Pre-admit Inpatient Institution field

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Revision as of 17:44, 2016 April 25 by Ttenbergen (talk | contribs) (Some answers and some stuff moved to other article.)
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This field is currently being implemented, please check the instructions and put a discussion for anything that isn't clear.

The Pre-admit Inpatient Institution field identifies the previous inpatient location of patients who were already inpatients elsewhere before coming to our unit from a Previous location that is temporary(such as an ER). This does not include patients who just arrived at an ER elsewhere and were not admitted as inpatient there.

For example, a patient arriving from Selkirk Hospital via the local ER would have the ER coded in the Previous Location field and Selkirk coded in the Pre-admit Inpatient Institution field.

Collection Instruction

If the Previous Location field does not contain a "temporary" location, leave this field blank.

If the Previous Location field contains a "temporary" location like an ER, OR or Cath Lab you will need to enter this field. In that case, for each patient,

  • enter the option that most closely matches
  • 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 you know how we code the location exactly, you can type it. Otherwise press the "magic wand" button to take you to the S dispo chooser‎ to help filter options if desired.

Where to find this information

If patient came from a different Winnipeg hospital this will be recorded in the “Visit History” on the EPR.

Example

  • ICU Vic---family medicine ward at the Vic---ED HSC---ED STB---cath lab---ICU HSC.
    • The PrevInptLocation field is: VIC_Ward

Questions

From Ambulatory Care via ER

Template:Discussion

  • if a pt comes from Ambulatory care direct to ward but waits in ER for ward bed to be ready, where is Ambulatory care (as location for direct admit) entered if previous location was the ER? Pre-admit inpatient field does not include that option. we are able to choose that option from the "admit from" field under the reg & adl tab.
    • Ambulatory care is not an inpatient location, so it is correct for it not to be available in Pre-admit Inpatient Institution field. Code this the way you would previously have coded the "admit from" field. Or is there a reason not to do it the same way? Ttenbergen 17:44, 2016 April 25 (CDT)

ER -> cath lab -> ward scenario

  • If the previous location is the heart cath lab (which is a temporary location), then I should add a pre-admit inpatient institution. However, if the patient comes to the cath lab from ER, I cannot put this location because it also is a temporary location. Currently we do not put in the heart cath lab as a place to admit from, instead we use where they were located just prior to the cath lab (ER in this example). I thought that Julie tracked Winnipeg hospital use of ER's for Randy so if we will no longer be able to put that the pt came from ER in this setting, then this will be entirely missed. Just checking! --LKolesar 14:21, 2016 April 14 (CDT)

Direct Admission

Grace changes requested

  • Missing from Grace: S2, S4, S5 (unless we just put GRA_ward for all units that we currently don't collect on)
    • GRA_emip is not a pre admit location
    • Can we change W3 to S3 as it is no longer called W3 (unit was expanded)?Mschaffer

long term patients

Template:Discussion

  • When we have patients moving from ward to ward, we normally do not go back to their original admission date to gather data especially as some patients have been admitted for over a year. Will it be acceptable to continue this practice?--CMarks 12:39, 2016 April 11 (CDT)
    • someone who is moving from ward to ward their previous location would be the previous ward. So, I am not sure, what do you mean? Or are you talking about the Pre-admit Inpatient Institution field or the Previous Service field? Ttenbergen 18:21, 2016 April 11 (CDT) Ttenbergen 17:32, 2016 April 25 (CDT)

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.

Template:CCMDB Data Integrity Checks

Not yet implemented Ttenbergen 14:11, 2015 May 27 (CDT)

  • Template:Discussion do these make sense? (old q from Tina)
    • YES. if these are done, you may delete the ones I wrote above. JMojica 12:31, 2015 May 28 (CDT)

Reports

Template:Discussion Which reports will this be on? Ttenbergen 10:33, 2016 March 22 (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.

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