Pre-admit Inpatient Institution field
| Data Element (edit) | |
| Field Name: | Pre_admit_Inpatient_Institution |
| CCMDB Label: | Pre-admit Inpatient Institution |
| CCMDB tab: | Dispo |
| Table: | L_Log table |
| Data type: | number |
| Length: | long integer |
| Program: | Med and CC |
| Created/Raw: | Raw |
| Start Date: | 2016-07-01 |
| End Date: | 2300-01-01 |
| Sort Index: | 36 |
The most recent previous inpatient location of patients who were already inpatients elsewhere and who have been under medical care continuously before coming to our unit.
Collection Instruction
- For each patient, enter the most recent in-patient location where the patient has been admitted during this continuous episode of hospitalization at this or other hospitals
| Example: |
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- if you know the situation but nothing on the list matches closely, enter other - known but not listed
- if the situation is unknown, enter location missing/unknown
- if the patient did not come from an inpatient location, enter "not applicable"
for example if they came from home or a clinic. The ER (at your site or elsewhere) is not an inpatient location, so enter "not applicable" for these
Where to find this information
If patient came from a different Winnipeg hospital this will be recorded in the “Visit History” on the EPR.
Ambiguous locations
- The following ARE NOT considered inpatient locations, enter "NA / not applicable"
- Any PCH, including those that are in a Chronic Health Facility eg. Riverview, Deer Lodge
- Grace Nursing Home Ward - We consider admissions from there as readmissions, so would be coded as if they had come from home. Consistent with that we will consider these not inpatient locations, so code them as "NA / not applicable". (As per meeting with Dr Roberts 2016-05-05)
- Day-surgery locations
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Hey T/Julie, I recently admitted a pt from day sx and did as the wiki instructions on Previous Location and put HSC_ward, which according to the article is not an inpt location, so put NA for pre admit pt institution, however I got an error saying previous loc and pre-admit must be the same if coming from an inpt location. Should we change the instruction and use HSC ambulatory care instead of HSC ward?, or do we need to rethink this? Lisa Kaita 13:04, 2024 October 16 (CDT)
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- Any ward, from Deer Lodge or Riverview, including the rehab wards, Riverview LTV or Riverview palliative care unit
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We have Template:PCH Riverview Deer Lodge, but we have also discussed lately that we might want to become more nuanced about those locations. We really need to keep the info consistent, and I think the way to do it would be to put it into that template. Right now, some related info is also at Chronic Health Facility, Pre acute living situation field, Dispo field, Awaiting/delayed transfer to lower acuity site in Winnipeg other than home or LTC/PCH, Awaiting/delayed transfer to long-term care/PCH inside or outside of Winnipeg, Previous Location field. |
intra-facility and inter-facility transfers
If a patient gets transferred to another ward in the same or different hospital, enter <site>_Med, <site>_Ward or <site>_CC (as appropriate) as both the Previous Location field and the Pre-admit Inpatient Institution field.
arrivals from a borrowed bed
See and follow Previous Location field#Borrowed Bed Or Boarding Loc
several pre-admit locations
If a patient travels through several pre-admit inpatient locations we will only have data on the last one. We understand that. Just to be clear.
| Example: |
Pt was on a ward as an inpatient then went to ICU, then was transferred to the ward you are collecting on. Previous location would be ICU and previous inpatient institution would also be ICU. |
"Can we remove the items that are no longer Service/Locations, Previous Locations, Pre-admit Inpatient Institutions or dispo locations from the dropdowns?"
We can and will remove them, but that can only happen once no more laptops use them. We will need to keep track of this and then remove them when ready. If I removed them now, then any box that currently has them enter would misbehave.
query of what is currently available
| SQL |
SELECT s_dispo.location_name, s_dispo.Site, s_dispo.active, s_dispo.inpatient, s_dispo.previous_location, s_dispo.s_location, s_dispo.dispo FROM s_dispo WHERE (((s_dispo.Site)>"") AND ((s_dispo.active)=True) AND ((s_dispo.inpatient)=True)) OR (((s_dispo.Site)>"") AND ((s_dispo.active)=True) AND ((s_dispo.previous_location)=True)) OR (((s_dispo.Site)>"") AND ((s_dispo.active)=True) AND ((s_dispo.s_location)=True)) OR (((s_dispo.Site)>"") AND ((s_dispo.active)=True) AND ((s_dispo.dispo)=True)); |
Query of what is currently used
query z_s_dispo_inactivatable
Data Use / Purpose
To document where those patients who were inpatients immediately before arriving on our ward/unit came from.
The detailed information will allow us also to distinguish between patients who were or were not inpatients before arrival. This is relevant to a patient's risk of bad outcomes.
The information will also give our administrators a better idea of which other hospitals are sending us patients, which they will use for planning.
Cross Checks
Data Integrity Checks (automatic list)
| App | Status | |
|---|---|---|
| Query check prev pre-admit consistent | CCMDB.accdb | implemented |
| Function Validate Pre admit Inpatient Institution | CCMDB.accdb | implemented |
| Check function preAdmit NE Location | CCMDB.accdb | implemented |
| Check Accept Loc Park | CCMDB.accdb | retired |
| Link suspect mismatch pre inpt ours incomplete query | Centralized data front end.accdb | implemented |
| Link suspect not same visitAdmitDtTm query | Centralized data front end.accdb | implemented |
Reports
- The information will be part of the Inter-facility transfer report (i.e. inpatients coming from other facility outside the region or within the region). Also the information will be useful for research projects where a patient will be tagged if already an inpatient before arrival to the unit or ward. JMojica 11:45, 2016 June 6 (CDT)
Implementation
The field is populated with options from the s_dispo table.
Legacy
This field is part of the 2016 Time and Place changes and did not previously exist.
Nursing stations
We used to collect nursing stations in hospital previous but would not include them under the new scheme because they are not inpatient locations. Julie and Tina met with Randy Martin 2016-04 and he confirmed he doesn't need them.