Minutes Team Meeting September 29, 2010

Team Meeting September 29 2010

MINUTES

• To all staff: please review and add any updates or changes to these mins.--TOstryzniuk 19:10, 30 September 2010 (CDT)

Present: list of those who attended Regrets: not able to attend

Meeting was called to order at 1310hrs.

Team_Meeting_September_29_2010#Agenda Agenda

1. New staff who have joined the collection team: Hrona, Lpruden, and also Mpenner.
2. Self introductions
3. 20 & 30 year of Service in Health care:
   • Congratulation on achievement on this milestone in your career: PTorres, LKolesar, PStein, SKiesman
4. Access program CCMDB has been updated to include a new update notes section. See; Notes field. The purpose of this was in support of data collector for an improved space for "NOTE" keeping, rather than having to use paper notes. Reminded staff to use new feature and provide us feedback.
   • concerns brought forth in regards to keep track of TISS items that need to be quality checked on first 10 days of TISS form? For example: paper notes allow you to keep track on when central lines or in or out, or when ventilated and when extubated. Current worksheet allows to to dates in out and when doing QA for TISS before handing in forms, you have notes to refer to to do this.
   • notes can be put on laptop note section
   • Don't do any QA on tiss and hand in as is?
   • plan for ICU to go to TISS 28 items from the current.
5. paper list being hand written for medical records requests can be automated in Access. List can be printed or sent by email directly to MR. SEE: automated patient list for MR from Access
6. PDA or patient registry log - Plans for elimination. Patient LIST can be obtained from Access.Needs more work and discussion.
7. Paper notes being kept and patient list by room number. Purpose of sharing information like this with other collector is so there is consistency with dates and time between units and also comorbids being the same and DX makes sense from one ward to the next.
   • Tina mentioned created a central database that every time staff do new and backup, all data backup to there and staff can just "look up" what they need.
   • discussion about not comparing comorbids with each other between wards. Just collect what you find in the chart for your ward. Discussion about how Julie would have to make change in her SAS programming and reporting and also calculation of Charlson score. She will have to think about it before we decide to change. Needs more discussion here in main office.
8. What comorbid should be included: if CA 10 yrs ago, include: Dr. Garland, should only include if within the year.
   • when is a comorbid resolved: e.g. obesity - if pt loose weigh and no longer obese, cancer if treated and cured 2 years ago, exclude? IF CABG 10 yrs ago, indication of coronary heart disease- once you have it, doesn't go away. Then you should include.
   • a review of the list needs to be done and further clear guidelines needed. Would Dr. Garland help with this task?
9. Review and re-enforce the priority of collecting Minimal Data Set each day staff collect data.
10. Audit result: Tina Tenbergen

• 1. the summary of the audit is now on the Regional Server in a folder called: \Documents\How precise is the critical care and medicine data.doc

1. Dr Garland:

1. List of Factor affecting data quality