Patient copier button

Template:Potential Change We are thinking about adding functionality to CCMBD.mdb but want to make sure it is worthwhile. Also, we want to know a bit more about the proposal to prioritize it against other tasks.

We hear repeatedly about patients being shuffled back and forth between units, or being re-admitted after very short absences from the unit. Sometimes a record for the patient is still on CCMDB from the previous admission. During a recent meeting we discussed the possibility of having a button in the patient record. When that button is pushed, a new patient entry would be generated that would copy a subset of the information of the existing record. The collector would be prompted for a Serial number for the new record.

How useful would this be?

Poll to collectors says that they would use this somewhere between 1x/week and 1x/month. Assuming it takes 5 minutes to re-enter this data manually and only 1 with this tool, a savings of 4 minutes, and 20 data collectors encountering this on average 2x/month, this would add up to >2.6hrs a month, so seems worthwhile.

Can't encourage hoarding...

We can't keep data for discharged patients on the laptops too long for PHIA reasons (we are allowed only "current data"). This tool would encourage keeping older data. So, we would need to add a limit. Proposal: Don't allow sending if there are records with RecordStatus "sent" whose discharge date is more than a week ago. Template:Discussion Would anyone anticipate problems with this? Ttenbergen 13:59, 2015 June 25 (CDT)

What would be the right things to copy?

Keeping in mind that collectors would certainly have to verify copied information to make sure it is still true on the new admission (not to make sure it copied right...), please add if I have missed any, and comment if you think any are problematic if they were copied.

• Names, Chart, PHIN, DOB, Province, Sex
• Postal Code
• discharge date + 5 min to Admit date? Could make that optional where it asks if you want to do this...
• put previous location into admit from? Again, could make this optional...
• comorbids?
• for medicine: tasks? seems like they would not usually change...

Overstay

• Overstay color (if generated) for medicine
  • From location located on temp tab (type of housing patient resides) for medicine
    • Template:Discussion These patients would be either transferred back and forth, or re-admitted. IF they are transferred, I didn't think we re-entered Overstay on the next ward (only that they were transferred). If they are re-admitted, there would be a new sheet which may well be different, and certainly the admit dxs would be different so the colour could not at all be assumed to be the same. Am I missing something? Ttenbergen 09:39, 2015 June 22 (CDT)
      • When patients are transferred (not readmission) from one unit to another the overstay color (generated on first unit) "transfers" with the patient and is typically recorded in the notes field and/or Q column on TMP tab. Wondering if this would be possible to copy as well? Hope this is clarified,thanks.
        • Technically no problem to copy this, but I need to understand how we use it. Is it part of the Overstay instructions to put the colour from a previous ward into notes? I am trying to understand where this comes from. I don't think we use it at the office. So, is this something used by collectors somehow? Ttenbergen 14:56, 2015 June 25 (CDT)