Hospital Encounters Flashcards
1
Q
What does ADT stand for?
A
Admissions, discharge, and transfers 116
2
Q
What does an ADT event represent?
A
An ADT event represents a change in a patient’s bed or the encounter’s billing drivers and contains information relating to the patients status at that time. 116
3
Q
What is a billing driver?
A
A billing driver is a property that could change whether the system posts bed changes to the visits associated HAR. Examples include changes to patient class or level of care.
4
Q
What is the main table for ADT events in clarity?
A
Clarity_ADT 116
5
Q
What does ADT 30 represent?
A
It represents the event type.116
This item ADT 30 turns into Event_type_C in the table
6
Q
In hospital encounters what does the event type describe?
A
The event type describes why the event record was created. In clarity_adt it becomes event_type_c 116
7
Q
What does the Grand Central Application do?
A
The grand central application (formerly known as ADT) mains a history of events for each patient hospital encounter in the ADT master file.116
8
Q
Admission
A
This event happens when the patient is first placed in a bed in the encounter 116
9
Q
Discharge
A
This event happens when the patient id discharged from the hospital. It can also correspond to the closing of an HOV encounter.117
10
Q
Transfer In
A
This event results from a transfer. It includes information about the bed the patient enters as a result of the transfer.117
11
Q
Transfer Out
A
This event results from a transfer. It includes information about the bed the patient enters as a result of the transfer.117
12
Q
Patient Update
A
This event represents a change to a billing driver that is not associated with a change in the patient’s bed. 117
13
Q
Census
A
A census typically takes place at 11:59 PM every night. A census event is created for every bed, unless the patient admitted to that bed is on a leave of absence. If a patient occupies the bed, the event stores the patient’s record ID and the EPT contact’s CSN. 117
14
Q
HOV
A
This event represents the date and time a patient arrived for an HOV. Note that corresponding discharge events are created during nightly processing.117
15
Q
Leave of Absence Out
A
This event results from a patient leaving their room or bed for a limited amount of time, such as to have an encounter at another location, or leave the facility for a day or weekend.117
16
Q
Leave of Absence Return
A
This event results from a patient returning to their room or bed after being away a limited amount of time.117
17
Q
Leave of absence Census
A
If an admitted patient happens to be on a leave of absence during the nightly census, a leave o absence census event is created (rather than a standard census event).117
18
Q
True or False: multiple ADT event records make up a single hospital encounter.
A
True, Multiple ADT event records make up a single hospital encounter. I ADT 40 orders these ADT event records chronologically.118
19
Q
True or False: ADT 40 orders event records?
A
True118
20
Q
What happens if an ADT event is the first event?
A
If an ADT event is the first event in its encounter, its value in I ADT 40 is 1. The next event in that same encounter has a value of 2. The next has 3, and so on. 118
21
Q
In CLARITY_ADT, I ADT 40 becomes?
A
SEQ_NUM_IN_ENC
22
Q
True or False (Video) does creating a pre-admission or an expected arrival create an ADT event?
A
It does not create an ADT event. ADT records generated once the patient gets a bed. Access day 2 part 9 @ 15:15-15:18
23
Q
True or False:Preadmissions and expected arrivals are EPT contacts and ADT events?
A
False, only once the patient is admitted or an HOV begins that the system creates an ADT event. 118
24
Q
When is it that the system creates an ADT event?
A
It is only once the patient is admitted or an HOV begins that they system creates an ADT event.118
25
True or false, every night the system generates a census event?
True, every night your system generates a census event (or leave of absence versus event) for every bed. The system checks whether a patient is in the bed at the time of the census.118
26
What does it mean for the EPT ID to be null?
The census event represents a bed that was empty at the time of the census.118
27
True or False: Census events do not occur for all beds?
False, census events occur for all beds, not just those set up to be part of your census.
28
How can you determine if you want to include a bed in a report?
