Clinical Assessment Unit

CAU - Clinical Assessment Unit [1]]

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.

This is currently not considered to be an inpatient location at the HSC. (changes may be coming)

• At the Grace, is an inpatient. At STB,it is an inpatient area.--LKolesar 11:24, 2017 October 27 (CDT)

Collection instructions

• 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)

• • 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 Stephanie

• • • 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.

• • • • Based on above scenario the Previous Location is GRA Ward; the Pre-Admit Inpatient Institution is GRA Ward and the Previous Service Family Medicine? Thanks, Pamela Piche 08:49, 2017 October 30 (CDT)

EMIP

In Sept 2017 Con investigated whether any patients in the CAU are ever EMIPs; she found that there should not be. If any collector comes across an EMIP from one of these locations, please update this. Template: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. --LKolesar 11:49, 2017 October 27 (CDT)

CAU Details

HSC

was previous called Clinical Assessment Unit. As of Oct 3, 2017, referred to as CAU.

• Start date: November 2014 --Llemoine 12:51, 2017 October 31 (CDT)
• Location: GH7
  • plans to move to GB2 - (when current GB2 (Addictions, moves to RR2) coming spring 2018. No specific date yet.
• 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 spring 018
• Number of beds: 10
  • 2 flex beds (over census)in spring 2018.
• Manager: Template:Discussion

GRA

• Start date: 2017-Oct-16
• Location: 4E (E4)
• Pre-admit Inpatient: Yes Template:Discussion is it now confirmed that we will treat as coming from inpatient unit? or still as ER?
• Previous Service: Family Medicine
• Number of beds: 10
• Manager: Kathy Kwiatkowski (see Grace N3 contact information)

STB

• Start date: 2017-Oct-3
• Location: L2113 - L2ME in EPR
• Pre-admit Inpatient: Inpatient
• Previous Service:
  • Emergency Medicine (as per STB intranet memo Oct 3.17)
  • These patients are mostly under Family Medicine however, some are under Internal Medicine.
• Number of beds: 10
• Manager: Template:Discussion