Dispo field

This field is currently being implemented, please check the instructions and put a discussion for anything that isn't clear. 

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

Collection Instruction

For each patient,

• enter the location that most closely matches

Alternatively,

• for patients who expire, one of
  • "Died - Organ Donor"
  • "Died - NOT Organ Donor"
• for patients who leave against medical advice, enter "Left AMA"

If you know the location exactly, you can type it. Otherwise press the "magic wand" button to take you to the S dispo chooser‎ to help filter options if desired.

For wards where we don't collect, enter e.g. HSC_ward. For wards where we do collect enter the actual ward as available in the dropdown.

Questions

missing USA?

• missing from list is ADMIT From or discharge USA. USA is not Other Continent
  • USA is on list and can be filtered as out of country; If you can still not see it please let me know how you are going about looking for it. If you can see it now, pls delete. Ttenbergen 15:35, 2016 April 13 (CDT)

why not combine fields at dispo?

• I know we are trying to combine Admit from, Var 1 and Hospital previous, so why not at discharge, if to other city or province, why not include specifically where if we know?
  • should be able to enter that into dispo field, what are you searching for that you can't find? Ttenbergen 15:35, 2016 April 13 (CDT)

responsibility to fill in

• Who is responsible for filling in the dispo fields? If patient has been transferred around the site/s do we need to address all or just immediate prior? --Llemoine 12:45, 2016 March 23 (CDT)
  • I think this will need to be filled in properly everywhere. We would not necessarily link patient stays together if there is a question for records, we only do it if a whole stay is required. This is probably something we should tweak further and see what Julie thinks as well. - Ttenbergen 14:16, 2016 March 24 (CDT)
  • Each current location (ward/ICU) stay needs to have a dispo entry (whether discharge to another location or special case). No need to address the next ICU/ward stay. The final patient disposition at hospital discharge will be determined by programming (ACCESS or SAS). JMojica 13:41, 2016 April 27 (CDT)

home vs. PCH

• just to clarify, are we continuing to discharge pts to PCH (or Winnipeg PCH) regardless of whether this is their previous location, or a new admission to a PCH? SCortilet
  • YES, we still need to differentiate discharge to PCH (WPG or anywhere) from home if the info is known/available. This is being used in the Overstay Report. JMojica 13:54, 2016 May 2 (CDT)

Data Use

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

Template:CCMDB Data Integrity Checks

• Check organ donors must be dead

Implementation

The field is populated with options from the s_dispo table.

Legacy

This field is part of the 2016 Time and Place changes.

It a combination of our previous

• Discharge To
• Var 2 - Discharge-to Ward
• ICU Var 6 - AMA
• Survive / Expired

Related articles:

• Organ Donor/Braindead

Template:Discussion clean-up required:

• delete X:\!AdmitFrom_DischTO_NEW_Dispo_codes