Tim Churches wrote: >Although you would never know it from the web page, by "care type", they >mean "acute care" versus "rehabilitation" versus "psychiatric". These >distinctions are purely administrative and have no definitive clinical >or epidemiological meaning. > i.e. more or less "setting"?
>>I would suggest that the most meaningful defintion of "episode" is more >>like the Mayo one - an admission (= acceptance by a provider institution >>to undertake provision of healthcare to a patient) to the point in time >>when the same institution performs a transfer of care to another >>provider - a referral of some kind to e.g. the GP, aged care home, >>self-care at home. >> >> > >We refer to that as a "separation" - which begins with inpatient >admission to a healthcare facility and ends with discharge, transfer or >death. You also need rules for "leave" - some patients (eg long-term >psych patients, rehab patients) go on leave during the course of one >admission/separation. > > > in your understanding Tim, does "separation" mean transfer of legal responsibility for care? >Episodes could be called "funding temporal units". > > is the best way to develop a model for "Episode" in a reference model like openEHR to start with a model of funding/cost reporting? That would almost seem to guarantee that a common model of episode is going to be dificult to find, since such matters are quite dependent on how healthcare is financed in each country. - thomas - If you have any questions about using this list, please send a message to d.lloyd at openehr.org
