Dispo field: Difference between revisions

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m (Ttenbergen moved page Dispo field (proposed) to Dispo field without leaving a redirect: not just proposed any longer, we are implementing this.)
m (moved content about a location to its own page HSC Stepdown Units)
 
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see also: [[2016 Time and Place changes]]
{{Data element
| CCMDB_tab = Dispo
|field_name=dispo
|CCMDB_label=Dispo
|Rank=Dispo
|in_table=L Log table
|data_type=number
|datafield_length=long
|program_collecting=Med and CC
|created_raw=Raw
|data_element_start_date=2016-07-01
|data_element_sort_index=41
|element_description=The Dispo field contains information about what happens to the patient at the end of their admission.
}}


The Dispo field is a new field proposed by Dr Garland and the Task group to combine the "[[Admit From & Discharged To | Discharge To]]" and "[[Survive / Expired | Lived/Died]]".
== Collection Instruction ==
=== surviving patients ===
* Enter:
{{PrePrevDispo listing}}


Booked meeting with Julie and Trish for Jan 8
* see [[Visits to temporary locations]] for dispo to temporary locations, ie. OR, dialysis, procedure suites of all types, imaging suites/radiology


see '''X:\!AdmitFrom_DischTO_NEW_Dispo_codes'''
==== [[HSC Stepdown Units]] ====


see also
==== [[AMA]] ====
* [[PrevInptLocation field]]
* [[Location field]]
* [[Overflow to other units - Critical Care HSC and STB only]]


== Next ==
==== [[Homeless]] patients ====
* integrate [[Survive / Expired]] into [[Admit From & Discharged To | discharge to]]
If a homeless patient is discharged, either to a place like Siloam Mission or even without a specific plan, then code them as discharged to '''home'''. Consider whether they might have left [[AMA]].
* add pre-admit field
* change legacy data for Var2 into Tmp


== Source for info ==
==== [[Prison / Jail / Correctional Institution]] ====
Just parking here temporarily until we finalize how we will collect this...  
If a patient is '''discharged to prison, jail or a correctional institution''', code this as a '''Institution NOS'''.
*[[Pre acute living situation field]] should be coded as:  Jail/correctional institution.


for those people concerned about finding which ward their pt has come from if from a different Winnipeg hospital, you can find this information in the “Visit History” on the pt’s EPR.  Each hospital stay is recorded there, with the last pt location at that facility being used as location. (Thanks Steph!)
===[[Chronic Health Facility]] ===
{{PCH Riverview Deer Lodge}}


== Log ==
==== Discharged to ER or [[Urgent Care]] ====
2015-Apr-02 added to potential changes and to question on priority page to get Trish to prioritize
If you discharge a patient to the ER or Urgent Care, you can't enter this in the dispo field. The reason is that this should not happen. If it really does happen:
2014-Dec-sometime - made Var 1/2 same for CC and Med
* enter '''Not Canada or USA - unknown/other''' (this is a very rare entry so when we see it, we can question it. Put a note in to the [[Notes field]] so Pagasa can check there first.)
* email Pagasa so she can enter your ER / Urgent Care location as dispo.


We don't want ER to be available in the dropdown because it had been mistakenly entered a number of times. If it turns out there are a lot of legitimate ''discharges'' to ER we will make the option available.


[[Category:Potential Change]]
==== [[Visits to temporary locations]] ====
See [[Visits to temporary locations]]
 
=== [[Deceased patients]] ===
See
* [[Deceased patients#General instructions for deceased patients]]
* [[Guideline for coding organ donation after death]]
* [[Visits to temporary locations]]
 
{{Location dropdown cleanup}}
 
== Data Use ==
* [[Unit Mortality]]
* Intra or Inter Transfer Rate
* Discharges out of hospital
* Organ donor rate
* AMA Rate
* Linking admissions
 
== Cross checks ==
{{Data Integrity Check List}}
 
== Implementation ==
The field is populated with options from the [[s dispo table]].
 
== Related Articles ==
{{Related Articles}}
 
== Legacy ==
This field is part of the [[2016 Time and Place changes]] and was affected by the [[PatientFollow_Project]].
 
It a combination of our previous
* [[Admit From & Discharged To|Discharge To]]
* [[Var 2 - Discharge-to Ward]]
* [[ICU Var 6 - AMA]]
* [[Survive / Expired]]
Data from these fields has been back-populated to the this field so data is available from the beginning of the database.
 
Related articles:
* [[Organ Donor]]/[[Braindead]]
 
=== Very early missing Discharge-tos ===
There were 6762 very old ICU records who are listed as survived but didn’t have a discharge-to. This is from HSC-only days when there simply were no checks.
 
