EMIP: Difference between revisions

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# The patient either is discharged from ER to home or any other out of hospital location  
# The patient either is discharged from ER to home or any other out of hospital location  
*'''OR'''....  
*'''OR'''....  
*the patient is transferred within the hospital directly to a different service because Medicine decides that they will not take the pt but the patient needs different care.  Examples:  Palliative care take over the care;  ICMS takes over the care;  Surgery takes over the care; Gynecology takes over care; etc.   
*the patient is transferred '''within the hospital directly to a different service''' because Medicine decides that they will not take the pt but the patient needs different care.  Examples:  Palliative care take over the care;  ICMS takes over the care;  Surgery takes over the care; Gynecology takes over care; etc.   
** These patients are only under medicine while they reside in ER.  Once they leave ER they are either going out of hospital or going to a different service within the hospital.
** These patients are only under medicine while they reside in ER.  Once they leave ER they are either going '''out of hospital''' or going to a '''different service within the hospital'''.


== Collection Instructions ==
== Collection Instructions ==

Revision as of 14:19, 2018 January 25

EMIP stands for Emergency Medicine "IN" patient and is used as a Service/Location field in the Medicine database. It is used for patients who are admitted to our internal medicine service and spend their entire admission under one of the medicine services we follow in the ER (emergency department). We are tracking this as VIC_EMIP, GRA_EMIP, STB_EMIP and HSC_EMIP.

Definition of EMIP

  1. Pt has an order or some entry that medicine has accepted the patient while still in ER.
  2. The patient either is discharged from ER to home or any other out of hospital location
  • OR....
  • the patient is transferred within the hospital directly to a different service because Medicine decides that they will not take the pt but the patient needs different care. Examples: Palliative care take over the care; ICMS takes over the care; Surgery takes over the care; Gynecology takes over care; etc.
    • These patients are only under medicine while they reside in ER. Once they leave ER they are either going out of hospital or going to a different service within the hospital.

Collection Instructions

See site specific collection guides for details on the collection process, papers, binders.

identifying patients

EMIPs will show up under:

  • the Transfer Register if they are sent to non-medicine units in your hospital.
  • EMIP's in this list will be those under the medicine or internal medicine service that subsequently changed service before leaving ER and were transferred out of ER to a local hospital ward or unit. (not a medicine ward).
    • see instructions for Off ward field to also identify some EMIP patients. See this under the title "how to identify off-ward patients" in that article.
  • the Discharge Register if they leave the hospital
    • When reviewing the discharge list generated by the instructions, the EMIP's are those that have medicine or internal medicine under the "service" heading.
    • Run these reports at least once a week if possible.

For EMIP entry

  • There is a separate paper log sheet that has its' own sequential numbers.

Entering patients in dispo tab fields

Patients transferred to other locations

Collection includes patients who are discharged to a non-medicine location in the hospital. So, if an EMIP patient is transferred to an ICU, that ICU would use e.g. GRA_EMIP as Previous Location. If a pt who starts out on the EMIP track turns into a medicine off ward patient, collect them as you would any other off-ward patient.

EMIP scenario

  • In ER under Medicine service and left your hospital to Home or died in ER
  • In ER under Medicine service and transferred to other locations under different service in your hospital
  • In ER under Medicine service and discharged to other locations in another hospital

NOT an EMIP

  • In ER under Medicine service and then moved to a Medicine service ward (i.e. a regular Medicine admission)
  • In ER under Medicine service and then moved to other ward but under Medicine service (i.e. a case of off ward patients).

CAU

For STB_CAU, HSC_CAU, STB_CAU.

In Sept 2017 Con investigated whether any patients in the CAU are ever EMIPs at HSC; she found that there should not be. If any collector comes across an EMIP from one of these locations, please update this. Template:Discussion

  • need to resolve EMIP and figure out where that info will live. Ttenbergen 11:30, 2016 December 29 (CST)
    • If a patient is still considered an ER patient in a CAU, they can potentially be an EMIP if they get accepted by internal medicine but subsequently are discharged or sent to another hospital.
      • At STB CAU contains inpatients under family Medicine (they are not under the ER physician).
        • If the CAU is considered part of ER then I guess patients that are accepted by internal medicine and go out elsewhere could be EMIP's. It depends how you view the area.
          • Is the CAU considered the same as ER or not? Management will have to determine how they want this done. Currently no one at STB collects data at all on the patients in the CAU. --LKolesar 11:49, 2017 October 27 (CDT)

Patients in ER admitted under other services

Our definition of EMIP includes only patients that were followed by one of our medicine services. So, patients who were followed by Family Medicine or Trauma while still in the ER are not EMIPs. This means patients in Concordia ER or Oaks ER can not become EMIPs. Code them as regular ER patients.

No ICU counterpart

see ECIP for more info

Serial numbers used

Patients in EMIP have their own serial numbers starting at number 150.

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