Minutes Team Meeting June 10, 2015: Difference between revisions

(14 intermediate revisions by 2 users not shown)

Line 1:

1. Staff introductions - new staff: [[Lori Lovell]], [[Fatima Quezon]] HSC.

1. Staff introductions - new staff: [[p:Lori Lovell]], [[p:Fatima Quezon]] HSC.

2. shift sign up sheet on Regional Server & staffing challenges

Line 5:

*staff interested in extra shift at own site or other sites in Regional, please review sign up sheet on Regional Server.

*thank you to all staff at all the sites who have cooperated and collaborated with program management in regards to reallocation and reassignment in all sites in the Region. It is understood that the expectation to "keep up" with all data collection is not possible during this time and the trade off is to at least maintain the collection of [[Minimal Data Set]] in all locations as best as possible rather than allow one area to be left totally behind.

*[[Lisa Kaita]] was acknowledged for her extreme support between STB and Grace.

*[[p:Lisa Kaita]] was acknowledged for her extreme support between STB and Grace.

*every single staff member at all sites have been called upon and they have pulled together and have contributed as a team and to achieve at least minimal data collection in all area at their site.

*thank you all!

'''GOAL''' - teams to collaborate as group at their site to maintain [[Minimal Data Set]] at their site. Reassignments have been in progress in collaboration with staff and management.

*thank you all!

3.what are the difficulties preventing you from sending incomplete data more than once per week?

3. what are the difficulties preventing you from sending incomplete data more than once per week?

*review what sending means in regards to updating centralized MASTER database (both complete and incomplete)

**the act of SENDING is not just for sending only COMPLETED files but it also serves to update the master database with any changes to any files that are INCOMPLETE or newly added to laptop regardless of the state of completeness of files, other than the required [[Minimal Data Set]].

Line 21:

Line 22:

*Pagasa has an auto paste clipboard button the the master database that automatically pastes info she needs to send to staff in email. She only has to add minor things.

4.See: '''[[~~PrevInptLocation~~ field]]'''

4. See: '''[[Pre-admit Inpatient Institution field]]'''

*HSC staff brought laptops and a Demo done by Tina in regards to this new field and concept.

*the same concept for this field will be applied to Admit FROM and Discharge TO fields in coming months

Line 29:

Line 30:

**Q&A - feedback obtained from staff

*'''purpose of this field'''

**meet the requirement of directors and managers reports see: [[~~PrevInptLocation~~ field]] for more information, questions or suggestions.

**meet the requirement of directors and managers reports see: [[Pre-admit Inpatient Institution field]] for more information, questions or suggestions.

*'''Impact on collectors''':

**less fields of data to enter onto laptop

**reduce errors

*'''TARGET START DATE''': none, needs more work. Allan advise need to meet and draw up concept and review.

*'''TARGET START DATE''': none yet, needs more work. In progress. Allan Garland advise need to meet and draw up concept and review.

7.change the values for some of our definitions for metabolic disturbances eg. hyper & hyponatremia, hyper and hypokalemia etc... (too high or too low) often treating but the value does not meet the criteria in our database.

7. change the values for some of our definitions for metabolic disturbances eg. hyper & hyponatremia, hyper and hypokalemia etc... (too high or too low) often treating but the value does not meet the criteria in our database.

*task team reviewed June 11.15.

*[[Con Marks]] has updated articles. Thank you!

*[[p:Con Marks]] has updated articles. Thank you!

*Tina will update S_ALLDiagnosis table in ccmdb and will fix wiki to reflect changes so label is same in CCDMB as on Wiki.

*this task has been added to Tina's [[Change Priorities]] list.

*'''TARGET CHANGE DATE''': When the update is completed info will be found here: [[CCMDB.mdb Change Log 2015]] when you run news and backup.

*June 18.15: '''on HOLD''' - staff thanks for feedback on this.

8.Need consensus on how to code those patients that come in with failure to cope/weakness or not a medical admission (social admits). Would be good for consistency around the city. Collector's vary in their practice, some using dementia, others muscle deconditioning because we don't have specific code for these type of admits we are seeing in medicine.

8. Need consensus on how to code those patients that come in with failure to cope/weakness or not a medical admission (social admits). Would be good for consistency around the city. Collector's vary in their practice, some using dementia, others muscle deconditioning because we don't have specific code for these type of admits we are seeing in medicine.

*task team discussed Jun 11.15.

*Allan Garland ~~to find~~ ICD ~~equivalent and get back~~ to ~~us so~~ we ~~can add to our S_ALLDiagnosis coding list in ccmdb~~.

*Allan Garland said ICD code is [[Adult failure to thrive]] (R62.7), which we will implement. Ttenbergen 13:49, 2015 June 22 (CDT).

*'''TARGET CHANGE DATE''': Before end of July - latest.

