Direct admit: Difference between revisions

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m (cleared out instruction that duplicated what should be done for all patients. added question.)
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Direct admissions are patients who are accepted from another site (within region or from out-of-town) and come directly to the next site.
Direct admissions are patients who are accepted from another site (within region or from out-of-town) and come directly to the next site.


These patients can go straight to the accepting ward at the second site, or they can be admitted via the ER.   
These patients can go straight to the accepting ward at the second site, or they can be admitted via the ER.   


== Collection Instruction ==
*There are '''two types of Direct admits:'''  
*There are '''two types of Direct admits:'''  
**'''already an Inpatient'''  
**'''already an Inpatient''' - the [[Pre-admit Inpatient Institution]] and the [[Previous Location]] will be the same
**'''not an Inpatient'''
**'''not an Inpatient''' - the [[Pre-admit Inpatient Institution]] would be not applicable and the [[Previous Location]] would be their last physical location  e.g. Thompson ER


== Collection Instruction ==
* The [[Visit Admit DtTm field]] and the first [[Service tmp entry]] will be the same
* The [[Visit Admit DtTm field]] and the [[Accept DtTm field]] will be the same
 
* in Tmp [[Boarding Loc]] enter <site>_ER, the date and time will be the same as the [[Visit Admit DtTm field]] and the [[Accept DtTm field]]
* First [[Boarding Loc]] enter <site>_ER, with the same date/time as the first [[Service tmp entry]]
{{Collapsable
{{discuss | is that part even true? It seems that if they are not going via ER but directly to ward, this line is wrong, and instead the usual instructions for collecting [[Boarding Loc]] apply.  
| always= The rest is the same as for any other patient, expand to see details.
| full= 
* [[Previous Location field]], enter the previous physical location of the patient
**From an inpatient location- the [[Pre-admit Inpatient Institution]] and the [[Previous Location]] will be the same
**Not from an inpatient location- the [[Pre-admit Inpatient Institution]] would be not applicable and the [[Previous Location]] would be their last physical location  e.g. Thompson ER
* [[Service/Location]] would be <site>_Med, <site>_CC, [[STB_MICU]], [[STB_ICCS]], [[STB_ACCU]], [[HSC_IICU]].
* [[Previous Service field]], enter the sending service, otherwise enter ''Unknown'' or ''not applicable'' or ''other known but not on list''
* in [[Service tmp entry]] enter the accepting service, with the same date/time as the [[Accept DtTm field]]
* First [[Boarding Loc]]=ER, with the same date/time as the [[Accept DtTm field]]
* If the patient is transferred to another ward/unit of same service, add another line in the Tmp [[Boarding Loc]] for the next location ( this would be boarding location #2). if they are transferred to a different service which we are collecting then a new profile. 
* in Tmp enter [[Transfer Ready DtTm tmp entry]] if applicable, if not transfer ready check off column B
}}


== Data use / Reporting ==
== Data use / Reporting ==
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=== Data to be Reported ===
=== Data to be Reported ===
{{Discuss |
* So we only report those that do come through the ED? Do we report how long they spend in ED, or just counts?
}}
* for Inpatient direct admit  
* for Inpatient direct admit  
** Site Ward via ED  
** Site Ward via ED  
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** Home via ED
** Home via ED
** Nursing Station via ED
** Nursing Station via ED


== Legacy ==
== Legacy ==
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This used to be collected as [[Parked in ER tmp entry]], and prior to that as '''<hosp> - ER (parked)''' entries in  [[s_dispo table]]. Changed as of [[PatientFollow_Project#Transition_dates]] .
This used to be collected as [[Parked in ER tmp entry]], and prior to that as '''<hosp> - ER (parked)''' entries in  [[s_dispo table]]. Changed as of [[PatientFollow_Project#Transition_dates]] .


Content of the article was deleted 2016-06-30 so it doesn't inadvertently show up in searches. See article history if needed.
Content of the article was deleted 2016-06-30 so it doesn't inadvertently show up in searches. See article history if needed.

Revision as of 13:52, 2021 August 4

Direct admissions are patients who are accepted from another site (within region or from out-of-town) and come directly to the next site.

These patients can go straight to the accepting ward at the second site, or they can be admitted via the ER.

Collection Instruction

{{discuss | is that part even true? It seems that if they are not going via ER but directly to ward, this line is wrong, and instead the usual instructions for collecting Boarding Loc apply.

Data use / Reporting

What reports use this?

inter facility transfers report (semi annual and Fiscal year) given to Critical Care Admin Director and Quality Officer.

  • Patient Flow - where patient were have been admitted FROM

How is it used?

  • To distinguish the reason of transfer due to bed management reason
  • To distinguish the reason of transfer due Medical Necessity reason
  • To determine the flow of patients from teaching hospital to teaching hospital, teaching to community, community to teaching, community to community, from outside city/province facility to regional hospital.

Data to be Reported

  • So we only report those that do come through the ED? Do we report how long they spend in ED, or just counts?
  • SMW


  • Cargo


  • Categories
  • for Inpatient direct admit
    • Site Ward via ED
    • Site ICU via ED
  • For Non Inpatient direct Admit (e.g. Emergency, Ambulatory Clinic, PCH, Home, Nursing Station)
    • Site Emergency via ED
    • Site Ambulatory via ED
    • PCH via ED
    • Home via ED
    • Nursing Station via ED

Legacy

Collection for this was changed as part of the 2016 Time and Place changes.

This used to be relevant to ER Wait and ICU Var 4 - Parked in ER, Parked in ER tmp entry.

This used to be collected as Parked in ER tmp entry, and prior to that as <hosp> - ER (parked) entries in s_dispo table. Changed as of PatientFollow_Project#Transition_dates .

Content of the article was deleted 2016-06-30 so it doesn't inadvertently show up in searches. See article history if needed.

Related articles

Related articles:
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