Form Type | Variable | ID | Question | History |
|---|---|---|---|---|
Form 1 | AcuteAdm | 388 | Date of model system ER admit: | 1989-10-01 - Variable Added |
Form 1 | AcuteDis | 388 | Date of acute care discharge: | 1989-10-01 - Variable Added |
PATHWAYS
Definition
Includes date of injury, admission and discharge dates from acute and rehabilitation stays, and dates of any leave of absence (short-term interruption)
ACUTE
Definition
AcuteAdm: Date of admission to the emergency room
AcuteDis: Date of discharge from acute facility
Form
[X] Form 1
[ ] Form 2
Source
Form 1 - Abstraction (acute record)
Details
If a patient is transferred to an alternate level of care within the designated Model System prior to inpatient rehabilitation, the ALC length of stay should be added to the Model System acute care stay or inpatient rehabilitation stay, whichever is most applicable.
If a patient is hospitalized for other reasons, and receives a TBI while hospitalized and all other inclusion criteria are met, then enroll and code date of admission as date of injury.
Characteristics
Length of stay may be expected to increase slightly as of 1/1/05 simply due to a change in TBIMS Inclusion Criteria which allows patients to not be considered discharged from System if they go to a long term care facility that is able to provide patients with a specified minimum level of services (see definition in Inclusion Criteria), even though this patient does not receive those services.
Variables
Codes and Values
ID | Code | Description |
|---|---|---|
388 | 08/08/8888 | Not Applicable |
388 | 09/09/9999 | Unknown |
History
No history found for the Domain.
ACUTE - CALCULATED
Variables
Form Type | Variable | ID | Question | History |
|---|---|---|---|---|
Form 1 | DAYStoACUTEadm | 433 | Days From Injury to Acute Admit | 1989-10-01 - Variable Added |
Form 1 | DAYStoACUTEdc | 434 | Days From Injury to Acute Discharge | 1989-10-01 - Variable Added |
Form 1 | LOSAcute | 521 | Days From Acute Admit to Acute Discharge | 1989-10-01 - Variable Added |
Codes and Values
ID | Code | Description |
|---|---|---|
433 | 8888 | Not applicable |
433 | 9999 | Unknown |
434 | 8888 | Not applicable |
434 | 9999 | Unknown |
521 | 888 | Not Applicable |
521 | 999 | Unknown |
History
No history found for the Domain.
INJURY
Definition
Date of Injury
Form
[X] Form 1
[ ] Form 2
Source
Form 1 - Abstraction (acute record, rehab record)
Details
If a patient is hospitalized for other reasons, and receives a TBI while hospitalized and all other inclusion criteria are met, then enroll and code accordingly.
Variables
Form Type | Variable | ID | Question | History |
|---|---|---|---|---|
Form 1 | Injury | 514 | Date of injury: | 1989-10-01 - Variable Added |
Codes and Values
ID | Code | Description |
|---|---|---|
514 | 09/09/9999 | Unknown |
History
Date | Description |
|---|---|
2004-08-19 | Added NOTE : regarding including patient hospitalized for other reasons, but receives a TBI while hospitalized. |
INJURY - CALCULATED
Variables
Form Type | Variable | ID | Question | History |
|---|---|---|---|---|
Form 1 | INJYEAR | 3479 | Year of Injury | 1989-10-01 - Variable Added |
Codes and Values
No codes found for the given group IDs.
History
No history found for the Domain.
REHABILITATION
Definition
RehabAdm: Rehab admission date
RehabDis: Rehab discharge date
LOA: Leave of Absence (also referred to as short term interruption) includes transfers out of inpatient rehabilitation to an alternative level of care (acute/sub-acute) for 3 or more days, returning to inpatient rehabilitation within 30 days.
Form
[X] Form 1
[ ] Form 2
Source
Form 1 - Abstraction (rehab record)
Details
If a patient is transferred to an alternate level of care within the designated Model System prior to inpatient rehabilitation, the ALC length of stay should be added to the Model System acute care stay or inpatient rehabilitation stay, which ever is most applicable. An alternate level of care is defined as a transfer of a patient from inpatient rehabilitation to a lower level of care (usually with maintenance therapy) after he/she is medically stable and reaches functional plateau (as determined by a medical doctor and utilization review committee).