9. Pat, Stephanie, Shirley

9. '''Problem''': Medicine patients - Access won't allow you to send unless to change Registry patient TYPE to M from S.--Pat, Stephanie, Shirley

*Patient to med ward from RR. Had procedure, put in 1st admit DX slot.

*'''Problem''': Access won't allow you to send unless to change Registry patient TYPE to M from S.

*Shirley suggested to changed admit one to pain management instead of surgical procedure.

*staff advised to let main office know of problems rather than to perform workarounds.

*program has been discussing at task team meetings (June 11.15) about Registry patient type.

**[[Dr. Allan Garland | Allan Garland]] still needs to follow up with Bojan Paunovic about what directors want to see in this field. ''Changes coming to both Med and ICU''.

**[[p:Dr. Allan Garland | Allan Garland]] still needs to follow up with Bojan Paunovic about what directors want to see in this field. ''Changes coming to both Med and ICU''.

**Tina to check into this issue and workaround.

**'''TARGET CHANGE DATE''':None

**'''TARGET CHANGE DATE''':None yet, needs work. In progress.

10. What is a: '''[[Direct admit]].''' Please review this article.

Line 61:

Line 62:

*where do you find this information on chart - see ER triage sheet

10 '''[[ACP C | ACP status]].''' There has been a request to collect this at admission and at discharge by the ICU quality Team. Would apply to both Med and ICU.

11. '''[[ACP-C | ACP status]].''' There has been a request to collect this at admission and at discharge by the ICU quality Team. Would apply to both Med and ICU.

*staff had indicated here: ACP C | ACP status]] how easy it is to get this information. Also posted questions.

*staff had indicated here: ACP-C | ACP status]] how easy it is to get this information. Also posted questions.

*feedback to Task team June 11.15. Good question from staff.

*Question from staff Send to [[Dr. Kendiss Olafson | Kendiss Olafson]] on June 5.15 and again updated and send to her on June 15.15.

*Question from staff Send to [[p:Dr. Kendiss Olafson | Kendiss Olafson]] on June 5.15 and again updated and send to her on June 15.15.

*'''Target START DATE''': none. Needs more input from ICU QI group.

*'''Target START DATE''': none yet. Needs more input from ICU QI group. In progress

11. Demo on how to clean a conference room table with Tea. Works good!

12. Demo on how to clean a conference room table with Tea. Works good!

Thanks all for contribution and time. If I missed anything that should be added here, please contribute. [[User:TOstryzniuk|Trish Ostryzniuk]] 19:41, 2015 June 16 (CDT)

[[Category:Minutes 2015]]