To determine whether to include a bed, find the bed record and filter on I Bed 110 (Clarity_bed.census_inclusn_YN in clarity and departmentDim.BedInCensus in caboodle. 118
29
What does HOVs mean?
Hospital outpatient Visits. 118
30
Why are HOV events created?
HOV events are created to track outpatient visits to the hospital, like visits to physical therapy on an outpatient basis.
31
True or False: HOV's are manually discharged?
False, these patients are not typically manually discharged when they leave the hospital instead, a nightly process discharges all HOV patients at the end of the day. 118
32
True or False: HOV's do not have a discharge event?
False, HOV's have discharge ADT events. 118
33
Why would I want to exclude discharges with empty rooms or beds when creating an activity or census report
Because HOV patients are discharged at the end of the day, the room and Bed ID's are empty for those events because HOV visits are assign a unit but not a room or bed. Therefore, you might want to exclude discharges with empty rooms or beds when creating activity or census reports. 118
34
True or False, HOV's do not have discharge ADT events?
False 118
35
True or False, are there times where a patient physically departs a bed?
True, but the bed remains assigned to the patient 118
36
When there is a patient with an HOV event, why is the room empty and bed ID empty?
The room and bed ID are empty for these events because HOV visits are assigned a unit but not a room or bed. 118
37
When creating a census report of rooms or beds, why would you want to exclude discharges?
because the room and Bed IDs would be empty because of HOV visits. 118
38
There are times where a patient physically departs a bed, but the bed remains assigned to the patient, what are the reasons and how does the system represent this?
Some reasons such a scenario may arise include a patient temporarily going home for a week from a long-term acute care facility or a patient in a rehabilitation unit having an acute event and being temporarily treated in the ED. The system represents these situations with a leave of absence (LOA) events.119
39
If a patient has a leave of absence, they system generates what?
The system represents these situations with leave of absence (LOA) events. The patient's departure generates an LOA Out event, and the patient's return generates an LOA Return event. If the patient's leave of absence extends over a census, the system generates an LOA Census event.119
40
What happens if the patient is out on leave and will not be returning?
if a patient that is currently out on leave will not be returning, then the LOA out event is converted into a discharge event. Similarly, if a patient is discharged from a unit that supports LOAs but then returns, the discharge can be converted into the appropriate LOA events. 118
41
What is a PND record?
While the patient is on the leave of absence, the system holds the bed for the patient with a PND record. 119
42
When you edit event information, what happens with the original event?
When you edit event information, the original event is marked as canceled, and a new event is created to store the updated information. 121
43
What does ADT 35 represent?
Grand central uses ADT 35 to represent the update status of an ADT record. For a given record, it may store one of 3 possible values. 1 original, 2 canceled, 3 update. 121
44
In event subtypes, what do original, canceled, update mean?
Original: This event has not been modified
Canceled: This event has been undone.
Update: The event has been modified. 121
45
(Video) What filter would I want to include in most of my queries so that we are only including the valid data?
Subtype should not equal 2 because we do not want the canceled subtypes. We are generally including this in every single report we want. The SQL filter is Event_Subtype_C <> 2 or Event_Subtype_C In (1,3) Access Day 2 part 10 @ 9:50-10:40 121
46
What is ADT 35 in clarity?
The Clarity_ADT column is Event_Subtype_C 122
47
What does item ADT 92 do?
You may be interested to find the original event in a series of updated events. It is possible to do so by following the path formed by ADT 92 until you find an event that does not populated ADT 92. That event would be the original. 123
48
If I wanted to ind the original event, what would I do?
There are no ADT items that points directly to the original event. However, there is a clarity column that accomplishes this task: Clarity_ADT.Original_Event_Id 123
49
What does the clarity_ADT table consist of?
Every row in Clarity_ADt will store the ID of the original event o their series in this column, including the original event. Original events store their own record ID in this column/. 123
50
True or False: in the Clarity_ADT table the record ID stores the original event?
True 123
51
What does ADT item 59 do and the clarity column name?
