Visits to temporary locations: Difference between revisions

Revision as of 11:31, 2022 June 8

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
There are 3 situations handled differently in these cases:
1. 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.
2. 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
3. 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.

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.

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 *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 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
 *#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.