Project AHC: Difference between revisions
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{{Project | {{Project | ||
|ProjectActive=active | |||
|ProjectProgram=Med | |||
|ProjectRequestor=Dan Roberts | |||
|ProjectCollectionStartDate=2024-12-02 | |||
|ProjectCollectionStopDate=somewhere between 100 records and 3 months | |||
|Project={{PAGENAME}} | |||
}} | |||
== Data Collection == | == Data Collection == | ||
For any medicine record being sent after the project start date, capture whether there were any allied health consults. | * For any medicine record being sent after the project start date, capture whether there were any allied health consults, the reason for the consult does not matter. | ||
* Some patients may have more than one consult for the same allied health professional during their hospital stay, record each time there is a new consult for any of the 6 allied health professions. We do not need to collect when they are discharged by an allied health profession. | |||
* We only want new consults that are generated by the medicine team. If they are transferred in from ICU or another ward or from ER, where they are already being followed by an allied health professional, only enter yes if the medicine team generates a new consult | |||
* self-consults by any allied health professional should be captured as a new consult | |||
* Verbal consults will not have an order or consult written, if when reviewing a chart there is a note by an allied health professional and no associated consult/order enter that as yes and note the dttm of the first documentation | |||
* If there is an order to consult one of the AHC professionals, and it is later cancelled (doesn't matter how long after the order) then please capture the consult | |||
=== Data Entry Instructions === | === Data Entry Instructions === | ||
The following lines will automatically be added to each new medicine record: | The following lines will automatically be added to each new medicine record, existing records entered prior to the start date of the project will need to have these entered manually: | ||
* '''Project: AHC_HC''' - Item: "not entered" (because you haven't set a value yet) | * '''Project: AHC_HC''' - Item: "not entered" (because you haven't set a value yet) | ||
* '''Project: AHC_OT''' - Item: "not entered" | * '''Project: AHC_OT''' - Item: "not entered" | ||
| Line 19: | Line 23: | ||
* '''Project: AHC_SLP''' - Item: "not entered" | * '''Project: AHC_SLP''' - Item: "not entered" | ||
* '''Project: AHC_Dietician''' - Item: "not entered" | * '''Project: AHC_Dietician''' - Item: "not entered" | ||
* '''Item''': change the item dropdown as follows as you come across information | * '''Item''': change the item dropdown as follows as you come across information | ||
** '''"yes"''' - if you found any consult for (Home care HC, Occupational therapy OT, Physiotherapy PT, Social Work SW) | ** '''"yes"''' - if you found any consult for (Home care HC, Occupational therapy OT, Physiotherapy PT, Social Work SW) | ||
** '''"no"''' - if you have finished the chart and didn't find one | ** '''"no"''' - if you have finished the chart and didn't find one | ||
* '''Date''': date of the | * '''Date''': date of the consult if available, if consult not in chart but there is clear documentation in the chart use the dttm of the first note/assessment (best guess better than nothing but not mandatory) | ||
* '''Time''': time | * '''Time''': time of the consult (best guess better than nothing but not mandatory) | ||
* '''Checkbox''': check if the date and/or time is a '''best guess''' | |||
* if | |||
* Integer: not used | * Integer: not used | ||
* Real: not used | * Real: not used | ||
* Comment: not used | * Comment: not used | ||
| Line 43: | Line 38: | ||
* HSC and GGH - check for an order and also the consult sections of the chart, there will also be documentation in the notes section by the various allied health team, if they have been consulted | * HSC and GGH - check for an order and also the consult sections of the chart, there will also be documentation in the notes section by the various allied health team, if they have been consulted | ||
==== | ==== Consult not required for... ==== | ||
* we don't track consults for pharmacy | |||
* we don't track utilization consults | |||
* | |||
* | |||
==== Special Case - Consult before admission or after discharge from medicine ==== | |||
* | * Only enter yes, if the medicine team writes a new order to consult one of the allied health team. | ||
** OT said that if one of the OT members is consulted in ICU, or another ward, or ER, they do not re-consult, they give an OT to OT report - '''don't enter that''' | |||
** OT also said sometimes the medicine team will write a new consult, but that it isn't necessary if they are already following, they will however write a "transfer" note. she was uncertain if all other allied health teams practice the same way. Many of the consults are verbal. - '''you would enter a re-consult written as that''' | |||
==== Special Case - Consult ordered and cancelled ==== | |||
* | * '''enter the consult''' | ||
==== Special Cases ==== | |||
any others? | |||
== Data Use == | == Data Use == | ||
Latest revision as of 21:24, 4 December 2024
| Projects | |
| Active?: | active |
| Program: | Med |
| Requestor: | Dan Roberts |
| Collection start: | 2024-12-02 |
| Collection end: | somewhere between 100 records and 3 months |
Data Collection
- For any medicine record being sent after the project start date, capture whether there were any allied health consults, the reason for the consult does not matter.