When data was brought across from the old [[discharge to]] field the [[dispo]] fields of these records were set to 'survive(Legacy)'.
 
[[Category:2016 Time and Place changes]]
[[Category:Admit/Discharge]]
[[Category:Registry Data]]
[[Category:Dispo]]
[[Category:Dispo]]
[[Category:Data Collection Guide]]

Latest revision as of 10:56, 2023 December 13

Data Element (edit)
Field Name: dispo
CCMDB Label: Dispo
CCMDB tab: Dispo
Table: L Log table
Data type: number
Length: long
Program: Med and CC
Created/Raw: Raw
Start Date: 2016-07-01
End Date: 2300-01-01
Sort Index: 41

The Dispo field contains information about what happens to the patient at the end of their admission.

  • SMW

Legacy implementation right in the table

  • Cargo


  • Categories
  • Forms


Collection Instruction

surviving patients

HSC Stepdown Units

AMA

Homeless patients

If a homeless patient is discharged, either to a place like Siloam Mission or even without a specific plan, then code them as discharged to home. Consider whether they might have left AMA.

Prison / Jail / Correctional Institution

If a patient is discharged to prison, jail or a correctional institution, code this as a Institution NOS.

Chronic Health Facility

If a patient is discharged to a PCH bed at Deer Lodge or Riverview, then the option "Winnipeg PCH" should be used in the Dispo field.

Discharged to ER or Urgent Care

If you discharge a patient to the ER or Urgent Care, you can't enter this in the dispo field. The reason is that this should not happen. If it really does happen:

  • enter Not Canada or USA - unknown/other (this is a very rare entry so when we see it, we can question it. Put a note in to the Notes field so Pagasa can check there first.)
  • email Pagasa so she can enter your ER / Urgent Care location as dispo.

We don't want ER to be available in the dropdown because it had been mistakenly entered a number of times. If it turns out there are a lot of legitimate discharges to ER we will make the option available.

Visits to temporary locations

See Visits to temporary locations

Deceased patients

See

"Can we remove the items that are no longer Service/Locations, Previous Locations, Pre-admit Inpatient Institutions or dispo locations from the dropdowns?"

We can and will remove them, but that can only happen once no more laptops use them. We will need to keep track of this and then remove them when ready. If I removed them now, then any box that currently has them enter would misbehave.

query of what is currently available

SQL    
SELECT s_dispo.location_name, s_dispo.Site, s_dispo.active, s_dispo.inpatient, s_dispo.previous_location, s_dispo.s_location, s_dispo.dispo
FROM s_dispo
WHERE (((s_dispo.Site)>"") AND ((s_dispo.active)=True) AND ((s_dispo.inpatient)=True)) OR (((s_dispo.Site)>"") AND ((s_dispo.active)=True) AND ((s_dispo.previous_location)=True)) OR (((s_dispo.Site)>"") AND ((s_dispo.active)=True) AND ((s_dispo.s_location)=True)) OR (((s_dispo.Site)>"") AND ((s_dispo.active)=True) AND ((s_dispo.dispo)=True));

Query of what is currently used

query z_s_dispo_inactivatable

Data Use

  • Unit Mortality
  • Intra or Inter Transfer Rate
  • Discharges out of hospital
  • Organ donor rate
  • AMA Rate
  • Linking admissions

Cross checks

Data Integrity Checks (automatic list)

 AppStatus
Check pre acute consistentCCMDB.accdbdeclined
Function Validate DispoCCMDB.accdbimplemented
Check function location NE dispoCCMDB.accdbimplemented
Query check ICD10 dx implying death must have appropriate dispoCCMDB.accdbimplemented
Query check dispo lower acuity than locationCCMDB.accdbretired
Link suspect dead then alive queryCentralized data front end.accdbimplemented
Link suspect mismatch to ours incomplete queryCentralized data front end.accdbimplemented
Link suspect not same visitAdmitDtTm queryCentralized data front end.accdbimplemented
Query cardiac arrest throughout admissionCentralized data front end.accdbneeds review

Implementation

The field is populated with options from the s dispo table.

Related Articles

Related articles:

Legacy

This field is part of the 2016 Time and Place changes and was affected by the PatientFollow_Project.

It a combination of our previous

Data from these fields has been back-populated to the this field so data is available from the beginning of the database.

Related articles:

Very early missing Discharge-tos

There were 6762 very old ICU records who are listed as survived but didn’t have a discharge-to. This is from HSC-only days when there simply were no checks.

When data was brought across from the old discharge to field the dispo fields of these records were set to 'survive(Legacy)'.

Retrieved from "https://ccmdb.kuality.ca/index.php?title=Dispo_field&oldid=160488"