@@ Line 1: / Line 1: @@
-. Staff introductions - new staff: [[Lori Lovell]], [[Fatima Quezon]] HSC.
+. Staff introductions - new staff: [[p:Lori Lovell]], [[p:Fatima Quezon]] HSC.
 . shift sign up sheet on Regional Server & staffing challenges
@@ Line 5: / Line 5: @@
 *staff interested in extra shift at own site or other sites in Regional, please review sign up sheet on Regional Server.
 *thank you to all staff at all the sites who have cooperated and collaborated with program management in regards to reallocation and reassignment in all sites in the Region.   It is understood that the expectation to "keep up" with all data collection is not possible during this time and the trade off is to at least maintain the collection of [[Minimal Data Set]] in all locations as best as possible rather than allow one area to be left totally behind.
-*[[Lisa Kaita]] was acknowledged for her extreme support between STB and Grace.
+*[[p:Lisa Kaita]] was acknowledged for her extreme support between STB and Grace.
 *every single staff member at all sites have been called upon and they have pulled together and have contributed as a team and to achieve at least minimal data collection in all area at their site.
-*thank you all!
+'''GOAL''' - teams to collaborate as group at their site to maintain [[Minimal Data Set]] at their site.   Reassignments have been in progress in collaboration with staff and management.
+*thank you all!
-.what are the difficulties preventing you from sending incomplete data more than once per week?
+. what are the difficulties preventing you from sending incomplete data more than once per week?
 *review what sending means in regards to updating centralized MASTER database (both complete and incomplete)
 **the act of SENDING is not just for sending only COMPLETED files but it also serves to update the master database with any changes to any files that are INCOMPLETE or newly added to laptop regardless of the state of completeness of files, other than the required [[Minimal Data Set]].
@@ Line 21: / Line 22: @@
 *Pagasa has an auto paste clipboard button the the master database that automatically pastes info she needs to send to staff in email.  She only has to add minor things.
-.See: '''[[PrevInptLocation field]]'''
+. See: '''[[Pre-admit Inpatient Institution field]]'''
 *HSC staff brought laptops and a Demo done by Tina in regards to this new field and concept.
 *the same concept for this field will be applied to Admit FROM and Discharge TO fields in coming months
@@ Line 29: / Line 30: @@
 **Q&A - feedback obtained from staff
 *'''purpose of this field'''
-**meet the requirement of directors and managers reports see: [[PrevInptLocation field]] for more information, questions or suggestions.
+**meet the requirement of directors and managers reports see: [[Pre-admit Inpatient Institution field]] for more information, questions or suggestions.
 *'''Impact on collectors''':
 **less fields of data to enter onto laptop
 **reduce errors
-*'''TARGET START DATE''': none, needs more work.  Allan advise need to meet and draw up concept and review.
+*'''TARGET START DATE''': none yet, needs more work. In progress.  Allan Garland advise need to meet and draw up concept and review.
-.change the values for some of our definitions for metabolic disturbances eg. hyper & hyponatremia, hyper and hypokalemia etc... (too high or too low) often treating but the value does not meet the criteria in our database.
+. change the values for some of our definitions for metabolic disturbances eg. hyper & hyponatremia, hyper and hypokalemia etc... (too high or too low) often treating but the value does not meet the criteria in our database.
 *task team reviewed June 11.15.
-*[[Con Marks]] has updated articles.  Thank you!
+*[[p:Con Marks]] has updated articles.  Thank you!
 *Tina will update S_ALLDiagnosis table in ccmdb and will fix wiki to reflect changes so label is same in CCDMB as on Wiki.
 *this task has been added to Tina's [[Change Priorities]] list.
 *'''TARGET CHANGE DATE''':  When the update is completed info will be found here: [[CCMDB.mdb Change Log 2015]] when you run news and backup.
+*June 18.15: '''on HOLD''' - staff thanks for feedback on this.
-.Need consensus on how to code those patients that come in with failure to cope/weakness or not a medical admission (social admits). Would be good for consistency around the city.  Collector's vary in their practice, some  using dementia, others muscle deconditioning because we don't have specific code for these type of admits we are seeing in medicine.
+. Need consensus on how to code those patients that come in with failure to cope/weakness or not a medical admission (social admits). Would be good for consistency around the city.  Collector's vary in their practice, some  using dementia, others muscle deconditioning because we don't have specific code for these type of admits we are seeing in medicine.
 *task team discussed Jun 11.15.
-*Allan Garland to find ICD equivalent and get back to us so we can add to our S_ALLDiagnosis coding list in ccmdb.
+*Allan Garland said ICD code is [[Adult failure to thrive]] (R62.7), which we will implement. Ttenbergen 13:49, 2015 June 22 (CDT).
 *'''TARGET CHANGE DATE''': Before end of July - latest.
-. Pat, Stephanie, Shirley
+. '''Problem''': Medicine patients - Access won't allow you to send unless to change Registry patient TYPE to M from S.--Pat, Stephanie, Shirley
 *Patient to med ward from RR. Had procedure, put in 1st admit DX slot.
-*'''Problem''': Access won't allow you to send unless to change Registry patient TYPE to M from S.
 *Shirley suggested to changed admit one to pain management instead of surgical procedure.
 *staff advised to let main office know of problems rather than to perform workarounds.
 *program has been discussing at task team meetings (June 11.15) about Registry patient type.
-**[[Dr. Allan Garland | Allan Garland]] still needs to follow up with Bojan Paunovic about what directors want to see in this field.   ''Changes coming to both Med and ICU''.
+**[[p:Dr. Allan Garland | Allan Garland]] still needs to follow up with Bojan Paunovic about what directors want to see in this field.   ''Changes coming to both Med and ICU''.
 **Tina to check into this issue and workaround.
-**'''TARGET CHANGE DATE''':None
+**'''TARGET CHANGE DATE''':None yet, needs work.  In progress.
 . What is a: '''[[Direct admit]].''' Please review this article.
@@ Line 61: / Line 62: @@
 *where do you find this information on chart - see ER triage sheet
-'''[[ACP C | ACP status]].'''   There has been a request to collect this at admission and at discharge by the ICU quality Team. Would apply to both Med and ICU.
+. '''[[ACP-C | ACP status]].'''   There has been a request to collect this at admission and at discharge by the ICU quality Team. Would apply to both Med and ICU.
-*staff had indicated here: ACP C | ACP status]] how easy it is to get this information. Also posted questions.
+*staff had indicated here: ACP-C | ACP status]] how easy it is to get this information. Also posted questions.
 *feedback to Task team June 11.15.  Good question from staff.
-*Question from staff Send to [[Dr. Kendiss Olafson | Kendiss Olafson]] on June 5.15 and again updated and send to her on June 15.15.
+*Question from staff Send to [[p:Dr. Kendiss Olafson | Kendiss Olafson]] on June 5.15 and again updated and send to her on June 15.15.
-*'''Target START DATE''': none. Needs more input from ICU QI group.
+*'''Target START DATE''': none yet. Needs more input from ICU QI group. In progress
 .  Demo on how to clean a conference room table with Tea.  Works good!
 Thanks all for contribution and time.  If I missed anything that should be added here, please contribute. [[User:TOstryzniuk|Trish Ostryzniuk]] 19:41, 2015 June 16 (CDT)
+[[Category:Minutes 2015]]