Service tmp entry: Difference between revisions

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This isn't so much a project as a change to [[Service/Location]] collection to allow us to collect more than one [[Service/Location]] per patient-program-stay. See [[Change from Service Location to Service, Boarding Loc and Transfer Ready DtTm tmp entry]] for why we needed to change to this.  
This data encodes which service is taking care of a patient. See [[Definition of a Critical Care Laptop Admission]] / [[Definition of a Medicine Laptop Admission]] for info on when a new profile should be started.  


== Data Collection Instructions ==
== Data Collection Instructions ==
You can use the [["Make Service" button]] in [[Patient Viewer Tab Cognos ADT2]] or [[Patient Viewer Tab Cognos ADT]] to generate and pre-populate these entries.  
You can use the [["Make Service" button]] in [[Patient Viewer Tab Cognos ADT2]] to generate and populate these entries.  


=== How to enter this ===
=== How to enter this ===
Add an additional entry for service only if the service changes during their stay.
{{Ex |
*E.G. patient X is in the ER and is accepted by HSC A medicine on Oct 15,2020@0900, On Oct 17,2020 @1500 HSC H medicine takes over his care
*in the TMP select '''Project Service''', '''Item''' choose HSC A medicine, column E enter Oct 15,2020, Column M enter 0900
*second entry in TMP would be '''project Service''', '''Item''' choose HSC H medicine, Column E enter Oct 17,2020, Column M enter 1500
}}
*Use tmp fields:
*Use tmp fields:
** project: '''Service'''
** project: '''Service'''
** item: '''no service entered''' is added by default to each new patient entered
** item: '''no service entered''' is added by default to each new profile entered
*** change this to the applicable service; this will be the service as listed in the [[Cognos Report Integrator]] tools (see [[s_Cognos_Services table]] for a list of applicable services).
*** change this to the applicable service; this will be the service as listed in the [[Cognos Report Integrator]] tools (see [[s_Cognos_Services table]] for a list of applicable services).
**select the appropriate service from the dropdown list
**select the appropriate service from the dropdown list
** date: '''Service Start DtTm''' date as per [[Cognos EPR Report]]
** time: '''Service Start DtTm''' time as per [[Cognos EPR Report]]
*** for pts coming from ER this dttm will be the same as [[Accept DtTm]], but we want it for non-ER pts as well
{{Discuss |
*** the '''first''' entry for [[Boarding Loc]] and for [[Service tmp entry]] need to have the same date and time because we only care about the portion of time in that earliest location that was under our service. So, e.g. if in ER the pt is accepted initially by surgery we don't care about the unit start date and time until our service takes over.
* flagged this in [[Boarding Loc]], whatever is answered there, this must become consistent. Ttenbergen 13:25, 2020 November 9 (CST)}}


Add a new entry for service only if the service changes during their stay.
==== DtTm to use ====
{{Ex |
* Edit the Service Start DtTm in the [[Patient Viewer Tab Cognos ADT2]]
*E.G. patient X is in the ER and is accepted by HSC A medicine on Oct 15,2020@0900, On Oct 17,2020 @1500 HSC H medicine takes over his care
* If you are changing the Service Start DtTm, please check to make sure that the [[Visit Admit DtTm]] is either before or the same as the Service Start DtTm
*in the TMP select '''Project Service''', '''Item''' choose HSC A medicine, column E enter Oct 15,2020, Column M enter 0900
* value is initially entered in [[CSS]] as per [[Using Cognos2 to keep track of patients]]
*second entry in TMP would be '''project Service''', '''Item''' choose HSC H medicine, Column E enter Oct 17,2020, Column M enter 1500
* once patient is discharged, set as per [[Definition of a Critical Care Laptop Admission]] or [[Definition of a Medicine Laptop Admission]]; except if within 30 min of time in Cognos, use Cognos time <!-- as per ICU Database Task Group Meeting – April 15, 2021 #4 -->
}}
** at this point also update the first [[Boarding Loc]] DtTm as per [[DtTm for First Boarding Loc and First Service]]
 
 
 
==== Code Blue ====
See [[Definition_of_a_Critical_Care_Laptop_Admission#From_Code_Blue]] for when a profile should start in case of a code blue.


