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Not currently being collected
'''E'''mergency '''C'''ritical Care '''I'''n'''P'''atient.  
{{DiscussTask |We keep discussing whether [[EMIP]] like patients should be collected in Critical Care. Consensus is that they are rare, but for consistency it would be good if we caught them.  At task meeting 2020 Jan 29, reviewed. Question: Is this easy to get from EPR?  Trish reviewed with [[p:Lisa kaita]] and apparently fairly easy to catch.
*Currently any ECIP are documented in CCMDB TMP project [[Boarding Loc]].
**2020 Feb 12:  DB Task meeting discussed to continue adding as borrow location as Tina is currently working on EPR lists dump via Congnos?  SO we will wait for better solution before any further changes and to continue with current practice to capture these
***2020 Feb 18:  Allan thoughts were not to add ECIP, call it NCIP because they are not only in ER.  I think he was not clear about what this is suppose to be. Not resolved.}}




'''E'''mergency '''C'''ritical Care '''I'''n'''P'''atient.  
{{LegacyContent
| explanation=They are really just a special case of a Critical Care patient whose only [[Boarding Loc]] entry is that site's ER. See [[Change from Service Location to Service, Boarding Loc and Transfer Ready DtTm tmp entry]], [[2020-10 EMIP changes]].
| successor=[[Boarding Loc]]
| content=
== Entering an ECIP ==
They are really just a special case of a Critical Care patient whose only [[Boarding Loc]] entry is that site's ER. See [[Change from Service Location to Service, Boarding Loc and Transfer Ready DtTm tmp entry]], [[2020-10 EMIP changes]].


We keep discussing whether [[EMIP]] like patients should be collected in Critical Care. Consensus is that they are rare, but for consistency it would be good if we caught them.  We are seeing increasing occurring at the Grace.
=== "But I never had an ECIP code" ===
No one had an ECIP code. This sort of thing was not collected until now, and we used to think it doesn't exist. It exists now. However, since we no longer use special codes for these, no ECIP codes were generated.  


This was on the task team's list for a while but there was no appetite to start doing this.
=== Collection Instructions  ===


Email from Trish 2016-11-10:  
*ECIPs under MICU service to Medicine units enter the following for the Medicine profile:
: Main office should take this to TASK meeting.  ICU patient entire LOS in ER before being sent to another ICU at another site or to another Physician Service.
** For [[Previous Location]] enter <site> MICU, for GGH enter GH_CC
:I know we are all keen are having data to see what patient flow is and if there are ICU patient under ICU attending but they stay in ER before they go to another ICU because not bed in own ICU or other reasons, then should we capture these?  Really not physically in own ICU, but is in ER occupying bed under an ICU attending?
** For [[Pre-admit Inpatient Institution]] enter <site> MICU, for GGH enter GH_CC
** For [[Previous Service]] enter critical care


:Now that we have the ERP Reports, we can find things like this however, we need to discuss if value to ICU database to include.  I know everyone is interested in patient flow and I was previously told that there is not that much delay when ICU attending accept patient, then when they are transferred to ICU. But there are a number we have seeing that sit it ER under ICU attending in one center then go from that ER to another site ICU.
== Identifying an ECIP ==
=== ECIPs related to '''MICUs''' / under one of the Critical Care services ===
A critical care / MICU ECIP is a patient who was under the care of one of the Critical Care service(s) in the ER and never made it to the MICU (see [[EMIP]] for scenarios). See [[s_Cognos_Services table]] in [[CCMDB.accdb]] for list.  


== How to you pick out ECIP in EPR Reports ==
EPR reports:


'''[[Admission Register]]'''
Such a patient will show up in the [[Cognos Report Integrator]] listings just like an [[EMIP]] patient.
*choose facility
*choose dates needed
*choose ER as unit


*will list all inpatient clients in ER however, you can see which ones are under Critical Care Service  
== ECIPs related to SICUs ==
*see below to cross reference which patients under critical care were discharged or transferred to another location, within your hospital, other than ICU
A critical care surgical / SICU ECIP is a patient who was under the care of one of the Critical Care Surgical Service(s) in the ER and never made it to the SICU.  In COGNOS this will appear in the CSS as a critical care Trauma service, or Critical care Plastic surgery service, or Critical care Neurosurgery service etc
*this list will also show you patients that are currently admitted in the ER under critical care service (if you are running a report with the most current date/time)


