Definition of a Medicine Laptop Admission: Difference between revisions

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(pretty sure that part is no longer relevant under updated instructions; also cleaned up more of this page to make it more compact, please flag if anything has become less clear because of it)
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*''For Critical Care, see [[Definition of a Critical Care Laptop Admission]]''
*''For Critical Care, see [[Definition of a Critical Care Laptop Admission]]''


*The following situations '''ARE''' included for the Regional Medicine Database:
== Included patients ==
**Admitted under a Medicine service attending physician anywhere in the hospital (including, for example, if they are remaining in ED because there is no medicine ward bed yet).
*The following situations '''ARE''' included for the Regional Medicine Database.
**Admitted to a Medicine ward location but rather than being cared for by the regular ward team, the primary care service is Nephrology
*Collection for internal medicine patients starts at [[Accept DtTm]] ie [[Accept_DtTm_field#Direct_Admissions.2FTransfers|possibly while in ER]], regardless of where they are, including if they are still in the ER (i.e. [[EMIP]]).
***Once such a person is transferred out of the Medicine ward location, we no longer follow the patient.
**Admitted to a Medicine ward location but rather than being cared for by the regular ward team, he primary care service is Neurology.
***This includes "HSC Internal Med / Neurology" patients admitted to [[HSC HOBS]] -- once they are discharged/transferred out of HOBS, we no longer follow the patient.  (per Dan Roberts, see also [[HSC Medicine Collection Guide]])
***More generally, once such a person is transferred out of the Medicine ward location, we no longer follow the patient.
**Admitted to a Medicine ward location but rather than being cared for by the regular ward team, the primary care service is Oncology -- ''EXCEPT'' if admitted ONLY for chemotherapy
***A subtlety here is that if such a patient develop complications and is then transferred to Internal medicine service for the duration of hospital stay, we do collect them in the Medicine database beginning when that transfer occurs.
***Once such a person is transferred out of the Medicine ward location, we no longer follow the patient.
**As always, collection for internal medicine patients starts at [[Accept DtTm]] ie [[Accept_DtTm_field#Direct_Admissions.2FTransfers|possibly while in ER]], regardless of where they are, including if they are still in the ER (i.e. [[EMIP]]).


{{Discuss| Seeking clarification regarding inclusion patients ie. a patient under internal med /nephrology admitted to mixed  "off ward"/mixed displaced units or mixed covid suspect/mixed covid units either from ER or as a direct admission? When ie. med/neph patients are transferred from "regular" internal medicine units to mixed displaced/mixed off ward/mixed covid suspect/mixed covid units are collectors to continue to follow patients under these circumstances? Thank you, [[User:Ppiche|Pamela Piche]] 10:21, 2020 December 3 (CST) }}
=== Inclusion based on service ===
*Admitted under a Medicine service attending physician anywhere in the hospital (including, for example, if they are remaining in ED because there is no medicine ward bed yet). (see [[#excluded patients]])


{{Discuss |
=== Inclusion based on location ===
* many to D5 (Low [[Level of care hierarchy]]) under service of nephrology, neurology, oncology (ward being a non-teaching medicine but those services continue to care for their patient unless accepted by Dr Dowhanic or Arneja (who won't handle the HD population))
*Admitted to a Medicine ward '''location''' but rather than being cared for by the regular ward team, the primary care service is
** ''not sure what that line means now with the new model; would collectors need to include any non-med-service patients for this? If not, what are we actually saying with it?
** Nephrology
}}
** Neurology (includes "HSC Internal Med / Neurology" patients admitted to [[HSC HOBS]])
** Oncology -- ''EXCEPT'' if admitted ONLY for chemotherapy (if complications occur and Medicine service takes over, admit the pt starting at medicine service acceptance)
*For these inclusions based on location, once pt is transferred out of the Medicine ward location, we no longer follow the patient. (see [[#excluded patients]])
 
{{discuss | confirm
[[HSC Medicine Collection Guide]]}}
 
{{DiscussTask|
* Seeking clarification regarding inclusion patients ie. a patient under internal med /nephrology admitted to mixed  "off ward"/mixed displaced units or mixed covid suspect/mixed covid units either from ER or as a direct admission? When ie. med/neph patients are transferred from "regular" internal medicine units to mixed displaced/mixed off ward/mixed covid suspect/mixed covid units are collectors to continue to follow patients under these circumstances? Thank you, [[User:Ppiche|Pamela Piche]] 10:21, 2020 December 3 (CST) }}