Day hospital treatment should not be included as part of inpatient rehabilitation stay.
Rehab Admission Date
Do not assume that the date of discharge from the acute care hospital is the same as the date of admission to inpatient rehab.
Rehab Discharge Date
If a patient completes acute care and inpatient rehabilitation and is then transferred to an alternate level of care (regardless of whether it is a designated Model System facility or not), this is considered the rehabilitation discharge date and the Residence at Discharge [RES] should reflect this alternate level of care at discharge.
Leave of Absence (Short Term Interruption)
Dates of LOA/short term interruptions (3 days or more) includes transfers during system inpatient rehabilitation phase only.
Patient is off rehabilitation 30 days or less for each interruption.
Transfers for more than 30 days should be considered a discharge, not a rehab interruption, and first day of last interruption is coded as date of discharge.
Any returns to inpatient rehab after 30 days should be coded as a Rehospitalization at the Form 2, year 1 followup.
If more than two short term interruptions, code the two longest.
Characteristics
Length of stay may be expected to increase slightly as of 1/1/05 simply due to a change in TBIMS Inclusion Criteria which allows patients to not be considered discharged from System if they go to a long term care facility that is able to provide patients with a specified minimum level of services (see definition in Inclusion Criteria), even though this patient does not receive those services.
Variables
Form Type | Variable | ID | Question | History |
|---|---|---|---|---|
Form 1 | LOA1End | 520 | First interruption end date: | 1989-10-01 - Variable Added |
Form 1 | LOA1Start | 520 | First interruption start date: | 1989-10-01 - Variable Added |
Form 1 | LOA2End | 520 | Second interruption end date: | 1989-10-01 - Variable Added |
Form 1 | LOA2Start | 520 | Second interruption start date: | 1989-10-01 - Variable Added |
Form 1 | RehabAdm | 546 | Date of rehab admit: | 1989-10-01 - Variable Added |
Form 1 | RehabDis | 546 | Date of rehab discharge: | 1989-10-01 - Variable Added |
Codes and Values
ID | Code | Description |
|---|---|---|
520 | 08/08/8888 | Not Applicable |
520 | 09/09/9999 | Unknown |
546 | 08/08/8888 | Not Applicable |
546 | 09/09/9999 | Unknown |
History
Date | Description |
|---|---|
1994-02-01 | Added NOTE : this variable refers to rehab phase only and how to code a system readmission after 30 days. |
1994-02-01 | Added NOTE : all references to "transfer" changed to "interruption". |
1999-04-20 | Added NOTE : regarding coding more than two interruptions. |
2002-01-01 | Added NOTE : to not assume that date of acute discharge is the same as admission to inpatient rehab. |
2002-01-01 | Added NOTE : about coding time spent in an alternative care facility following discharge from System acute hospital. |
2006-01-01 | Added CHARACTERISTICS : LOS is likely to increase slightly simply due to a change in TBIMS Inclusion Criteria. |
REHABILITATION - CALCULATED
Definition
Computer uses interruption data to calculate Net Length of Stay, via the formula below: Net LOA = (Disch date - Adm date) - Days off rehab service.
Variables
Form Type | Variable | ID | Question | History |
|---|---|---|---|---|
Form 1 | DAYSToREHABadm | 435 | Days From Injury to Rehab Admit | 1989-10-01 - Variable Added |
Form 1 | DAYStoREHABdc | 436 | Days From Injury to Rehab Discharge | 1989-10-01 - Variable Added |
Form 1 | LOSRehab | 522 | Days Spent in Rehab | 1989-10-01 - Variable Added |
Form 1 | LOSRehabNoInt | 523 | Days From Rehab Admit to Rehab Discharge not Including Interuptions | 1989-10-01 - Variable Added |
Form 1 | LOSTot | 524 | Days From Acute Admit to Rehab Dis (Excluding LOS) | 1989-10-01 - Variable Added |
Codes and Values
ID | Code | Description |
|---|---|---|
435 | 8888 | Not Applicable |
435 | 9999 | Unknown |
436 | 8888 | Not Applicable |
436 | 9999 | Unknown |
522 | 888 | Not Applicable |
522 | 999 | Unknown |
523 | 888 | Not Applicable |
523 | 999 | Unknown |
524 | 888 | Not Applicable |
524 | 999 | Unknown |
History
No history found for the Domain.