'''[[Discharge Register]]'''
*choose facility
*choose dates needed
*choose ER as unit
*choose attending providers "all"


* will list all inpatients, look for those patients under critical care service, that were discharged to another facility or expired
A patient who is '''not''' under the care of one of the Critical Care services (see [[s_Cognos_Services table]] in [[CCMDB.accdb]] for list) may show up in the [[Cognos Report Integrator]] listings if they were under one of a set of services we identified (see "* Surgery /*" in [[s_Cognos_Services table]] in [[CCMDB.accdb]] for list). However, we have no way to tell a patient under e.g. a surgery service who then went to a unit (or home) from a patient under such service who should have gone to ICU but didn't get there.
* a lengthy discussion was had re. SICU ECIP's which we have not ever had, but could still in theory happen.  I am confident that COGNOS would capture these under the critical care service, the likelihood of this happening is very small, as a patient who requires an emergent surgery would go to the OR and either SICU/PACU post op or to a surgical ward.  COGNOS should capture the critical care surgical service.  We routinely capture the SICU overflow in PACU through COGNOS, SICU has not overflow in the ER [[User:Lkaita|Lisa Kaita]] 11:08, 2024 March 12 (CDT)


'''[[Transfer Register]]'''
*choose facility
*choose dates needed
*choose ER as unit
*choose "from location" under "unit filters on"
*choose "between unit transfers only" under "transfer type"


* will list all inpatients, look for those patients under critical care service, that went to a location other than ICU
== How to identify ECIPs in [[Cognos EPR Report]] ==
As [[EMIP]], but with a Critical Care service.


== Related articles ==  
== Related articles ==  
{{Related Articles}}
{{Related Articles}}
}}




[[Category: Hospital EPR]]
[[Category: Overflow]]
[[Category:EMIP]]
[[Category:EMIP]]

Latest revision as of 11:08, 2024 March 12

Emergency Critical Care InPatient.


Legacy Content

This page contains Legacy Content.

Click Expand to show legacy content.

Entering an ECIP

They are really just a special case of a Critical Care patient whose only Boarding Loc entry is that site's ER. See Change from Service Location to Service, Boarding Loc and Transfer Ready DtTm tmp entry, 2020-10 EMIP changes.

"But I never had an ECIP code"

No one had an ECIP code. This sort of thing was not collected until now, and we used to think it doesn't exist. It exists now. However, since we no longer use special codes for these, no ECIP codes were generated.

Collection Instructions

Identifying an ECIP

ECIPs related to MICUs / under one of the Critical Care services

A critical care / MICU ECIP is a patient who was under the care of one of the Critical Care service(s) in the ER and never made it to the MICU (see EMIP for scenarios). See s_Cognos_Services table in CCMDB.accdb for list.


Such a patient will show up in the Cognos Report Integrator listings just like an EMIP patient.

ECIPs related to SICUs

A critical care surgical / SICU ECIP is a patient who was under the care of one of the Critical Care Surgical Service(s) in the ER and never made it to the SICU. In COGNOS this will appear in the CSS as a critical care Trauma service, or Critical care Plastic surgery service, or Critical care Neurosurgery service etc


A patient who is not under the care of one of the Critical Care services (see s_Cognos_Services table in CCMDB.accdb for list) may show up in the Cognos Report Integrator listings if they were under one of a set of services we identified (see "* Surgery /*" in s_Cognos_Services table in CCMDB.accdb for list). However, we have no way to tell a patient under e.g. a surgery service who then went to a unit (or home) from a patient under such service who should have gone to ICU but didn't get there.

  • a lengthy discussion was had re. SICU ECIP's which we have not ever had, but could still in theory happen. I am confident that COGNOS would capture these under the critical care service, the likelihood of this happening is very small, as a patient who requires an emergent surgery would go to the OR and either SICU/PACU post op or to a surgical ward. COGNOS should capture the critical care surgical service. We routinely capture the SICU overflow in PACU through COGNOS, SICU has not overflow in the ER Lisa Kaita 11:08, 2024 March 12 (CDT)


How to identify ECIPs in Cognos EPR Report

As EMIP, but with a Critical Care service.

Related articles

Related articles:
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