EMIP
EMIP stands for Emergency Medicine "IN" patient and is used as a location / in the Medicine database. It is used to as location for patients who are admitted to the medicine service and spend their entire admission under the medicine service in the ER (emergency department). We are tracking this at VIC, GRA, STB.
Collection Instructions
- Service/Location field - your EMIP (e.g. GRA_EMIP)
- Previous Service field - likely emergency medicine, unless some other service accepted them prior to medicine, and was never able to get them out of the ER either, and medicine accepted the patient from them -in order for a pt to be an EMIP they must have been accepted by Medicine for admission otherwise they would just be an Emergency patient
- Accept DtTm field - the time Medicine accepted them, i.e. the time they became an EMIP
- Arrive DtTm field - same as Accept DtTm field
- Previous Location field - use normal instructions
identifying patients
see Identifying patients in boarding locations
Patients discharged to other locations in hospital
Collection includes patients who are discharged to other locations in the hospital. Should have been like this all along, but the definition said otherwise. Please collect as this going forward, as discussed with Trish and Julie. Ttenbergen 11:18, 2016 May 16 (CDT) Template:Discussion what other locations do you mean? If the EMIP is admitted to a bed on a Medicine ward, they are no longer EMIP but are captured in the Medicine database; if they are transferred to ICU, they are no longer EMIP but are captured in the ICU database. If they go to an overflow bed on any other ward but are admitted under Medicine, they will be captured in the Medicine database, and entered as overflow. My understanding of the definition of an EMIP is a patient who has been accepted to Medicine but for whatever reason, never makes it to a Medicine ward, but is discharged directly from ER to a location outside the current facility ie home, another acute care facility, expires
- Even with the new definition, those patients that are discharged/transferred/admitted under MEDICINE, but to another ward other than an active medicine ward that we collect on, should not be considered an EMIP but rather an admission in our medicine database, as either an overflow (if they spend their entire length of stay on another ward) or as a regular admission in our medicine database if they are at sometime transferred to an active medicial ward. I believe what Trish and Julie want to capture is if the patient is under MEDICINE in ER for any length of time, and are then admitted to an off service ward, under A DIFFERENT SERVICE (ie. surgery, critical care etc) then we are to capture those patients as EMIP patients. We need clarification on this...... Lisa Kaita 13:42, 2016 May 16 (CDT)
- I think the confusion here is how to use the term "EMIP". If you are talking about the category as in the current "location" in CCMDB to use EMIP designation there, the pt remained in ER during their stay and was transferred out to some other hospital or home. (never went to a ward or unit in the hospital). However, if you are talking about utilizing the term "EMIP" in the previous location spot (meaning they were accepted to medicine and then transferred to a ward or an ICU then this use of the term (EMIP) needs to be clearly differentiated. Which dispo tab entries will have the option of EMIP? This is still not organized totally yet.--LKolesar 07:25, 2016 May 17 (CDT)
EMIP scenario
- Entire LOS in ER under Medicine service and left your hospital to Home or died in ER
- Entire LOS in ER under Medicine service and discharge to other locations under different service in your hospital
- Entire LOS in ER under Medicine service and discharge to other locations under different service in another hospital
NOT an EMIP
- if LOS has partial stay in ER under Medicine service and then move to a Medicine service ward (i.e. a regular Medicine admission)
- if LOS has partial stay in ER under Medicine service and then move to other ward but under Medicine service (i.e. a case of OVER)
JMojica 12:13, 2016 June 2 (CDT)
No ICU counterpart
While these do, in theory, happen in ICU, we will not collect them.
Template:Discussion Collecting them would also be not feasible as long as the "ignore pt who was in ICU for less than 30 minutes" rule is in effect. Where is that documented? Could not find it in Definition of an ICU admission or by search for "30 minutes". Ttenbergen 11:18, 2016 May 16 (CDT)
Locations
VIC EMIP
See VIC_Medicine_Collection_Guide#Identifying_OVER_and_EMIP_patients.
GRA EMIP
- start date: November, 2010
- see GRA_Medicine_Collection_Guide#EMIPs_at_the_Grace for how these are identified at the Grace.
Template:Discussion should all EMIPs be coded as overflow since they spend their entire LOS in the ER not the ward?
STB_EMIP
See STB_Medicine_Collection_Guide#Process_for_identifying_Overflow_and_EMIP_patients
HSC_EMIP
Serial numbers used
Patients in EMIP have their own serial numbers starting at number 1.