The concept is the actual time the event occurred in real life and it is effective_time.124
52
Which of ADT 59 and 64 has the meaning of when the event occurred?
That would be Effective_Time ADT 59. This column is when the event occurred in real time.124
53
There is no ADT item that points directly to the original event. However, there is a Clarity column that accomplishes this task, what is it?
CLARITY_ADT.ORIGINAL_EVENT_ID. Every row in CLARITY_ADT will store the ID of the original event of their series in this column, including the original event. Original events store their own record ID in this column. 123
54
True or False: ADT 64 is when the event occurred in real life?
False, that is ADT item 59. ADT 64 is event_Time and the meaning behind that is when did the system save the event. 124
55
What does ADT 64 do and what is the clarity column name?
The concept is the time the event was created and the column name is event_time.124
56
What does item 90 do and the clarity column name?
The concept is the time the event was canceled or replaced by another event and the column name is delete_time. 124
57
What does ADT 1010 do and the clarity column name?
The time when the original su type record for this event was actually created and its name is PRIG_Event_time 124
58
If all you need is to know the location of a patient without knowing the preceding or following location what would you use?
PatientLocationEventFact in Caboodle 126
59
What does each row in the caboodle table, PatientLocationEventFact represent?
Each row represents a patient's location for a given period of time. 126
60
What does the PatientLocationEventFact table include?
The PatientLocationEventFact table includes information from the ADT events and patient location updates, which are described in the patient location data section. 126
61
What do the StartInstant and EndInstant columns indicate in the PatientLocationEventFact table?
the StartInstant and EndInstant columns indicate the entry and exit of the patient from a bed. if you want to find a patient's location for a given instant, filter these 2 columns.126
62
IF I want to find a patient's location for a given instant, how would I filter this?
PatientLocationEventFact.StartInstant <= instant of interest and (PatientLocationEventFact.EndInstant >=
instant of interest OR PatientLocationEventFact.EndInstant IS NULL )
126
63
A patient's bed location can change several times during a single hospital encounter. You may be ask to report on the bed a patient was assigned at a given point in time. What table can accomplish this?
V_PAT_ADT_LOCATION_HX can be used for this purpose. It returns one row for each admission, transfer in, or leave of absence return ADT event and contains columns for in and out times. 126
64
What is the granularity of the V_PAT_ADT_LOCATION_HX table?
It returns one row for each admission, transfer in, or leave of absence return ADT event and contains columns for in and out times. 126
65
What do the IN_DTTM and OUT_DTTM columns indicate?
The entry and exit of the patient from a bed. 126
66
If I want to find a patients location for a given instant, what would I do?
Filter like this
V_PAT_ADT_LOCATION_HX.IN_DTTM <= instant of interest and V_PAT_ADT_LOCATION_HX.OUT_DTTM >=
instant of interest 126
67
What does the V_Pat_ADT_Location_HX.Event_ID measure?
The unique ID number of the ADT event record. 126
68
What does the V_Pat_ADT_Location_HX.IN_DTTM measure?
The Instant when the patient was moved to the department/Room/Bed 126
69
What does the V_Pat_ADT_Location_HX.OUT_DTTM measure?
The instant when the patient was moved out of the department/Room/bed. If the patient is still in the department/room/bed, this column will return the current instant. The column PAT_OUT_DTTM will return the instant when the patient was moved out of the department /room/bed, but will return nothing if the patient is still in the department/room/bed. 126
70
What does the V_Pat_ADT_Location_HX.Event_Type_C measure?
The category value corresponding to the type of the event record. 127
71
What does the V_Pat_ADT_Location_HX.ADT_Department_ID measure?
The ID number of the department of the event record at the effective time. 127
72
What does the V_Pat_ADT_Location_HX.ADT_DEPARMENT_Name measure?
The name of the department 127
73
What does the V_Pat_ADT_Location_HX.ADT_ROOM_ID measure?
