Moves for Medicine

In the Medicine program in each hospital in the Winnipeg Region, we track, by date, time and location, all individual medicine patients who are accepted and cared for by Medicine service physicians, in the emergency department and in "off service" beds within the facility for the period of time until they arrive onto to an available Med Service bed.

Purposes of collecting "Move" data:

1. To assess the "time delay" from when a patient is first accepted to Medicine Service while in the ER (emergency room) to when the patient actually arrives in a medicine ward bed of the same hospital. (This is done in conjunction with admit time).
2. To assess how much time an in-service medicine patient spends on off service wards while still under a medicine service physician's care.

Move TO Record Required

1. for all patients who are admitted from your own site's emergency department.
2. admitted to a contingency bed (exceptions) if, prior to going to a contingency bed, patient was from site's own emergency department.
   • When a patient is "MOVED" from site's OWN emergency department (ER) the first "MOVE" is the "actual arrival date/time" to the medicine ward bed.
3. Move TO date/time -for patients that "go to" to off-service ward beds but still under Medicine service therefore, followed as a continuous admission on your ward.

Contingency bed exceptions

• • EXCEPTIONS:
    • HSC first move allowed can be to H7N (contingency beds).
    • VIC first move allowed can be-S2, N4, N4F (code purple contingency beds)
    • GRA first move allowed can be-S2, W4, E4 (contingency beds) Template:Discussion Steph or Sheila?
    • STB first move can be - A6S

See Admit, Transfer and Discharge date and time#Definition for Medicine for how to collect the date/time used in the "admit date/time" field.

Where to Record Data

TMP file in ACCESS (CCMDB.mdb). Data is sent to TmpV2_1.mdb in the output folder on the Regional Server

Move Record NOT Required

If a patient is NOT from a site's own ER, or is NOT a direct admission that is parked in ER or is NOT using a contingency bed (exceptions) then do NOT record a "move".

Do not record a "move" for admission or transfers from:

• ICU (MICU, SICU, CCU, IICU)
• Medicine wards we are collection on
• between hospitals in the Region
• operating room (OR), recovery room (RR)
• transfer to other "non medicine physician services" (i.e. Surgical Service)
• ambulatory care

Start and stop date

• Start Date: September 1, 2007
• Stop Date: none

Collection Guideline

Where to enter data

• L_TmpV2, Temp. Studies tab on the laptop

Follow the Temporary study guidelines with the following information:

• Moves project
• For each patient move, enter the to ward as the item, and the date & time from the unit log or nurses note.

Legacy Data

• Collection was started September 1, 2007
• Collection of Moves data made tagging of “overflows” in variable slots Med Var 3 & Med Var 5 at the VIC redundant (Nov 1.07 stopped).

• we will review this within one year
  • attempted to bring this up at Steering Comittee meetings for review and analysis without success so far.--Ttenbergen 18:26, 16 September 2009 (CDT)
  • will review with the CTU transition team (Tina emailed Sept 16 09)Ttenbergen 18:26, 16 September 2009 (CDT)

Reporting and Analysis

As per email from Julie from 11 sept 09: Haven’t done any analysis on this, just the data checking which had stopped for sometime. Will re-visit.

Data Structure

We capture medicine ward patient movements (moves) in L_TmpV2. The data is sent to and stored in TmpV2_1.mdb.