Patient Admission Interface

At the top of the Admission screen there are a number of buttons, these are described below.

Button

Shows if this admission is...

Description

Admit

discharged

Opens Admit screen

Discharge

open

Opens the Discharge screen for this admission

Cancel Discharge

discharged

Cancels the discharge (returns admission to open state).  Can only be used if the admission is the current admission or most recent admission.

Edit Admission

in any state (open, pending discharged or discharged)

Opens the edit screen for this admission

Cancel Admission

open

Cancels this admission

New Episode

open

DO NOT USE THIS FEATURE

Discharge Plan

in any state (open, pending discharged or discharged)

Create a discharge plan for this admission - opens the discharge planning screen

Copy From

discharged

Copy values from a previous admission into the current admission - open the copy admission screen

Change Category

in any state (open, pending discharged or discharged)

Change the admission category for this admission - opens the Admission Category screen

Update Patient Snapshot

discharged

Refresh the current details under discharge - opens the Update Patient Snapshot screen

Group

discharged

Queues the admission for Grouping via 3M*

Print SACR Form

in any state (open, pending discharged or discharged)

Prints the SA Cancer Registry form

Show Cancer Notification

in any state (open, pending discharged or discharged)

This displays notifications to the Cancer Registry - currently active for QLD only.

 *3M grouping licence and subscription required.


Admissions screen

From within the patient record, clicking Admissions allows you to perform different actions depending on whether an open admission exists:

  • Admit - Create a new admission (if a current open admission does not exist)
  • Pre Admit - Create a Pre Admission record

 

You can also view and perform actions on:

  • Current Admission  (some options are under the downward arrow)

Action

Description

Show

Displays this admission

Discharge

Opens the Discharge screen for this admission

Edit

Opens the edit screen for this admission

Cancel Admission

Cancels this admission

New Episode

DO NOT USE THIS FEATURE

Discharge Plan

Create a discharge for this admission

Change Category

Change the admission category for this admission

Print SACR Form

Prints the SA Cancer Registry form

Submit Cancer Notification

This enables a Cancer Notification to be submitted (currently only QLD)

•Next pre-admission

 

Action

Description

Show

Displays this pre-admission

Admit

Opens the Admit screen for this admission and takes across any fields from the pre-admission (converting the pre-admission into an admission)

Edit pre-admission

Opens the edit screen for this pre-admission

Cancel pre-admission

Cancels this pre-admission

Change Category

Change the admission category for this pre-admission

Copy

Opens the pre-admission copy screen

Print SACR Form

Prints the SA Cancer Registry form for this pre-admission

OEC

Perform Online Eligibility Checking (see OEC Online Eligibility Check)

 •Admission History (listed)

A grid is displayed of all admissions for this patient (with the latest/most recent at the top):

Field

Description

Admission Date

Admission date

Discharge Date

Discharge date

Location

Admission location

ARN

Admission Record Number (ARN) - this is a click-able hyperlink that takes you to the admission record > edit page

Coded

Yes - indicates that the admission has been coded

No - indicates that the admission is waiting to be coded

 

Note:  CareRight considers adding a DRG to the record as the last step of coding, so if a DRG is present then this field is set to Yes

Billed

Yes - an invoice has been linked to this admission

No - an invoice has not yet been linked to this admission

 

Note: Every admission needs to be linked to an admission for HCP statutory reporting.  If it is not linked, then a validation error will prevent the statutory reporting extract from exporting.


Invalid Code Warning

It is possible to have a diagnosis or procedure code on an admission which is invalid at the discharge date. This commonly occurs when:

  • Copying coding from the previous admission;
  • Copying values from any previous admission; or,
  • Changing a discharge date after coding (rare).

In order to alert users to this potential situation, an alert will appear on the admissions screen (as shown in the graphic below). In addition, the CareRight system will prevent the admission from being grouped by disabling the Group button and displaying an explanatory tooltip.