The ID number of the room of the event record during the effective time span. 127
74
What does the V_Pat_ADT_Location_HX.ADT_ROOM_CSN measure?
The serial number for the room contact of the event record. 127
75
What does the V_Pat_ADT_Location_HX.ADT_BED_ID measure?
The ID number for the room contact of the event record. 127
76
What does the V_Pat_ADT_Location_HX.ADT_BED_CSN measure?
The serial number for the bed contact of the event record. 127
77
What does the V_Pat_ADT_Location_HX.PAT_OUT_DTTM measure?
The instant when the patient was moved out of the department/Room/Bed. IF the patient is still in the department/room/bed, this column will return the instant when the patient was moved out of the department/room/bed, but will return the current instant if the patient is still in the department/room/bed. 127
78
True or False: every patient movement and location is captured in ADT records?
False, if an admitted patient goes out to lunch with family, Epic does not record a transfer, at the patient did not move to a new bed.127
79
What master files captures the physical location of a patient.
The patient location master file (PLC) stores less detailed information than ADT records, but it creates a new PLC record every time the patient's location changes during an encounter.128
80
True or False: the PLC master file stores more detailed information than ADT records?
False, the patient location master file PLC stores less detailed information than ADT records, but it creates a new PPLC record every time the patient's location changes during an encounter. 128
81
True or False: the PLC master file is a dynamic master file, and it does not directly store the Ids?
True, it does not directly store the IDs of the destination departments, rooms, or any other location data. Instead PLC records point to PLF (Patient Location Facility) records, which in turn indicate the physical location of the patient. 128
82
What type of records does PLC store?
PLC records store information like the physical location, start an end times, and who added or edited the PLC record.128
83
True or False: A patient may have many confirmed PLC records at a time?
A patient may only have one confirmed PLC record at a time.128
84
True of False: Can ADT events automatically create PLC records?
True, for example, when a patient transfers to a new bed, it will generate a new PLC record. However, not all PLC records must originate from ADT events.
85
True or False: Users can manually create PLCs?
Users may manually create PLC records.128
86
What is the Granularity of the CL_PLC table?
One row per instance where a patient physically moves. 128
87
What is the granularity of the CL_PLF table?
One row per possible destination of PLC records. 128
88
True or False: If position is about knowing the patient's location at a specific moment in time, Movement is about understanding how the patient's position changed between two moments in time.
True, during hospital encounters, these movements are facilitated using transfers, and transfers are facilitated with bed requests. 129
89
What are facilitated with bed requests?
During hospital encounters, these movements are facilitated using transfers, and transfers are facilitated with bed requests.129
90
What does bed planning consists of?
Bed planning is about managing and assigning beds for the patients who need them.129
91
Bed requests represents the documentation of a patients need for a bed. At a high level, a bed request follows what major steps?
Upcoming, unassigned, assigned, completed. 129
92
Draw the chart in page 129
Drawing. 129
93
True or False: There is a bed request slicer dicer?
True, there is the slicer dicer bed request data model to investigate bed request questions.129
94
What is the table for bed requests?
There is the BedRequest Fact table. 129
95
What is the granularity of the BedRequestFact table?
Each row represents one bed request, including those created by admissions and transfers. 129
96
True or False: every ADT event represent a change in location?
False, not ever ADT event represents a change in location. Events that move patient's across beds in a hospital are called transfers.130
97
What is a transfer?
Events that move patients across beds in a hospital are called transfers. 130
98
What does the system do when there is a transfer out and transfer in event?
The system generates transfer out and transfer in events any time the patient moves from one bed to another bed in the same hospital. 130
99
What are the ADT events that make up a transfer?
1. Come in the sequence of the transfer out event preceding the transfer in event.
2. Have the same effective time, event time, and delete time.
3. store the ID of the other ADT event in their pair. 130
100
True or False: Transfers out precede transfers in?
True, when a patient moves from one bed to another, epic builds a transfer out ADT event to represent the ADT information just prior to the movement and a transfer in ADT event to represent the ADT information just after the movement.130
101
True or False: As part of the transfer you can change information?
