Readmission: Difference between revisions

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This article is about [[Multiple Encounter]] patients who have been discharged and re-admitted in a short time frame.  
{{Reporting Indicators
| description = Readmissions are patients who have been discharged and readmitted in a short time frame.  
| indicator_name = {{PAGENAME}}
| created_raw = Created
| program = Critical Care and Medicine
| indicator_start_date =
| indicator_end_date =
}}


{{Discuss | who = Julie | question =  
They are a case of [[Multiple Encounter]].
* There must be some clause to exempt someone who just comes from a previous internal unit, right? How is that defined? Wondering whether it will be affected by [[Guideline for coding organ donation after death]].
 
== Exclusions ==
Exclusions for readmissions are the following:
* There is a planned admission like elective surgery
* Left the ward or unit against medical advice ([[AMA]])
* Palliative patients
{{discuss | who = Julie | question =  
* based on ICD10 [[Palliative care]] or on [[DC Treatment]] or on what?
}}
}}
* HSC IICU has no readmission


== ICU Definition ==
== ICU Definition ==
For ICU, a readmission is a patient where
For ICU, a readmission is a patient where
* (admit date/time) - (most recent ICU discharge date/time to ward or home) <= 72 hours
* (admit date/time) - (most recent ICU discharge date/time to ward or home) <= 48 hours
* is '''not''' an Apache type elective surgery  
{{Discuss | who = Julie | question =
* that said 72 before... was it related to [[72hr Readmission Rate to ICU]]? If so I will change the name and wiki links but we need to also review that content is right.
* will it be "...first [[Service tmp entry|ICU Service Start DtTm]]" instead of admit date/time going forward?
}}
* is '''not''' an [[Admit Type for APACHE II]] "elective surgery"
* might be readmitted from Ward within or outside Winnipeg hospitals or home or nursing home  
* might be readmitted from Ward within or outside Winnipeg hospitals or home or nursing home  
** can also specify to include only from any ward within the region.
** can also specify to include only from any ward within the region.

Revision as of 22:13, 2021 April 29

Readmissions are patients who have been discharged and readmitted in a short time frame.

Indicators
Indicator: Readmission
Created/Raw: Created
Program: Critical Care and Medicine
Start Date:
End Date:
Reports: No reports on this wiki list this as an indicator.


  • Cargo


  • SMW:
  • Categories
  • Default form:

They are a case of Multiple Encounter.

Exclusions

Exclusions for readmissions are the following:

  • There is a planned admission like elective surgery
  • Left the ward or unit against medical advice (AMA)
  • Palliative patients
  • SMW


  • Cargo


  • Categories
  • HSC IICU has no readmission

ICU Definition

For ICU, a readmission is a patient where

  • (admit date/time) - (most recent ICU discharge date/time to ward or home) <= 48 hours
  • that said 72 before... was it related to 72hr Readmission Rate to ICU? If so I will change the name and wiki links but we need to also review that content is right.
  • will it be "...first ICU Service Start DtTm" instead of admit date/time going forward?
  • SMW


  • Cargo


  • Categories
  • is not an Admit Type for APACHE II "elective surgery"
  • might be readmitted from Ward within or outside Winnipeg hospitals or home or nursing home
    • can also specify to include only from any ward within the region.

Medicine Definition

For medicine, a readmission is a patient where

  • (admit date/time) - (most recent discharge date/time to the hospital) <= 7 days after their most recent discharge time to the hospital
  • is admitted from outside hospital

Legacy information

  • (Legacy: planned surgery used to be excluded, but this stopped because of insufficient data when we stopped collecting some APACHE elements in the medicine program Dec 31, 2006)

Data Use

Use in Category:Reporting

Related articles

Related articles: