Info
Patient Audit Report Description
Permission Required
The Access Application-Level HIPAA Audit Data permission is required to generate this report.
Purpose
The Patient Audit report displays information about changes to patient records.
This information is helpful when you are trying to determine why a patient does not appear on a list view or on the electronic bedboard® view view.
A detailed report or a summary report may be generated.
Detailed Report
The detailed report displays more specific information about the patient, such as the admit date and patient status.
Summary Report
The summary report lists:
Each patient
Each action taken related to the patient record (such as Edit Patient/Placement Details or Automatic Transitions to Pending Discharge)
The specific field or information that was changed (such as Patient Isolation Type or Patient Status)
The values of the fields before and after the change (such as Inhouse and Pending Discharge)
How the change was made (such as through a computer workstation manually or through a service automatically).
The user who made the change.
Report Parameters
Criteria selected when the report was being generated appear under Report Parameters.
An example is the name of the campus selected when the report was generated.
About the Report Data
Only patients associated with the campus that was selected when the report was generated appear.
The user who generates the report selects a date range. Only actions that occur between that date range appear on the report. The dates of the actions are called event dates.
The user who generates the report can choose a summary report or a detailed report (with more details about the patient and the new and previous values in each field on the patient record).
Data appears by patient.
If the user who generated the report selected Include Location IQ® Changes, then the events that occur in locations that are defined only in Location IQ®. are included. For example, if a patient who has a patient badge is moving through tracked locations while being transported, this will be included on the report if the Include RTLS Changes option is enabled. This option can be enabled only if the Capacity IQ® is integrated with Location IQ®
Description
Detailed Report
The following information is displayed on the detailed report for each patient.
The detailed report is in .xls (Excel) format only.
It cannot be generated in .pdf (Adobe) format.
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Name | Description |
+ or - | To see details of changes to a patient record based on an event, click the + sign in the row that corresponds to the event. The row expands to display the new data (Result column) and the previous data (Previous Value column.) The Changed column displays the word Yes if data in a particular field was changed as a result of the event. To hide the details, click the - sign. See Details of Changes to a Patient Record. |
Event Date | The date and time that the action occurred in local time. Dates and times are formatted according to enterprise settings configured in the Admin Tool or Admin > Settings > Capacity Management component. For example, the administrator might have configured settings so that time is shown in 24-hour format (for example, 1:03 PM is 13:03 PM) and dates are shown in dd/mm/yyyy format (for example, January 7, 2016 is 7/1/2016). |
Source | How the change was made (for example, through the user interface (UI) on a computer workstation, through the IVR, or through the ADT system). |
Request and Action | The event that occurred or action that was taken. For example, a user might have selected Admit Patient and selected a home location on a request. The resulting action was that a bed (home location) was occupied after the patient was admitted. A user might have edited a field on the Patient/Placement Details form (such as Isolation Type). The Request and the Action column would both display Edit Patient/Placement Details. If the patient had discharge or transfer milestones associated with them, any updates to the milestones appear in these columns. To see milestone details, click the plus sign for the row. Examples of milestone details include who completed the milestone, completion date, delay reason, and milestone notes. If a milestone was completed by an ADT transaction, then the Completed by field shows Interface. If two patients swapped beds, then the Request column shows Swap and the Action column shows Swap Beds Between Patients. For a bed swap to occur, the Require Bed Assignment for Occupancy Master Configuration setting must disabled and the RTLS Integration setting must be enabled. If the patients who swapped remain in their new locations for at least the number of minutes configured for the RTLS Transfer Occupancy Trigger setting, the new locations will become the home locations for those patients automatically. |
MRN and Visit Number | The patient's medical record number and visit number. |
XT Patient ID | A number used in the database to associate the patient with their information. TeleTracking representatives can use this number to analyze patient data in the database. |
Patient Status | The patient's status as a result of the action (such as PreAdmit, Inhouse, or Pending Discharge) |
Home Location | If the patient's home location changed as the result of an event or action, the new home location appears. If not, the patient's current home location appears. For an HL7 record, the PV13 values appears. |
Home Location Type | Whether the patient's home location is a Home Non-Holding bed or a Home Holding bed. |
Assigned Bed | The bed to which the patient has been assigned. The patient might or might not yet occupy the assigned bed. |
Admit Date | The date that the patient was actually admitted. Dates and times are formatted according to enterprise settings configured in the Admin Tool or Admin > Settings > Capacity Management component. For example, the administrator might have configured settings so that time is shown in 24-hour format (for example, 1:03 PM is 13:03 PM) and dates are shown in dd/mm/yyyy format (for example, January 7, 2016 is 7/1/2016). |
