Minutes Team Meeting October 1, 2014: Difference between revisions
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*one example is diagnostic procedure of angiogram: | *one example is diagnostic procedure of angiogram: | ||
*for example, from the [[Labs collected list]] the number of times angio is done is counted but in the admit or acquired DX coding, the current practice is NOT to code the procedure a multiple times in DX slots. Repeatedly coding procedures or surgeries would then have to apply to all other potential DX codes we can do this with. This is data collection creep. If a patient went for 10 skin graft do collectors want to code that 10 times? Everyone would have to be consistent in all their repeated coding and it would take a year to have any useful information. This new info would also not be able to be compare to past data, so we need to be careful what we keep volunteering to collect!!!!! | *for example, from the [[Labs collected list]] the number of times angio is done is counted but in the admit or acquired DX coding, the current practice is NOT to code the procedure a multiple times in DX slots. Repeatedly coding procedures or surgeries would then have to apply to all other potential DX codes we can do this with. This is data collection creep. If a patient went for 10 skin graft do collectors want to code that 10 times? Everyone would have to be consistent in all their repeated coding and it would take a year to have any useful information. This new info would also not be able to be compare to past data, so we need to be careful what we keep volunteering to collect!!!!! | ||
*can take to task meeting and revisit if this is what database program should be doing or not. | *can take to task meeting and revisit if this is what database program should be doing or not. | ||
**yes we can, Laura, Gail, Joyce can bring item to Nov 6.14 meeting.[[User:TOstryzniuk|Trish Ostryzniuk]] 20:25, 2014 October 8 (CDT) | **yes we can, Laura, Gail, Joyce can bring item to Nov 6.14 meeting.[[User:TOstryzniuk|Trish Ostryzniuk]] 20:25, 2014 October 8 (CDT) | ||
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===[[Glasgow_Coma_Scale]] - a continued data collection problem?=== | ===[[Glasgow_Coma_Scale]] - a continued data collection problem?=== | ||
*[[p:Laura Kolesar | Laura]] raised that [[Glasgow_Coma_Scale | neuro assessement]] on sedated patient is a collection problem. | *[[p:Laura Kolesar | Laura]] raised that [[Glasgow_Coma_Scale | neuro assessement]] on sedated patient is a collection problem. | ||
*[[p:Lisa Kaita | Lisa]], [[p:Shirley Kiesman | Shirley]] - issue with the correct GSC assessment for ST. Amant client or old strokes. | *[[p:Lisa Kaita | Lisa]], [[p:Shirley Kiesman-retired, Dec 31, 2018 | Shirley Kiesman]] - issue with the correct GSC assessment for ST. Amant client or old strokes. | ||
*Collection guidelines was lasted reviewed at [[Task Team]] on January 13, 2013 and collection guide updates. | *Collection guidelines was lasted reviewed at [[Task Team]] on January 13, 2013 and collection guide updates. | ||
*'''All collection Staff: must review''' the current: GCS collection guidelines and then go [[Glasgow_Coma_Scale | HERE]] and post further comments what exactly the issue are. | *'''All collection Staff: must review''' the current: GCS collection guidelines and then go [[Glasgow_Coma_Scale | HERE]] and post further comments what exactly the issue are. | ||
*[[p:Laura Kolesar | Laura]], [[p:Gail Hall | Gail | *[[p:Laura Kolesar | Laura]], [[p:Gail Hall-resign, Nov 29, 2018 | Gail Hall] and [[p:Joyce Peterson | Joyce]] will review your comments and bring it to Nov 6.14 task meeting if determined further discussion is required. | ||
===Adding more Surgical DX code=== | ===Adding more Surgical DX code=== | ||
[[p:Lois Bilesky-retire Jan 10, 2019|Lois Bilesky]] - suggested we should be adding more procedure codes, E.G. some AVR's now done in angio. | [[p:Lois Bilesky-retire Jan 10, 2019|Lois Bilesky]] - suggested we should be adding more procedure codes, E.G. some AVR's now done in angio. | ||
*[[p:Trish Ostryzniuk | Trish]] pointed out that it is easy to volunteer to collector more and more (collection creep). It is better if we deem it will be used for some project we add it and then we collect it consistently. If we randomly keep adding things with no purpose in mind, hard to be consistent. Better to say we don't collect it then. | *[[p:Trish Ostryzniuk | Trish]] pointed out that it is easy to volunteer to collector more and more (collection creep). It is better if we deem it will be used for some project we add it and then we collect it consistently. If we randomly keep adding things with no purpose in mind, hard to be consistent. Better to say we don't collect it then. | ||
* If there is a procedure, DX or surgery that we don't collect, please created an article for the DX not collected. Put the article into this | * If there is a procedure, DX or surgery that we don't collect, please created an article for the DX not collected. Put the article into this [[:Category:Diagnosis not coded (old)]] | ||
*main office still working past migrating to new database and all things associated. We will be moving to [[ICD10]] codes at some point and will considered then to add anything new. | *main office still working past migrating to new database and all things associated. We will be moving to [[ICD10]] codes at some point and will considered then to add anything new. | ||
*collectors will be able to review the IDC10 codes before they get implemented. It is a big change for all us. | *collectors will be able to review the IDC10 codes before they get implemented. It is a big change for all us. | ||
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===Medicine lack of DX codes for failed discharges/readmits=== | ===Medicine lack of DX codes for failed discharges/readmits=== | ||
[[p:Debbie Page-Newton | Debbie]], [[p:Shirley Kiesman | Shirley]], [[p:Louise Lemoine | | [[p:Debbie Page-Newton | Debbie]], [[p:Shirley Kiesman-retired, Dec 31, 2018|Shirley Kiesman]], [[p:Louise Lemoine-resign-Nov 22, 2018 | Louise Lemoine]] - high rate of failed discharged, no enough adequate primary REASON for failed discharge. | ||
*reason physician write: | *reason physician write: | ||
**noncomplicance | **noncomplicance | ||
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[[Category: Minutes 2014]] | [[Category:Minutes 2014]] | ||