Previous Service field

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, enter "medicine" as previous service (can't just omit because then we would not know if omitted intentionally")
• if the service is not listed, code “other”
  • 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)

Questions

Medicine Ward to Ward

• because this field is related to ER wait in medicine it will be left blank when a pt is transfered for example from B3 to D4? Judy K
• Since this field is related to er wait in the medicine program do you want this field used when the pt transferes from D4 to A3 to D5 (medicine to surgery to medicine)? Judy april 13th, 2016.
• If it is medicine service sending the pt do you still need to fill this field in for the medicine program patients, or only if they come from a different service?--LKolesar 14:29, 2016 April 14 (CDT)
  • updated the instructions above to address this, if now clear please remove this section. Ttenbergen 16:02, 2016 April 18 (CDT)
    • Operating room to ICU-- My patients often come from home the morning of surgery to the pre-op holding area, go to the OR and then the ICU. I have been coding them as from cardiac surgery, Lois

Medicine Patients Ward to Ward

• for Medicine pts ER to ward, would the previous service be Emergency Medicine or Medicine as pt was accepted to Medicine service in ER?
  • good question, we need to find out Ttenbergen 19:34, 2016 April 25 (CDT)

ICU to ICU moves

• 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.)Mlagadi 15:31, 2016 April 18 (CDT)
• "I do not see Critical Care Medicine?" Lou
  • 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)

Grace Nursing Home

• 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? Scortilet

• "I do not see Critical Care Medicine?" (Lou)
  • emailing Julie to decide how we want to handle that... Ttenbergen 18:35, 2016 April 18 (CDT)

Direct Admission / from ACF

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

Data Use

Used to be:

• ER_Wait#Reporting_and_Analysis
• Template:Discussion Julie, to whom and in what context does Service Sending to ICU get reported? Ttenbergen 12:35, 2016 March 21 (CDT)

Template:CCMDB Data Integrity Checks

None as of 11:58, 2016 March 21 (CDT).

• Template:Discussion Do we need any? Ttenbergen 11:58, 2016 March 21 (CDT)

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.