boarding loc would now list the actual location or still site-CAU. Discussed at Task; these are now family medicine, we will start to just collect these as <local> ward. Ttenbergen 13:50, 2021 March 24 (CDT)

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See sql to see boarding loc CAUs in CFE

SELECT L_TmpV2.*, L_TmpV2.Item FROM L_TmpV2 WHERE (((L_TmpV2.Item) Like "*CAU"));

See sql to see pre-admit, previous and dispo CAUs in CFE

SELECT L_Log.D_ID, s_dispo_1.location_name AS pre_admit, s_dispo.location_name AS previous, s_dispo_2.location_name AS dispo, L_Log.Accept_DtTm, L_Log.Arrive_DtTm, L_Log.Dispo_DtTm FROM ((L_Log INNER JOIN s_dispo ON L_Log.Previous_Location = s_dispo.dispo_ID) INNER JOIN s_dispo AS s_dispo_2 ON L_Log.Dispo = s_dispo_2.dispo_ID) INNER JOIN s_dispo AS s_dispo_1 ON L_Log.Pre_admit_Inpatient_Institution = s_dispo_1.dispo_ID WHERE (((s_dispo.location_name) Like "*CAU")) OR (((s_dispo_1.location_name) Like "*CAU")) OR (((s_dispo_2.location_name) Like "*CAU"));

If we wanted to stop these we would need to

• tell collectors to change all pre-admit, previous, dispo, and boarding loc to site-ward
• wait till that's done
• retire the entries in s_dispo, s_tmp and on wiki
• possibly reconcile the old entries to site-ward as well

do we want to do this?

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pre-admit inpt...

A quick review of the data shows that collectors are using CAUs even now. Possibly more concerningly, when CAU is the Previous Location , about 5% coded the pre-admit location as NA/Not applicable, the rest coded it as same CAU, except for a few who are mixing CAU and ER in these.

do we need to do anything to get collectors to fill this out right? Or to deal with back-data? Ttenbergen 14:40, 2021 March 11 (CST)

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