True, as part of a transfer, you can change information, such as level of care, service, and patient class. If any information is different between transfer out and its following transfer in, the information changed during the real world transfer. 130
102
True or False, it is impossible to cancel one side of the transfer pair without canceling the other?
True, their delete times will also always match.130
103
True or False: Every pair of transfer ADT events knows its partner by its ID.
True, However, each event in the pair relies on a different item to identify its partner.131
104
How does epic express the length of stay?
The length of stay is expressed as the difference in time between the patients entry and the patients exit. This is true for the bed level, the encounter level, and also for the inpatient stay in an encounter. 133
Eric said that this is at the encounter level.
105
What dashboard can you use to show encounter-level length of stay?
The grand central - length of stay trends dashboard shows encounter-level average length of stay data to help users review opportunities for lowering length of stay. 133
106
True or False: you can roll up the values to return length of stay per room, department, or any higher-level location?
True 133
107
What table would you use for bed-level length of stay?
Use the patientLocationEventFact and V_PAT_ADT_LOCATION_HX database objects to report on how long a patient stays in a bed.133
108
How can you report on length of stay for a department?
You would use the PatientLocationEventFact and V_Pat_ADT_Location_HX to report on how long a patient stays in a bed. You can also roll up the values from these bed-level values to return the length of stay for room, department, or any higher-level location. 133
109
How would you go about getting how long a patient spend in a bed in minutes?
PatientLocationEventFact has the handy EventLengthInMinutes column that returns how long a patient spent in a bed in minutes. 133
110
What happens when the EventLengthInMinutes and the EndInstant columns are null?
The patient has not yet departed the bed. 133
111
How would you calculate how long a patient was in a bed, calculate the difference in time between the bed entry and the bed exit.
In V_PAT_ADT_LOCATION_HX, the IN_DTTM column is clearly the bed entry. However, there two promising candidates to represent when the bed exit: OUT_DTTM and PAT_OUT_DTTM.133
112
What happens if EventLengthInMinutes and EndInstant columns would be null?
The means that patient has not yet departed the bed. 133
113
What is the Difference between OUT_DTTM and PAT_OUT_DTTM from the V_PAT_ADT_LOCATION_HX table (Video) Access Day 3 part 3 @ 35:33
the OUT_DTTM column, if the patient is still admitted, returns Current_TimeStamp
The Pat_Out_DTTM, if the patient is still admitted, it returns a NULL. 133
114
Why should I exercise caution if using the OUT_DTTM to calculate length of stay?
Exercise caution if using OUT_DTTM to calculate length of stay if the patient has not yet departed the bed. Keep in mind that clarity updates on a nightly basis, so OUT_DTTM could:
* Be outdated if the patient departed the bed between the extract and the time of the query.
*Suggest a premature departure if the patient has not yet departed by the time of the query. 134
115
What is an exception for the rules above with the DTTM columns?
The exception for these rules is rows where the EVENT_TYPE_C value is 2 (Discharge). The purpose of these rows is to indicate the patient's departure from the hospital rather than the occupation of a bed, so it IN_DTTM actually represents when the patient was discharged. As it wont make sense to calculate the length of time after the patient left, the PUT_DTTM will return a placeholder time extremely far into the future and PAT_OUT_DTTM will return null. 134
116
If I want to calculate how long a patient was in a bed, what would I do?
To calculate how long a patient was in bed, calculate the difference in time between the ed entry and the bed exit. 134
117
True or False: The LENGTH_OF_STAY table contains information for only discharged encounters?
True 134
118
True or false: Length of stay is only about the inpatient portion of the entire encounter?
True 134
119
True or False: The admission ADT event type considers patient admitted in the emergency room?
False. The admission ADT event type considers patients admitted when they are placed in a bed. 136
120
What is patient class?
