Visit Admit DtTm field: Difference between revisions

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== Collection Instruction ==
== Collection Instruction ==
(''in progress.  Any collector can continue to rewrite to help make clearer - Thank you!'')
(''in progress.  Any collector can continue to rewrite to help make clearer - Thank you!'')
* IMPORTANT:  Use the date/time in the EPR for this field & not what is written in chart.
 
For each patient,  
For each patient,  
* In [[EPR]] find Patient  
* In [[EPR]] find Patient  
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* enter the Admit/Reg date/time from the first column as your [[Visit Admit DtTm field]] in [[ccmdb.mdb]]
* enter the Admit/Reg date/time from the first column as your [[Visit Admit DtTm field]] in [[ccmdb.mdb]]


== Questions? ==  
== Questions? ==
{{Discussion}}
* Hi all, I completed the above steps on EPR and end result is the time that corresponds to the Emergency Treatment Record Time which may or may not be exact (occasionally a few minute discrepency) with the Triage Assessment Time.  In other words the time a patient physically arrives in ER and is triaged. For clarificatin, did Dr. Garland indicate he would like data collectors to use the date/time a patient is accepted to a service entered as the Visit Admit Date/Time? If so, could the instructions be updated? Thanks, [[User:Ppiche|Pamela Piche]] 14:10, 2016 April 29 (CDT)
* Hi all, I completed the above steps on EPR and end result is the time that corresponds to the Emergency Treatment Record Time which may or may not be exact (occasionally a few minute discrepency) with the Triage Assessment Time.  In other words the time a patient physically arrives in ER and is triaged.  
*in our EPR Visit History=ER Triage Time; the date and time the pt is accepted by Medicine for admission is not entered into the EPR, but is found on the admission/separation registers
*** Yes you are correct the Hospital arrival (Visit Admit DtTim) is the same as ER triage DtTm.  The reason we want you to get your info from the same route above, is that EPR does not alway have details of patient entry into hospital when you look via other route.  This is confirmed by other users in other area's same problem and confirmed in main office with audits, when indeed pt was from the ER of own site. [[User:TOstryzniuk|Trish Ostryzniuk]] 17:45, 2016 April 29 (CDT)
*For clarificatin, did Dr. Garland indicate he would like data collectors to use the date/time a patient is accepted to a service entered as the Visit Admit Date/Time? If so, could the instructions be updated? Thanks, [[User:Ppiche|Pamela Piche]] 14:10, 2016 April 29 (CDT)
**No.  The visit admit date (ER Triage date & time) is generally not the same as the ACCEPT to to medicine Service date/time.  One exception I can think of is direct admission, that get parked in ER. Then visit date/time and accept date and time would be same. I am sure there are a few others..........can't think of the at the moment.
***I have a direct admit who physically showed up on the ward Apr 28 @ 1030 but EPR states Apr 28 @ 1320...will this cause difficulty? Do I match times to the earlier, physically observed time?--[[User:CMarks|CMarks]] 12:44, 2016 May 2 (CDT)
****''''IMPORTANT'''':  For this field only, use the EPR date/time only and not what you find written in the chart. 
****We know the EPR is not precise in regards to this info as with other dates/tm). 
****The main office will not be doing any crosschecks with the other date fields we collect. 
****The sole purpose of this field is to allow our program to align our data with data dumps we get from the WRHA.  The WRHA uses the EPR date for this field, so this is our best way we can make the match.[[User:TOstryzniuk|Trish Ostryzniuk]] 13:10, 2016 May 2 (CDT)


== Background ==
== Background ==

Revision as of 14:13, 2016 May 2

This field is currently being implemented, please check the instructions and put a discussion for anything that isn't clear. 

The Visit Admit DtTm field contains the first entry in the visit location history in EPR for current visit at your site.

Purpose

The field is used as an identifier of the start of a hospital encounter at your site. The info is use to:

  • link together ICU and Ward admissions during the same hospital visit
  • uniquely identify patient visits to Manitoba Health when we exchange data with them

Collection Instruction

(in progress. Any collector can continue to rewrite to help make clearer - Thank you!)

For each patient,

  • In EPR find Patient
  • Under Patient Info tab
  • in the Summary Views on the left, click on Visit History
  • find the earliest entry of an Inpatient Type for your current hospital admission
  • enter the Admit/Reg date/time from the first column as your Visit Admit DtTm field in ccmdb.mdb

Questions?

  • Hi all, I completed the above steps on EPR and end result is the time that corresponds to the Emergency Treatment Record Time which may or may not be exact (occasionally a few minute discrepency) with the Triage Assessment Time. In other words the time a patient physically arrives in ER and is triaged. For clarificatin, did Dr. Garland indicate he would like data collectors to use the date/time a patient is accepted to a service entered as the Visit Admit Date/Time? If so, could the instructions be updated? Thanks, Pamela Piche 14:10, 2016 April 29 (CDT)
  • in our EPR Visit History=ER Triage Time; the date and time the pt is accepted by Medicine for admission is not entered into the EPR, but is found on the admission/separation registers

Background

Right now you guys collect detailed to/from info in Var1/2. The details are primarily used for linking. Collecting the Hospital Admit DtTm will make that information irrelevant for wards where we don't collect, so we will be able to code "from" for wards where we don't collect just as "HSC Ward"(eg).

Data Use

This data is used to understand Length of Stay and for linking.

Template:CCMDB Data Integrity Checks

Legacy

This field is part of the 2016 Time and Place changes.

It is being added to simplify the old linking - if we have the hospital admit date and time, we are done linking, none of the previous complex process will be needed any longer.