Visits to temporary locations: Difference between revisions
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*There are 3 situations handled differently in these cases: | *There are 3 situations handled differently in these cases: | ||
*#The patient returns to the sending unit: Here everything (procedures and diagnoses) that happened in the temporary location is coded in the record of the sending site. So, do not discharge and readmit the patient, collect as a continuous stay. | *#The patient returns to the sending unit: Here everything (procedures and diagnoses) that happened in the temporary location is coded in the record of the sending site. So, do not discharge and readmit the patient, collect as a continuous stay. | ||
*#The patient does not return to the sending unit '''but survives''' it and goes elsewhere after the procedure: Here the [[Dispo]] for the sending site is the temporary location (and the [[Dispo DtTm]] is when the patient left the sending unit) and things that happened in that temporary location are NOT included in the record of the sending site | *#The patient does not return to the sending unit '''but survives''' it and goes elsewhere after the procedure: Here the [[Dispo]] for the sending site is the temporary location (or possibly '''"Other Procedure Location"''') (and the [[Dispo DtTm]] is when the patient actually left the sending unit in contrast to what EPR might say <!-- discussed at JALT 2022-06-08 -->) and things that happened in that temporary location are NOT included in the record of the sending site; also enter [[BedHeldEnd DtTm]] | ||
*#The '''patient dies''' in the temporary site. In this case the [[Dispo]] of the sending site is the death (and the [[Dispo DtTm]] is as usual for '''[[Deceased patients]]''') and you should code the other diagnoses or procedures that occurred in the temporary site. | *#The '''patient dies''' in the temporary site. In this case the [[Dispo]] of the sending site is the death (and the [[Dispo DtTm]] is as usual for '''[[Deceased patients]]''') and you should code the other diagnoses or procedures that occurred in the temporary site; also enter [[BedHeldEnd DtTm]] | ||
* for example, patient transferred from ICU to the OR, and dies in the OR. [[Dispo DtTm]] would be the date and time of death to the morgue, tmp would have a [[BedHeldEnd DtTm]] of the date and time sent to the OR and the reason would be "weird reason", procedure done in OR is an [[Acquired Procedure]] | |||
*second example: medicine patient sent to Misericordia for an eye procedure, while there deteriorates, arrests, is taken to the ER and dies in the ER. [[Dispo DtTm]] would be death to the morgue, the ER would be a [[Boarding Loc]], tmp would have a [[BedHeldEnd DtTm]] of the date and time they were sent to the Misericordia and the reason would be "weird reason", if they had a procedure at the Misericordia, this would be an [[Acquired Procedure]] and the arrest would be an [[Acquired Diagnoses]] | |||
== temporary locations between initial ER and first admission to one of our units == | |||
* A few [[Boarding Loc]] entries have shown up for the Cath Lab. They probably should not have been entered at all, but they raised the question of how to calculate [[ER Delay]] when this happens. See [[ER_Delay#ER_Delay_when_there_are_Visits_to_temporary_locations_between_initial_ER_and_first_unit]] for more. | |||
== [[AMA]] == | |||
[[AMA]] is a different scenario, but very similar rules apply. <!-- added this to improve our chances that we will keep this consistent --> | |||
== Related articles == | == Related articles == | ||
Revision as of 16:23, 2024 April 24
- This refers to how to handle when a patient is sent to a temporary location
- Temporary locations includes OR, procedure suites of all types, imaging suites/radiology, etc.
- They do NOT include beds that are actually functioning in the nature of a ward or ICU bed -- i.e. Boarding Locations
- Temporary locations includes OR, procedure suites of all types, imaging suites/radiology, etc.
- There are 3 situations handled differently in these cases:
- The patient returns to the sending unit: Here everything (procedures and diagnoses) that happened in the temporary location is coded in the record of the sending site. So, do not discharge and readmit the patient, collect as a continuous stay.
- The patient does not return to the sending unit but survives it and goes elsewhere after the procedure: Here the Dispo for the sending site is the temporary location (or possibly "Other Procedure Location") (and the Dispo DtTm is when the patient actually left the sending unit in contrast to what EPR might say ) and things that happened in that temporary location are NOT included in the record of the sending site; also enter BedHeldEnd DtTm
- The patient dies in the temporary site. In this case the Dispo of the sending site is the death (and the Dispo DtTm is as usual for Deceased patients) and you should code the other diagnoses or procedures that occurred in the temporary site; also enter BedHeldEnd DtTm
- for example, patient transferred from ICU to the OR, and dies in the OR. Dispo DtTm would be the date and time of death to the morgue, tmp would have a BedHeldEnd DtTm of the date and time sent to the OR and the reason would be "weird reason", procedure done in OR is an Acquired Procedure
- second example: medicine patient sent to Misericordia for an eye procedure, while there deteriorates, arrests, is taken to the ER and dies in the ER. Dispo DtTm would be death to the morgue, the ER would be a Boarding Loc, tmp would have a BedHeldEnd DtTm of the date and time they were sent to the Misericordia and the reason would be "weird reason", if they had a procedure at the Misericordia, this would be an Acquired Procedure and the arrest would be an Acquired Diagnoses
temporary locations between initial ER and first admission to one of our units
- A few Boarding Loc entries have shown up for the Cath Lab. They probably should not have been entered at all, but they raised the question of how to calculate ER Delay when this happens. See ER_Delay#ER_Delay_when_there_are_Visits_to_temporary_locations_between_initial_ER_and_first_unit for more.
AMA
AMA is a different scenario, but very similar rules apply.
Related articles
| Related articles: |
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