Patient class is a fully customizable category list that is used to describe the type of patient stay. Some examples of patient classes that your organization might use are emergency, inpatient, outpatient, observation, surgery admit, and specimen collection. 137
121
What is reporting base class?
Reporting base class is an epic-released category list with only 5 values to describe the care. The values are 0 - Direct, 1 - Inpatient, 2 - outpatient, 3 - Emergency, and 4 - observation. 137
122
True or False: Each patient class can map to multiple corresponding reporting case classes?
False, each patient class must map to one (and only one) corresponding reporting base class. 137
123
What table would I use for reporting base class?
The HSD_BASE_CLASS_MAP table stores the mappings of patient class to reporting base class. 137
124
Why should you be careful to not filter by one?
You would be careful not to filter by one when the request really means the other. If someone asks you to define admission by "Patient Class" they usually mean the reporting base class. 137
125
What the the 2 most common definitions of an inpatient admission?
1. The moment when the patient first entered an inpatient bed with an impatient reporting base class
Or
2. The moment when the patient first had an inpatient reporting base class.137
126
If I want to find the first event currently considered to be the first moment when a patient was placed in an inpatient bed with an inpatient reporting base class during their hospital stay, what do I look at?
You would look at ADT 84, which extracts to CLARITY_ADT.FIRST_IP_IN_IP_YN.137
127
What is ADT 84
ADT 8 is Clarity_ADT.First_IP_IN_IP_YN 137
128
What are the two items we must consider when trying to identify the first time a patient has an inpatient reporting base class?
I ADT 83 ‐ CLARITY_ADT.TO_BASE_CLASS_C
And
I ADT 81 ‐ CLARITY_ADT.IN_EVENT_TYPE_C 137
129
What does I ADT 83 ‐ CLARITY_ADT.TO_BASE_CLASS_C do?
It stores the resulting reporting base class of the patient as of an ADT event.138
130
Can you identify your first inpatient using ADT 83?
No, However, it does not identify whether the ADT event is the first moment the patient took on that reporting base class. you can use it to find every time you are inpatient, but not the first.138
131
Tell me the Difference between ADT 81 and ADT 83
You will need to watch the video. Access Day 3 Around 21It is also In the slideshow
132
What does the I ADT 81 ‐ CLARITY_ADT.IN_EVENT_TYPE_C So?
It contains the incoming event type as it would currently be interpreted by reporting base class. Each time a patients reporting base class changes ,it is tracked as a discharge or transfer out from the old reporting base class and an admission or transfer in to the new reporting base class.138
133
How would you filter to the first event where a patient received an inpatient reporting base class during their encounter?
Filter to ADT events where ADT 81 = 1 admission and ADT 83 = 1 in patient 138
134
What is ADT 82?
The reporting base class directly prior to the event. Clarity_ADT.FROM_BASE_CLASS_C represents this item. 138
135
What is ADT 80
The interpreted out event. Clarity_ADT.Out_Event_Type_C Represents this item. 139
136
True or False: Events that result in a patient enters a bed will an in event types and out event types.
False, events that result in a patient entering a bed may have in event types, but they won't have out event types.139
137
True or False: Events that result in a patient exiting a bed may have out event types?
True, events that result in a patient exiting a bed may have out event types, but they won't have in event types.139
138
True or False: Patient updates have either or?
True, patient updates, which do not resent any change in bed, may have both. 139
139
What table in clarity can you use for a history of ADT events?
The ADT_Interpretation table.
140
What is the granularity of the ADT_Interpretation table?
It stores two rows about the first patient update vent: one representing the period of time it was the inpatient discharge and an observation admission, an the other representing the current interpretation that it was an inpatient transfer out and an observation 141-142
141
What does the ADT_INTERPRETATION.Event_ID measure?
The unique ID number of the ADT event. 142
142
What does the ADT_INTERPRETATION.Line measure?
The line number of the information associated with this event. 142
143
What does the ADT_INTERPRETATION.Start_Dttm measure?
The starting instant for this interpretation. 142
144
What does the ADT_INTERPRETATION.End_DTTM measure?
