Pre-admit Inpatient Institution field

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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 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 the Previous Location field does not contain a "temporary" location

  • enter "not applicable"

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

how about 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.

We are planning a meeting with Randy Martin to discuss. For now you can't enter nursing stations here, so, don't. Ttenbergen 18:16, 2016 April 28 (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)

are EMIPs inpatients?

  • GRA_emip is not a pre admit location
    • Or are they? their name would suggest they are. Emailing Julie for answer. Ttenbergen 18:16, 2016 April 28 (CDT)
    • Good question. I would consider EMIPS as in-patient and therefore STB, VIC and GRA ER should be included in the downlist of PRE-admit location (not HSC,CON,OAK ER). JMojica 10:01, 2016 April 29 (CDT)

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)
    • changed, Grace collecors, please delete when you have seen
  • Can we change W3 to S3 as it is no longer called W3 (unit was expanded)?Mschaffer
    • changed, Grace collecors, please delete when you have seen

intra-hospital transfers

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)
    • For intra-hospital transfer, code Pre-admit Inpatient Institution field as "not applicable" (I still have to make that available) Ttenbergen 11:41, 2016 April 27 (CDT)

readmission from Grace Nursing Home

  • currently discharges to and admissions from Grace Nursing Home are treated as new admissions (with the exception of the Discharge Screening Tool which is labelled 'transferred form'). Technically, though, this is an interhospital transfer, and the hospital treats it as a continuous admission. Will this require a previous Inpatient Institution entry? And will the visit admission date then be the original admission date, or the date transferred from one ward to the other? SCortilet

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.