Definition of a Medicine Service admission

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For Critical Care, see Definition of an ICU_admission


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  • putting this on Allan's list Ttenbergen 11:26, 2020 October 22 (CDT)
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The definition of a "Medicine patient" for the Regional Medicine Database is:

  • admitted under a Medicine service attending physician. If patient doesn't meet this definition then we don't collect data and enter into the Medicine database.

Collection for medicine patients starts at Accept DtTm ie possibly while in ER except for CCI Collection, which starts at arrival on the ward (Except for EMIPs where all is collected during ER stay).

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  • The way this is worded: "Collection for medicine patients starts at Accept DtTm ie possibly while in ER." makes it sound like CCI collection starts at accept time, which isn't the current practice. Maybe we could change the wording to say "except for CCI counts"?
    • Good point, I think the definition might not have been updated after we moved to ICD10/CCI. Are there other things which we collect differently during the ER part of the admisison?
    • And then there are EMIPs, and I believe for those we do collect the CCIs during their ER stay... I updated the statement, please have a look and see if it more fully captures things now. Ttenbergen 15:31, 2020 August 19 (CDT)
    • Actually, I think some of this has been discussed at Task meeting lately, so this might be outdated already or at least in flux. Ttenbergen 15:31, 2020 August 19 (CDT)
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Identification of off-ward patients

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Current way of checking through Transfer Register will miss off ward patients who arrived at off-ward locations from elsewhere than emerg. Laura and Tina discussed, did not find solution yet, should be rare, though. 13:41, 2017 March 1 (CST)

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see also EPR Reports, Discharge Register, Transfer Register, Identifying ICU admissions, Definition of a Medicine Service admission, Definition of an ICU admission

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We collect data on some patients who never arrive on one of our units, e.g. EMIPs. Are there any other scenarios? There was a page for the HSC off warders HSC Boarding Locations#Medicine which might help in thinking about these.

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Inclusion of some pt not attended by Internal Medicine Attendings

Generally we only include pts under Internal Medicine Attendings, but the following are exceptions where we collect even though pt is under other physician:

  • all neuro patients (per Dan Roberts, see also HSC Medicine Collection Guide)
  • many to D5 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))
  • At SBGH Nephrology does admit to STB B5 and will on occasion take over a patient when they are transferred off service to 6AS.

Exclude the following

We don't collect the following as medicine patients

  • patients at any site admitted under the oncology service, e.g.
    • STB_E6_B - Occasionally Medicine-Oncology service patients are admitted to receive Chemo treatments, these patients are not included in the data base
  • STB E5 - interventional radiology will admit a patient for an overnight procedure, we are not following these

there is no minimum stay requirement

There is no minimum stay requirement, if you can identify the admission, definitely include even short stay patients. (there was confusion about excluding short stays in the past)

Special cases

See Category:Overflow for various special cases, and whether they would be included or not.

Related Articles

Related Articles

Related articles:

Legacy

HSC

  • Denise was printing out ADT initally, subsequently Diana Montgomery was handed the task.
  • Not sure who made this contact, was it Linda or Allan Garland.--TOstryzniuk