The ending instant for this interpretation. 142
145
What does the ADT_INTERPRETATION.First_IP_IN_IP_YN measure?
Indicates whether this event represents the first time a patient was admitted with an inpatient base class in an inpatient type unit for t his encounter.142
146
What does the ADT_INTERPRETATION.OUT_EVENT_TYPE_C measure?
The event type interpretation category for outgoing events. 142
147
What does the ADT_INTERPRETATION.IN_EVENT_TYPE_C measure?
The event type interpretation category for incoming events. 142
148
What does the ADT_INTERPRETATION.FROM_BASE_CLASS_C measure?
The category number of the base class that the patient had prior to the event. 142
149
What does the ADT_INTERPRETATION.TO_BASE_CLASS_C measure?
The category number of the base class that the patient had after this event. 142
150
What is the inpatient admissions data model?
It is a slicer dicer. this data model contains information about hospital admissions where the patient has an inpatient patient c lass for any part of the admission and the encounters is not canceled. 143
151
What is the granularity of HospitalAdmissionFact?
One row per hospital admission encounter that had a reporting base class of inpatient at some point during the encounter.143
152
What is the granularity of EDVisitFact?
One row per emergency department visit. 143
153
What is the granularity of VisitFact?
One row per visit. This includes HOVs other face to face encounter types. 143
154
True or False: A hospital Encounter does not represent a patients entire hospital stay?
False, a hospital encounter represents a patient's entire hospital stay. 143
155
What defines the overall standing of a hospital encounter?
The combination of ADT status and admission status defines the overall standing of a hospital encounter. 143
156
A pending readmission can lead to what?
A pending readmission can lead to either a confirmed readmission or a pending admission, which in turn leads to a confirmed admission. When the patient is discharged, the contact becomes a confirmed discharge. 144
157
The ADT status differentiates between what?
The combination of ADT status differentiates between hospital admission and hospital outpatient visits (HOV) and describes where the patient is in the admission process. 144
158
What are the possible ADT statuses?
Pre-admission, admission, discharged, HOV. 144
159
What is preadmission?
This contact contains admission-related information that is collected rio to the patient presenting at the hospital 144
160
What is admission?
This contact contains readmission data plus additional information collected at the point of admission, including room and bed placement. A confirmed admission contact indicates that the patient is currently in the hospital. 144
161
What is discharged?
This contact contains admission and discharged information for a patient who has left the hospital.144
162
What is HOV?
The contact contains information related to a HOV. Recall that an HOV is any visit where the patient enters and leaves the hospital on the same day without being placed in a room or bed. 144
163
What is admission status also known as?
confirmation status 145
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What does the admission status help with?
The admission status helps to determine what has happened to a particular ADT status. 145
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What are the different ADT statuses?
Pending, confirmed, canceled, completed. 145
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What does pending mean?
Some information relating to the workflow has yet to be collected or confirmed. 145
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What does Confirmed mean?
no further work on this contact is necessary until the patient reaches the next stage in the flow. 145
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What does canceled mean?
This contact is not going to be used. A canceled contact can result from a patient no show or an admission contact was created in error. 145
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What does completed mean?
This status applies to HOV contacts only and indicates that an HOV contact took place on a previous day. Confirmed HOV's are changed automatically to completed HOCs by a nightly process. 145
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What is a dismissal?
Some patients may check in but then leave without being treated in a bed. 146
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What does the length_of_stay table contain?
The length_of_stay table contains information about the duration of the inpatient stay for a hospital encounter. 148
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True or False: the length_of_stay table contain hospital encounters
True, It contains information for only discharged hospital encounters. Hospital encounters which have a currently admitted status are not include because their length of stay information changes every minute and will therefore not be up to date.
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How can you connect to an admission and discharge ADT event?
EPT hospital encounters use EPT 28838 to identify the non-canceled admission AFT event and EPT 18839 to identify non canceled discharged. 148