=== Which service to use when several are listed for the same timeframe ===
==== Specifically for STB Critical Care ====
{{Discuss |
'''Special rules apply to [[STB CICU Admissions start at Arrive DtTm]] '''
* I am trying to enter my first critical care patient at HSC. There are multiple choices (dozens) for HSC critical care, and it is not evident which one I should be choosing. I think that it would be a lot more intuitive if the choices are limited to Critical Care-surgical, Critical Care-medical, and Critical care-Intermediate.[[User:Mlagadi|Mlagadi]] 09:01, 2020 October 16 (CDT)
** I'd like that, too. The problem is SICU - AFAIK they are an "open unit" so all sorts of services play there, and therefore show up in Cognos. I made a list that reflects Cognos. We should bring this up to Julie to see what she needs, we might be able to get away with what you suggest. I will flag this for Julie, but if it isn't dealt with by the time the next task meeting comes around, please bring it up then. Ttenbergen 23:32, 2020 October 18 (CDT) Further, I don't think we should introduce our own, fake service to replace the Cognos ones. Ttenbergen
*** I need to distinguish the MICU and SICU patients because that is how being reported and/or being requested.  --[[User:JMojica|JMojica]] 14:24, 2020 November 9 (CST)
}}
{{Discuss |
* Michelle said she is using "Hsc critical care/medicine" for MICUs – '''Michelle, can you confirm that this is always one of the several services that may be listed for an MICU patient? If so then using always the same would be a good idea. I could probably facilitate that in ccmdb to make it easier. Ttenbergen 09:18, 2020 November 5 (CST)
***As far as I can see, the only service that admits to MICU and the extension unit JKL3, is "Critical Care/Medicine". It is SICU that has multiple different services.
**** are the patients having CRRT at MICU not Critical Care/Nephro patients? -- I have been reporting CRRT from MICU and I am in the assumption they are nepro patients.  The big question to me is how helpful/useful these detailed services if we can't identify who went to MICU and SICU at HSC?  Who can help?  Allan?  --[[User:JMojica|JMojica]] 14:24, 2020 November 9 (CST)
** As a second thought to this, if there are services that are only ever used as a secondary entry, I would be able to filter those out so they don't clutter things. But we would want to be really sure they are '''always''' only a secondary, or we might miss patients. Ttenbergen 09:22, 2020 November 5 (CST)
***Sorry, I don't understand what you mean as a secondary entry.}}


{{Discuss |
*at StB, the Service tmp date and time for ICU patients coming from ER is taken from the orders.  If the time is written after the patient has already arrived to the ICU, the Service tmp date and time is the same time as the [[Boarding Loc]] time
* This is probably also an issue for other than HSC CC: where else gets multiple listings for the same timeframe, and what have they chosen to enter consistenly? Ttenbergen 09:18, 2020 November 5 (CST)
* if the patient is coming from the Cath Lab, or the OR, the time is obtained from the ICU flowsheet
}}


== Loose ends ==
=== Direct Admissions/Transfers ===
None of these are show-stoppers, just some notes on future improvements.
For patients who have been accepted from another hospital '''but have a wait time in ER''' (who used to be called Direct Admissions/Parked in ER), use the [[Visit Admit DtTm]] shown in [[Patient Viewer Tab Cognos ADT2]]. You can use the [["VA" button]] to fill it in.  
{{DT |
* This project does might eventually replace [[ICUotherService]]; we will still need this item in the event that both the bed and the service are both borrowed. Administration at STB want this data.
}}


=== Facilitate viewing and entering Service tmp ===
=== Which service to use when several are listed for the same timeframe ===
It might be easier to enter these if we were able to see Cognos data for [[Service tmp entry]] separately from [[Boarding Loc]]. I am working on a [[Cognos2]] setup for this, more to come.  
Use what you know to be correct from chart and your knowledge of your hospital.
{{TT | when I get [[Cognos2]] set up I will need to clean this out }}


== data checks ==
{{DT |
* add a cross check to make sure this is not left as "no service entered"
}}
{{Data Integrity Check List}}
{{Data Integrity Check List}}


== Data Use ==
== Data Use ==
Critical care and Medicine programs want to know this to better understand patient flow and bed utilization.
This data is used to facilitate [[Using Cognos2 to keep track of patients]].  


