Previous Location field: Difference between revisions

From CCMDB Wiki
Jump to navigation Jump to search
No edit summary
(→‎direct transfer: discussion)
Line 39: Line 39:


{{discussion}}
{{discussion}}
How do you handle  the direct transfer from hospitals outside WPG  who were parked first at ER, what do you enter in the [[Previous Location field]] ? ER or the Hospital outside WPG?  if ER, then this is not different from the example above and I have no way to distinguish the direct admits. But if it is the Hospital outside WPG, then I will know it is direct admit. However, we will have an issue of capturing the waiting time while in ER . --[[User:JMojica|JMojica]] 12:07, 2017 September 27 (CDT)  
There should be a way to distinguish the cases who are from other hospital in Wpg, in other city, province, country, went to ER, assessed at ER and then decision to admit occurred at ER versus those who are direct admits but parked at ER. Suggestions to determine direct admits are 1) add a check box 'Direct Admit' 2) Visit_admit_DtTm is the same as Accept_DtTm but this does not always happens 3) if the previous service is not 'Emergency Medicine' but there are also other services accepting patients at ER before handling over to Medicine ward/ ICU (e.g. neurology, cardiology, Nephrology). When this issue was presented to the 28Sept2017 Team Meeting, the group finds option 1 to be the clearest data and the easiest to implement for the data collector and for the analysis/reporting purposes. Tina needs to add the check box for 'Direct Admit' in CCMDB. --[[User:JMojica|JMojica]] 10:00, 2017 September 29 (CDT)
 


=== from psych unit ===
=== from psych unit ===

Revision as of 10:00, 2017 September 29

Data Element (edit)
Field Name: Previous_Location
CCMDB Label: Previous Location
CCMDB tab: Dispo
Table: L_Log
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: 37

The most recent previous physical location of a patient before arriving at the collection location.

  • SMW

Legacy implementation right in the table

  • Cargo


  • Categories
  • Forms


For exceptions, see

Collection Instruction

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 the location exactly, you can type it. Otherwise press the "?" button to take you to the S dispo chooser‎ to help filter options if desired.

For wards where we don't collect, enter e.g. HSC_ward. For wards where we do collect enter the actual ward as available in the dropdown.

Example

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.

Where to find this information

If patient came from a different Winnipeg hospital this should be recorded in the “Visit History” on the EPR, but sometimes it is missing. Can also use paper chart sent to your hospital from the sending hospital for information.

direct transfer

For patients who get parked in the ER during a inter-facility transfer, enter the previous ward in Pre-admit Inpatient Institution field and enter your ER in Previous Location field. (In the past you would have entered the hospital and ward as the "admit from".)

Template:Discussion There should be a way to distinguish the cases who are from other hospital in Wpg, in other city, province, country, went to ER, assessed at ER and then decision to admit occurred at ER versus those who are direct admits but parked at ER. Suggestions to determine direct admits are 1) add a check box 'Direct Admit' 2) Visit_admit_DtTm is the same as Accept_DtTm but this does not always happens 3) if the previous service is not 'Emergency Medicine' but there are also other services accepting patients at ER before handling over to Medicine ward/ ICU (e.g. neurology, cardiology, Nephrology). When this issue was presented to the 28Sept2017 Team Meeting, the group finds option 1 to be the clearest data and the easiest to implement for the data collector and for the analysis/reporting purposes. Tina needs to add the check box for 'Direct Admit' in CCMDB. --JMojica 10:00, 2017 September 29 (CDT)

from psych unit

Code patient from POU (pysch evaluation unit @ HSC) as "HSC ambulatory care" - it's not an inpatient ward.

Dialysis unit as previous location

For patient from Dialysis unit, use that unit as previous location. Pre acute living situation field would be the unit they came from right before, if applicable. Template:Discussion


Heart Cath Lab vs OR as previous location

When a procedure (e.g valve replacement) is done in the cath lab before the pt arrives on your unit, enter Cath Lab if done in Cath Lab and put OR if done in OR. We are aware that this may affect categorization under APACHE II but will collect like this for now. This will need to be dealt with when we move to ICD10. Template:ICD10

Data collection units that have a mix of different physician serve types

We have a few units in the Region that have a mix of 2 different services (internal medicine, surgical, family medicine etc).

  • VIC_S3 - is a mix of family medicine and internal medicine patients
  • HSC_B3 - is a mix of day surgery & internal medicine patients
  • any others?

For patients from these units:

  • If patient is an internal medicine patient: enter the unit name (eg. VIC_S3)
  • If patient is not a internal medicine patient, enter the generic hospital ward (e.g. VIC Ward); this will allow you to enter the Previous Service field with a physician service other than "Medicine".

Patients from day surgery

For patients admitted from day surgery units, enter:

  • Previous Location - <your hospital> Ward, e.g. HSC Ward
  • Previous Service - General Surgery (or other surgical service listed in drop down.

Homeless Patients

If a homeless patient is admitted directly then code them as admitted from home. Usually they would be via ER, of course, and you'd code them as that.

Prison / Jail / Correctional Institution

If a patient is admitted from prison, jail or a correctional institution, under the circumstances that would qualify as an admission from home, code this as an admission from home.

Data Use

This data is used for tracking where most of the traffic on our units/wards comes from. For starters it will be reported to Critical Care (Randy Martin), who was also the requestor of this data.

Template:CCMDB Data Integrity Checks

Implemented:

Following might still need to be implemented:

  • Check ORDx; or not? Would have to be done for ICD10, so can it wait? Ttenbergen 16:26, 2016 May 25 (CDT)
    • discussing with Julie, she seems open to waiting, told her I am starting Category:ICD10 and Template:ICD10 for stuff like this. Ttenbergen 10:56, 2016 June 2 (CDT)

Template:ICD10

Implementation

The field is populated with options from the s_dispo table.

Legacy

This field is part of the 2016 Time and Place changes.

It a combination of our previous