*The following situations '''ARE NOT''' included for the Regional Medicine Database:  
== Excluded patients ==
**Oncology patients admitted only for chemotherapy. These are short stay patients with only nursing IPN entries.  
* The following situations '''ARE NOT''' included for the Regional Medicine Database:  
**Nephrology, Oncology or Neurology patients whose primary care service is (respectively) nephrology, oncology or neurology -- who are NOT on a Medicine ward location.
** Oncology patients admitted only for chemotherapy. These are short stay patients with only nursing IPN entries.  
***Patients admitted to HSC_H6 under "HSC Internal Med / Respiratory" or "HSC Internal Med / Neurology" -- actually this fits into the above rules, as HSC_H6 is not a Medicine ward location.
** Nephrology, Oncology or Neurology patients whose primary care service is (respectively) nephrology, oncology or neurology -- who are NOT on a Medicine ward location.
**Interventional radiology service patients admitted for an overnight procedure -- clue that it's not an internal medicine is the attending physician. The attending physician will be an interventional radiologist, not an internal medicine doc. [[User:DPageNewton|DPageNewton]] 08:11, 2020 November 19 (CST)  
** Patients admitted to HSC_H6 under "HSC Internal Med / Respiratory" or "HSC Internal Med / Neurology" -- actually this fits into the above rules, as HSC_H6 is not a Medicine ward location.
** Interventional radiology pts admitted for an overnight procedure (not on [[Cognos EPR Report]] so easy to exclude)


{{Discuss |  
{{Discuss |  
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** "HSC Oncology / Medicine"
** "HSC Oncology / Medicine"
}}
}}
{{Discuss |
* In Cognos I don't see a service that makes me think interventional radiology, but it might just be a service not included in the dump. Collectors: Do these patients show up in Cognos, and if so, how do you decide that this is what they are and they should be excluded? Ttenbergen 16:39, 2020 November 2 (CST)
* At this point I have not come across an interventional radiology patient in cognos admitter. See above for how we determine if it's an interventional radiology patient. If there is a way to definitely exclude them from the admitter that would be helpful. There are enough other exclusion patients in there already.  [[User:DPageNewton|DPageNewton]] 08:11, 2020 November 19 (CST)
}}


== Related Articles ==
== Related Articles ==

Revision as of 11:38, 2020 December 15

Included patients

  • The following situations ARE included for the Regional Medicine Database.
  • Collection for internal medicine patients starts at Accept DtTm ie possibly while in ER, regardless of where they are, including if they are still in the ER (i.e. EMIP).

Inclusion based on service

  • Admitted under a Medicine service attending physician anywhere in the hospital (including, for example, if they are remaining in ED because there is no medicine ward bed yet). (see #excluded patients)

Inclusion based on location

  • Admitted to a Medicine ward location but rather than being cared for by the regular ward team, the primary care service is
    • Nephrology
    • Neurology (includes "HSC Internal Med / Neurology" patients admitted to HSC HOBS)
    • Oncology -- EXCEPT if admitted ONLY for chemotherapy (if complications occur and Medicine service takes over, admit the pt starting at medicine service acceptance)
  • For these inclusions based on location, once pt is transferred out of the Medicine ward location, we no longer follow the patient. (see #excluded patients)
confirm

HSC Medicine Collection Guide

  • SMW


  • Cargo


  • Categories
  • Seeking clarification regarding inclusion patients ie. a patient under internal med /nephrology admitted to mixed "off ward"/mixed displaced units or mixed covid suspect/mixed covid units either from ER or as a direct admission? When ie. med/neph patients are transferred from "regular" internal medicine units to mixed displaced/mixed off ward/mixed covid suspect/mixed covid units are collectors to continue to follow patients under these circumstances? Thank you, Pamela Piche 10:21, 2020 December 3 (CST)
  • SMW


  • Cargo


  • Categories

Excluded patients

  • The following situations ARE NOT included for the Regional Medicine Database:
    • Oncology patients admitted only for chemotherapy. These are short stay patients with only nursing IPN entries.
    • Nephrology, Oncology or Neurology patients whose primary care service is (respectively) nephrology, oncology or neurology -- who are NOT on a Medicine ward location.
    • Patients admitted to HSC_H6 under "HSC Internal Med / Respiratory" or "HSC Internal Med / Neurology" -- actually this fits into the above rules, as HSC_H6 is not a Medicine ward location.
    • Interventional radiology pts admitted for an overnight procedure (not on Cognos EPR Report so easy to exclude)
  • Not excluding HSC counterparts for now although they were listed here also. Can HSC tell if they should come off the list?
    • "HSC Oncology / Radiation"
    • "HSC Oncology / Medicine"
  • SMW


  • Cargo


  • Categories

Related Articles

Related articles:
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