== SAS Program ==
== Legacy / Background ==
 
This isn't so much a project as a change to [[Service/Location]] collection to allow us to collect more than one [[Service/Location]] per patient-program-stay. See [[Change from Service Location to Service, Boarding Loc and Transfer Ready DtTm tmp entry]] for why we needed to change to this.
== Background ==
We initially planned to change to a single profile per program collection mode, but then gradually reverted to a single profile per service for all critical care profiles.


==Related articles ==
==Related articles ==
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[[Category:Overflow]]
[[Category:Overflow]]
[[Category:PatientFollow Project]]
[[Category:PatientFollow Project]]
[[Category:Cognos Report Integrator]]
[[Category:Admit/Discharge]]

Latest revision as of 11:47, 2024 February 22

Projects
Active?: active
Program: CC and Med
Requestor: internal
Collection start: 2020-10-15
Collection end:

This data encodes which service is taking care of a patient. See Definition of a Critical Care Laptop Admission / Definition of a Medicine Laptop Admission for info on when a new profile should be started.

Data Collection Instructions

You can use the "Make Service" button in Patient Viewer Tab Cognos ADT2 to generate and populate these entries.

How to enter this

Add an additional entry for service only if the service changes during their stay.

Example:   
  • E.G. patient X is in the ER and is accepted by HSC A medicine on Oct 15,2020@0900, On Oct 17,2020 @1500 HSC H medicine takes over his care
  • in the TMP select Project Service, Item choose HSC A medicine, column E enter Oct 15,2020, Column M enter 0900
  • second entry in TMP would be project Service, Item choose HSC H medicine, Column E enter Oct 17,2020, Column M enter 1500
  • Use tmp fields:
    • project: Service
    • item: no service entered is added by default to each new profile entered
    • select the appropriate service from the dropdown list

DtTm to use


Code Blue

See Definition_of_a_Critical_Care_Laptop_Admission#From_Code_Blue for when a profile should start in case of a code blue.

Specifically for STB Critical Care

Special rules apply to STB CICU Admissions start at Arrive DtTm

  • at StB, the Service tmp date and time for ICU patients coming from ER is taken from the orders. If the time is written after the patient has already arrived to the ICU, the Service tmp date and time is the same time as the Boarding Loc time
  • if the patient is coming from the Cath Lab, or the OR, the time is obtained from the ICU flowsheet

Direct Admissions/Transfers

For patients who have been accepted from another hospital but have a wait time in ER (who used to be called Direct Admissions/Parked in ER), use the Visit Admit DtTm shown in Patient Viewer Tab Cognos ADT2. You can use the "VA" button to fill it in.

Which service to use when several are listed for the same timeframe

Use what you know to be correct from chart and your knowledge of your hospital.

Data Integrity Checks (automatic list)

 AppStatus
Query check minimal data set incompleteCCMDB.accdbimplemented
Query check tmp service or location duplicateCCMDB.accdbimplemented
Query check tmp service and program consistencyCCMDB.accdbimplemented
Query check tmp Service and Boarding Loc during admission timeframeCCMDB.accdbimplemented
Query check CCI TISS NrDays GT LOSCCMDB.accdbimplemented
Query check CCI TISS NrDays LT LOSCCMDB.accdbimplemented
Query check tmp Boarding Loc Service first sameCCMDB.accdbimplemented
Query check CCI vs LOS count days componentCCMDB.accdbimplemented
Query check CCI vs LOS count days picklistCCMDB.accdbimplemented
Query check no consecutive same BL or ServiceCCMDB.accdbimplemented
Query check ICD10 dateCCMDB.accdbimplemented
Query check CCI DateCCMDB.accdbimplemented
Query s tmp Boarding Loc date itemCCMDB.accdbimplemented
Check duplicate patientCCMDB.accdbimplemented
Query check CCI TISS Pharm VasoactiveCCMDB.accdbimplemented
Query check tmp 2 BL TR S same tmCCMDB.accdbimplemented

Data Use

This data is used to facilitate Using Cognos2 to keep track of patients.

Legacy / Background

This isn't so much a project as a change to Service/Location collection to allow us to collect more than one Service/Location per patient-program-stay. See Change from Service Location to Service, Boarding Loc and Transfer Ready DtTm tmp entry for why we needed to change to this. We initially planned to change to a single profile per program collection mode, but then gradually reverted to a single profile per service for all critical care profiles.

Related articles

Related articles:
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