- Some patients may have more than one consult for the same allied health professional during their hospital stay, record each time there is a new consult for any of the 6 allied health professions. We do not need to collect when they are discharged by an allied health profession.
- We only want new consults that are generated by the medicine team. If they are transferred in from ICU or another ward or from ER, where they are already being followed by an allied health professional, only enter yes if the medicine team generates a new consult
- self-consults by any allied health professional should be captured as a new consult
- Verbal consults will not have an order or consult written, if when reviewing a chart there is a note by an allied health professional and no associated consult/order enter that as yes and note the dttm of the first documentation
- If there is an order to consult one of the AHC professionals, and it is later cancelled (doesn't matter how long after the order) then please capture the consult
Data Entry Instructions
The following lines will automatically be added to each new medicine record, existing records entered prior to the start date of the project will need to have these entered manually:
- Project: AHC_HC - Item: "not entered" (because you haven't set a value yet)
- Project: AHC_OT - Item: "not entered"
- Project: AHC_PT - Item: "not entered"
- Project: AHC_SW - Item: "not entered"
- Project: AHC_SLP - Item: "not entered"
- Project: AHC_Dietician - Item: "not entered"
- Item: change the item dropdown as follows as you come across information
- "yes" - if you found any consult for (Home care HC, Occupational therapy OT, Physiotherapy PT, Social Work SW)
- "no" - if you have finished the chart and didn't find one
- Date: date of the consult if available, if consult not in chart but there is clear documentation in the chart use the dttm of the first note/assessment (best guess better than nothing but not mandatory)
- Time: time of the consult (best guess better than nothing but not mandatory)
- Checkbox: check if the date and/or time is a best guess
- Integer: not used
- Real: not used
- Comment: not used
Sources
- SBGH in EPR - check for consults in the orders tab, there will also be documentation in the documents section by the various allied health teams, if they have been consulted
- HSC and GGH - check for an order and also the consult sections of the chart, there will also be documentation in the notes section by the various allied health team, if they have been consulted
Consult not required for...
- we don't track consults for pharmacy
- we don't track utilization consults
Special Case - Consult before admission or after discharge from medicine
- Only enter yes, if the medicine team writes a new order to consult one of the allied health team.
- OT said that if one of the OT members is consulted in ICU, or another ward, or ER, they do not re-consult, they give an OT to OT report - don't enter that
- OT also said sometimes the medicine team will write a new consult, but that it isn't necessary if they are already following, they will however write a "transfer" note. she was uncertain if all other allied health teams practice the same way. Many of the consults are verbal. - you would enter a re-consult written as that
Special Case - Consult ordered and cancelled
- enter the consult
Special Cases
any others?
Data Use
This data is being collected as a current state for Project Overstay2.
Consistency Checks
Data Integrity Checks (automatic list)
| App | Status | |
|---|---|---|
| Query s_tmp_AHC_consistent | CCMDB.accdb | implemented |
Related articles
| Related articles: |