Minutes Team Meeting June 14, 2018: Difference between revisions

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== Discussion Tagging on Wiki ==
== Discussion Tagging on Wiki ==
*[[Discussion & Question Instruction]]s
*[[Discussion & Question Instruction]]s for Wiki
**make sure when you ask question on Wiki to place a discussion tag where you question is.   
**make sure when you ask question on Wiki to place a discussion tag where you question is.   
**doing this pulls the question into a [[:Category: Questions | Questions Category]] and compiles the list in one place. This allows better opportunity to review.   
**doing this pulls the question into a [[:Category: Questions | Questions Category]] and compiles the list in one place. This allows better opportunity to review.   
**collectors are encouraged, if you know the answer, address it in the article by updating the instructions and most important, removed the discussion tag.
**collectors are encouraged, if you know the answer, address it in the article by updating the instructions and most important, removed the discussion tag.
*some of the questions that need more medical input and then added to another category called Allan Garlands list.   
*some of the questions that need more medical input and then added to another category called Allan Garlands list.   
**using tag DiscussAllan, put it on a list for his input. See: [[Allan's links]] for what this is about and how to do it.
**using tag Discuss | who = Allan | question = , put it on a list for his input. See: [[Allan's links]] for what this is about and how to do it.
**there are weekly meeting with [[Dr. Allan Garland]] to try and address these.
**there are weekly meeting with [[Dr. Allan Garland]] to try and address these.


== [[ICD10 diagnosis article reconciliation]] on Wiki & double coding ==
== ICD10 diagnosis article reconciliation on Wiki & double coding ==
*staff have all been required to contribute to reconciling old diagnosis codes to the new [[ICD10 Diagnosis List | ICD10 DX codes]] on the Wiki. The purpose of requiring all staff to participation is to facilitate the learning, understanding and the necessary documentation of the new DX coding schema and how to use it.   
*staff have all been required to contribute to reconciling old diagnosis codes to the new [[ICD10 Diagnosis List | ICD10 DX codes]] on the Wiki. The purpose of requiring all staff to participation is to facilitate the learning, understanding and the necessary documentation of the new DX coding schema and how to use it.   
**It is important for staff to do this work and also to practice using the new codes.  Double coding at least 2-3 or more patient per week using both coding systems (old and new)
**It is important for staff to do this work and also to practice using the new codes.  Double coding at least 2-3 or more patient per week using both coding systems (old and new)
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takes much longer because it is new.   
takes much longer because it is new.   
*'''[[ICD10 collection]]''' is becoming more familiar and easier to use.  
*'''[[ICD10 collection]]''' is becoming more familiar and easier to use.  
**WIKI- ''"old to new" links'' are very helpful  
**WIKI- ''"old to new" links'' are very helpful
**good work collectors for working on ICD10 diagnosis article reconciliation on the Wiki to create these links and add into categories.
*'''[[CCI Collection]]''' is still confusing and time consuming to use.
*'''[[CCI Collection]]''' is still confusing and time consuming to use.
**adds to workload, to find info and dates for procedures   
**adds to workload, to find info and dates for procedures   
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**click on: watchlist then user profile and check list.   
**click on: watchlist then user profile and check list.   
**you are welcome to check it out and try.
**you are welcome to check it out and try.
**if you set up TOO many pages to watch list you will get inundated with emails from the Wik. Use judgement.  This is good if there is specific article you want to be notified about.  
**if you set up TOO many pages to watch list you will get inundated with emails from the Wiki. Use judgement.  This is good if there is specific article you want to be notified about.  
**talk to Tina if you want more info.
**talk to Tina if you want more info.


