Previous Service field: Difference between revisions

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m (checks and then some)
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For each patient,  
For each patient,  
* enter the option that most closely matches
* enter the option that most closely matches
** for medicine ward-to-ward moves, enter "medicine" as previous service  
** for medicine ward-to-ward moves, code "medicine" as previous service  
** for ICU-to-ICU moves, enter "Critical Care" if no other specific service is documented
** for ICU-to-ICU moves, code "Critical Care" if no other specific service is documented
* if the service is not listed, code “other”
** for pt from ER, code "Emergency Medicine" unless a different service had accepted them and is handing them off to Medicine
* if the service is not listed, code "other (known but not on list)"
** in these cases we don't care about the details; if we see too many others we may add additional options in future
** in these cases we don't care about the details; if we see too many others we may add additional options in future
* if previous service is not applicable, enter '''not applicable'''
* if previous service is not applicable, enter '''not applicable'''
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=== from OR ===
=== from OR ===
If a patient comes from an OR/RR, code the responsible surgical service as previous service.  
If a patient comes from an OR/RR, code the responsible surgical service as previous service.  
=== Patients from ER ===
*for pts ER to ward/unit, would the previous service be Emergency Medicine or Medicine as pt was accepted to Medicine service in ER?
** it would be "Emergency Medicine" unless a different service had accepted them and is handing them off to Medicine
=== ICU to ICU moves ===
{{discussion}}
* If a patient comes from the ICU to the ward, or ICU to ICU, are we still entering "not applicable", or are we supposed to start entering something more specific (surgical/medicine/etc.)[[User:Mlagadi|Mlagadi]] 15:31, 2016 April 18 (CDT)
** Julie, thoughts on how ICU-to-ICU should be collected in new scheme? I could add "not applicable" or "Critical Care Medicine" or something else. Thoughts? Ttenbergen 20:05, 2016 April 18 (CDT)


=== Nursing Home Wards (HSC/GRA)===
=== Nursing Home Wards (HSC/GRA)===
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** still waiting to hear back from Julie on that. Ttenbergen 13:23, 2016 May 11 (CDT)
** still waiting to hear back from Julie on that. Ttenbergen 13:23, 2016 May 11 (CDT)


=== Direct Admission / from ACF ===
=== Direct Admission ===
{{discussion}}
{{discussion}}
* there is the option of "direct admission" under the previous service, so if a patient comes from ambulatory care clinic direct to the ward do we select direct admission or the service they saw in amb care? [[User:Lkaita|Lisa Kaita]] 08:46, 2016 April 15 (CDT)
* there is the option of "direct admission" under the previous service, so if a patient comes from ambulatory care clinic direct to the ward do we select direct admission or the service they saw in amb care? [[User:Lkaita|Lisa Kaita]] 08:46, 2016 April 15 (CDT)
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== {{CCMDB Data Integrity Checks}} ==
== {{CCMDB Data Integrity Checks}} ==
None as of 11:58, 2016 March 21 (CDT).  
Can't be empty.
* {{discussion}} Do we need any? Ttenbergen 11:58, 2016 March 21 (CDT)


== Implementation ==
== Implementation ==

Revision as of 13:29, 2016 May 11

This field is currently being implemented, please check the instructions and put a discussion for anything that isn't clear. 

The Previous_Service field contains info about the service taking care of the patient prior to admission to the current location.

Collection Instruction

For each patient,

  • enter the option that most closely matches
    • for medicine ward-to-ward moves, code "medicine" as previous service
    • for ICU-to-ICU moves, code "Critical Care" if no other specific service is documented
    • for pt from ER, code "Emergency Medicine" unless a different service had accepted them and is handing them off to Medicine
  • if the service is not listed, code "other (known but not on list)"
    • in these cases we don't care about the details; if we see too many others we may add additional options in future
  • if previous service is not applicable, enter not applicable
    • Template:Discussion under what circumstances would that be? Ttenbergen 12:14, 2016 March 21 (CDT) Ttenbergen 20:08, 2016 April 18 (CDT)

from OR

If a patient comes from an OR/RR, code the responsible surgical service as previous service.

Nursing Home Wards (HSC/GRA)

  • currently we treat these pts as discharges or readmits from Grace Nursing Home ie not as a continuous admission or interhospital transfer. These pts are covered by one of the Medicine attendings while here. Do you want the previous service to be entered as Medicine then? [User:SCortilet|Scortilet]]
    • still waiting to hear back from Julie on that. Ttenbergen 13:23, 2016 May 11 (CDT)

Direct Admission

Template:Discussion

  • there is the option of "direct admission" under the previous service, so if a patient comes from ambulatory care clinic direct to the ward do we select direct admission or the service they saw in amb care? Lisa Kaita 08:46, 2016 April 15 (CDT)
    • Interesting question; the intent there was just to replace the "direct admit" from ER Wait. But what should be the right entry? Will need to look into this. Ttenbergen 16:02, 2016 April 18 (CDT)

From ACF

  • There is no option in the drop down for a patient coming from ACF. Previously, we would just put "not an inpatient" but this option is not in the selection. (This is for the ICU people). -LKolesar 10:04, 2016 April 15 (CDT)

From Cancer Care/Oncology

  • Can you add Cancer Care/Oncology and Infectious Disease as we get frequent admissions from them?--CMarks 12:48, 2016 April 11 (CDT)

other (known but not on list)

  • If gastroenterology sends a pt should we use general surgery?--LKolesar 10:42, 2016 May 11 (CDT)
    • No, please use "other (known but not on list)" Ttenbergen 13:23, 2016 May 11 (CDT)

Data Use

Used to be:

Template:CCMDB Data Integrity Checks

Can't be empty.

Implementation

The field is populated with options from the s_previous_service table.

Legacy

For medicine this concept is related to ER Wait.

For critical care this concept is related to Service Sending to ICU.