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.

Changing existing values for incomplete L_Log entries: Emailed Collectors to change the remaining entries to local ward instead. Waiting to hear back now. Ttenbergen 17:03, 2021 April 1 (CDT) As of 2021-04-22, there are 5 incomplete records at the GRA that still use GRA_CAU. Reviewed my sent emails and it appears I did not actually email anyone. Emailing the collectors at GRA. Ttenbergen 16:54, 2021 April 22 (CDT)

added: no added date action: no action date

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Boarding Loc entries: need to consider what to do with records that are in Boarding Loc; especially at GRA, these are listed as GH-CAU, and since we collect actual Cognos entries for boarding loc there, we should likely keep this. If so, we would need to keep the equivalent at other sites also. 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?

added: no added date action: no action date

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See sql to see dispo or boarding loc CAUs in CFE

SELECT L_Log.D_ID, s_dispo.location_name AS pre_admit, s_dispo_1.location_name AS previous, s_dispo_2.location_name AS SL, s_dispo_3.location_name AS dispo, tmp_CAU.Item, L_Log.Accept_DtTm, L_Log.Arrive_DtTm, L_Log.Dispo_DtTm, L_Log.RecordStatus FROM ((((L_Log LEFT JOIN s_dispo ON L_Log.Pre_admit_Inpatient_Institution = s_dispo.dispo_ID) LEFT JOIN s_dispo AS s_dispo_1 ON L_Log.Previous_Location = s_dispo_1.dispo_ID) LEFT JOIN s_dispo AS s_dispo_2 ON L_Log.Service_Location = s_dispo_2.dispo_ID) LEFT JOIN s_dispo AS s_dispo_3 ON L_Log.Dispo = s_dispo_3.dispo_ID) LEFT JOIN (SELECT L_TmpV2.* FROM L_TmpV2 WHERE (((L_TmpV2.Item) Like "*CAU"))) AS tmp_CAU ON L_Log.D_ID = tmp_CAU.D_ID WHERE (((s_dispo.location_name) Like "*CAU")) OR (((s_dispo_1.location_name) Like "*CAU")) OR (((s_dispo_2.location_name) Like "*CAU")) OR (((s_dispo_3.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 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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