== Regional Critical Care Quality Symposium held June 8 at Canad Inn - Pembina Hwy ==
== Regional Critical Care Quality Symposium held June 8, 2018 at Canad Inn - Pembina Hwy ==
*Database Program - Poster - Nurses use Data too!
*Database Program's Poster: [[:File: CCMDB Poster 2018 v0.4.pdf | Nurses use Data too!]]
**purpose - outreach and information
**[[p:Laura Kolesar]] and [[p:Julie Mojica]] presented
**purpose: [[:Category: Outreach | Outreach]] opportunities and information
**data is used not only by managers and Director. Examples of how nurse have used, or can use our database for patient care quality improvement projects
**data is used not only by managers and Director. Examples of how nurse have used, or can use our database for patient care quality improvement projects
**[[p:Laura Kolesar]] and [[p:Julie Mojica]] presented
*Victoria hospital data collectors requested copy of a poster to put up at their center.  
*Victoria hospital request copy of poster to put up.  
**Would need approval from site manager if can post.  
**Would need approval from site manager if can post.  
*outreach - pyramids that contain general info and contact info were provided to staff to asked their manager at their sites if they can place at nursing stations in unit.   
*Other items available for [[:Category: Outreach | Outreach]]: ''Info pyramids'' that contain general info and contact info were provided to staff to asked their manager at their sites if they can place at nursing stations in unit.   
*'''Database Request forms''' - are available.  The most up to date request for is on the [[Regional Server]].
*'''[[Critical Care and Medicine Database Request Form]]''' - are available.  
**there is also copy of Wiki, but it is not the updated copy, as Julie had changed it. 
**there are 2 types:
***{{Discussion}} need to find link and then update the request form on Wiki.
***[[:File: CC Data Request Form.pdf | Critical Care Database Request Form]]
**there are 2 types: one for ICU and 1 for medicine.
***[[:File: Medicine Data Request Form.pdf | Medicine Database Request Form]]
**instruction on the form how to fill out and who to submit to. See [[Database Request Process]]
*instruction on the form how to fill out and who to submit to. See [[Database Request Process]]  
*The most '''up to date request form''' is generally on the [[Regional Server]] in the Admin folder.


=== Suggestions for outreach ===
=== Suggestions for outreach ===
*Put article in the "Wave" news
*Put article in the "Wave" news
*any change to the Wiki [[Main Page]]?
*any change to the Wiki [[Main Page]]? Let [[p:Tina Tenbergen]] know.
**Currently the page link to various article that audiences outside the actual database program, could quickly look at.
**Currently the page link to various article that audiences outside the actual database program, could quickly look at.


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**unclear how to proceed when lack of CXR to confirm?
**unclear how to proceed when lack of CXR to confirm?
**judgement call, over reporting is better than under reporting.
**judgement call, over reporting is better than under reporting.
**mixed bugs - VAP possible
**mixed bugs - [[VAP - Ventilator Associated Pneumonia]] possible
**more bugs included ie candida, but must be in both sputum and blood culture   
**more bugs included ie candida, but must be in both sputum and blood culture   
**Why are we not including PVAP  (Presumed-VAP) like they do in the USA?  
**Why are we not including PVAP  (Presumed-VAP) like they do in the USA?  
 
*** moved question to [[Pneumonia, ventilator-associated (VAP)]] since that is where the answer would need to live.
{{DiscussAllan |  [[VAP]] Criteria -Why are we not including PVAP  (Presumed-VAP) like they do in the USA?
*item 3 lack of CXR's done to confirm DX
*unclear how to proceed when lack of CXR to confirm?}}


== [[BRR]] ==
== [[BRR]] ==
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== [[Project Borrow arrive]] ==
== [[Project Borrow arrive]] ==
*''not discuss''.  
*''not discuss''.  
*Please review from project borrow arrive link above for changes coming.
*Please review from project borrow arrive from the link above for changes coming.
*use of bed or service & standardization of this collection process
*use of bed or service & standardization of this collection process


== record and documentation of these minutes ==
== record and documentation of these minutes ==
*[[p:Pamela Piche]]
*[[p:Pamela Piche]] - ''thank you to Pam''!
*[[p:Trish Ostryzniuk]]
*[[p:Trish Ostryzniuk]]


[[Category:Minutes 2018]]
[[Category:Minutes 2018]]