STB CICU Admissions start at Arrive DtTm

This page elaborates on some similarities and differences to the usual Definition of a Critical Care Laptop Admission.

• STB CICU/ICCS Cardiac Surgery patients will have an Service tmp entry that is effective when the pt actually arrives in the ICU from the OR. If a Cardiac Surgery patient is accepted back to the ICU after they have already been transferred to the ward (CR4), then the Service tmp entry is when the ICU has agreed to take them to the ICU, and they are considered a boarded pt. from that time (TISS 28 will be required for the boarded time)

TISS 28 should not really have any specific rules for this scenario, right? We would always collect it and all other things for a patient whenever a patient is considered "our" patient, right? So is that redundant and can we take that part out? Or am I missing something? Ttenbergen 11:58, 2022 April 27 (CDT)

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Background

This is on a page of its own because it is relevant to several other topics, and this way it can just be linked.

As of Change to start collection at accept rather than arrive time, we simplified the Definition of a Critical Care Laptop Admission to start at Service Accept DtTm. The local collector pointed out that these patients often spend a long time on cardiac wards where we don't collect while under the cardiac service. If we used the same definition for this population as for other ICUs this would all need to be collected as boarded time, and we would essentially start collecting on cardiac wards as well.