Expected Admit Date | The date the patient was expected to be admitted. Dates and times are formatted according to enterprise settings configured in the Admin Tool or Admin > Settings > Capacity Management component. For example, the administrator might have configured settings so that time is shown in 24-hour format (for example, 1:03 PM is 13:03 PM) and dates are shown in dd/mm/yyyy format (for example, January 7, 2016 is 7/1/2016). |
User | The name and IVR ID of the user who made the change (for example, the user who selected Admit Patient on the Patient/Placement Details form). If "Interface" appears, then this change was a result of an action such as an ADT transaction, rather than the actions of a particular user. |
Transport Job Details | For a completed transport job, the patient's name, medical record number and visit number; the job's origin and destination; the job number; the dates and times that the job was created, entered Pending status, and entered In Progress status; and the requester's name and base location. |
HL7 Message | If there is an HL7 message associated with the event, then a message segment and field appear in this column (for example, MSH:1). To see additional segments and details about the message, double click the text in this column. The cell expands, displaying the segments, fields, and details. If the event is associated with an action completed through the IVR or on the user interface, then this column is blank. |
Chameleon XML | If there is an HL7 message associated with the event, then <Chameleon Import> appears in this column. This is the XML translation of the HL7 message. To see details of the transaction, double-click the text in this cell. The cell expands, displaying details of the HL7 transaction in XML format. For example: <transactionMetadata> <transactionType>Admit</transactionType> <transactionCode>A01</transactionCode> <transactionDate>2012-03-27T12:42:00</transactionDate> </transactionMetadata> |
Payor | A list of all the payors for a patient. Up to three payors will be listed in order of priorty. |
Details of Changes to a Patient Record
To see details of changes to a patient record based on an event, click the plus sign (+) on the far-left side of the Excel spreadsheet, next to the row that corresponds with the event. The following information appears when you click the + sign.
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Name | Description |
Field | The fields in the patient record. Examples are Patient Home Location, Patient Diagnosis, Patient Projected Discharge, Bed Custom Attributes, Patient Address, Patient Care Progression Group (Milestone) and Care Type, any information about the patient that was in custom columns in the PatientTracking Portal™, Patient RTLS Badge ID (number of patient badge used in conjunction with equipment installed throughout the hospital to track the patient), Location IQ® location (location identified as a Location IQ® location, and the care progression groups (such as Physiotherapy)..Your organization must have a Patient Tracking license for Location IQ® locations to be available. |
Result | The change to a field as a result of an event. For example, if a patient was admitted to a home location, the Result column displays the home location. If the patient's address was changed, the Result column displays the patient's new address. |
Previous Value | The information that was associated previously with the field that was changed. For example, if a patient was admitted to a home location, the Result column displays that home location, but the Previous Value column is blank because the patient did not have a previous home location. However, if a patient was transferred from one home location to another, the previous home location appears in the Previous Value column and the new home location appears in the Result column. |
Changed | If the Previous Value column and the Result column show two different values , then Yes appears in the Changed column. If only the Result column has a value (there was no previous value to change), then Yes does not appear. If the patient had discharge or transfer milestones associated with them, then milestone-related changes (such as milestone notes or milestone completed) appear in this column. |
Summary Report
The following information is displayed on the summary report for each patient.
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Name | Description |
Patient Name | The patient's last and first name. |
MRN and Visit Number | The patient's medical record number and visit number. |
Date | The date and time that the action occurred in local time. Dates and times are formatted according to enterprise settings configured in the Admin Tool or Admin > Settings > Capacity Management component. For example, the administrator might have configured settings so that time is shown in 24-hour format (for example, 1:03 PM is 13:03 PM) and dates are shown in dd/mm/yyyy format (for example, January 7, 2016 is 7/1/2016). |
Request and Action | The event that occurred or action that was taken. For example, a user might have selected Admit Patient and selected a home location on a request. The resulting action was that a bed (home location) was occupied after the patient was admitted. A user might have edited a field on the Patient/Placement Details form (such as Isolation Type). The Request and the Action column would both display Edit Patient/Placement Details. |
Change | The type of information that was changed (such as the patient's isolation type, hospital service, home location, gender, or status). |
Old Value | The information before the change was made. For example, if patient’s status was changed, the patient's status before the change occurred appears in the Old Value column. |
New Value | The information after the change was made. For example, if patient's status was changed, the patient's status after the change occurred appears in the New Value column. |
Access Type | How the change was made (for example, through the user interface (UI) on a computer workstation, through the IVR, or through the ADT system). |
User | The name and IVR ID of the user who made the change (for example, the user who selected Admit Patient on the Patient/Placement Details form). |
Payor | A list of all the payors for a patient. Up to three payors will be listed in order of priorty. |