Transfer Ready DtTm field
This field is currently being implemented, please check the instructions and put a discussion for anything that isn't clear.
The Transfer Ready DtTm field contains the date and time that the intent to discharge a patient to a lower level in the #hierarchy of levels of care was documented. A "lower level of care" would be from an ICU to a ward, or from ward/ICU to hospital out of town, PCH, care facility or home.
Collection Instruction
For each patient,
- if a date/time of intent to transfer to lower level in the #hierarchy of levels of care is documented, enter it into the Transfer Ready Date and Time Field
- if a patient arrives transfer-ready enter the same date into Transfer Ready DtTm field as in Arrive_DtTm field.
- if not available because the patient was clearly not transfer ready, leave the date/time empty and enter "not transfer ready" into the "TR info status" field
- if not available but the patient probably was transfer ready and it just wasn't documented, enter "not available" into the "TR info status" field
This entry has nothing to do with what actually happened to the patient after.
hierarchy of levels of care
from higher to lower:
- WRHA ICU
- WRHA IICU
- WRHA teaching ward
- WRHA nonteaching ward
- ward outside WRHA
- PCH or home
Questions?
status changing back and forth
- What about patients whose status changes from transfer ready to not ready? In old system, medicine would keep the transfer ready date and ICU would not. I have emailed Allan Garland for an answer. Ttenbergen 17:37, 2016 April 28 (CDT)
- Randy stated preference to use ICU version, ie state latest one Ttenbergen 15:37, 2016 May 3 (CDT)
- Randy, Julie and I discussed that it would be good to do a short tmp study to find out how frequent it is for pt to have stop-and-go transfer dates Ttenbergen 15:37, 2016 May 3 (CDT)
- Meeting booked for Thursday for Julie and Tina to discuss with Dr Roberts Ttenbergen 15:49, 2016 May 3 (CDT)
- Dr Garlan had suggested via email sticking with the first because it's easier. Ttenbergen 15:51, 2016 May 3 (CDT)
Data Use
Used to generate Transfer_Delay, which is used in Overstay and several reports, see also Transfer_Delay#data use.
Template:CCMDB Data Integrity Checks
- Function ADT_Chronological()Template:Discussion Need to pull together existing and implement for new situation
- when is it mandatory (not died and not AMA and certain destinations...)
Implementation
no comments
Legacy
Similar to the old Transfer Ready date and time, but we eliminated special cases and differences between medicine and critical care. Going forward the entry will be collected even if pt dies or goes to ER etc. It's the intent that counts, not what ended up happening.