Trach Task: Difference between revisions

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Task items replaced iTISS as a sampler of specific "nursing workload" items that the medicine program continues to track as QA indicators.
{{LegacyContent
|explanation=discontinued as part of move to [[ICD10]]/[[CCI]].  
|successor= CCI [[Tracheostomy creation]] and ICD10 [[Tracheostomy, has one]], [[Tracheostomy care]] and various tracheostomy complications
|content=


'''Only mark a task as performed if it was done during a patients stay on your ward'''. If a task was done '''prior''' to patient coming to your ward or '''after''' patient is transferred to another ward, it should be marked as ''no'' or '''none''' during the stay on your ward.
The trach [[tasks | task]] encodes whether or not a '''medicine''' patient has a tracheostomy.  It is stored in the Diagnosis tab in [[CCMDB.accdb]] because that is the only way we could store it when we started to collect it.  


These items are included in: [[S_AllDiagnoses]] table which can be found in [[CCMDB.mdb]].
== Instructions ==
'''Medicine ward''' patients have lines created automatically under the diagnosis tab. The one for this element needs to be changed to one of the following:  
*[[100100 -  Trach None]]
*[[100101 -  Trach Acute]] - fresh trach has been in place for '''less than 48 hours''' by admission
*[[100102 -  Trach Chronic]] - chronic trach has been in place for '''48 hours or more''' by admission


== Trach Task ==
== Data Integrity Checks ==
Possible entries for '''Tracheostomy''' task:
* [[Check Duplicate Task Entries]]
*[[100100 -  Trach None]]
* [[query check trach dx task]]
*[[100101 -  Trach Acute]]-1st 48 hrs (new trach)
 
*[[100102 -  Trach Chronic]]-more than 48 hrs
See diagnoses in [[:Category:Tracheostomy]].


== {{Data Integrity Checks}} ==
{{Data Integrity Check List}}
* see [[Check Duplicate Task Entries]]


== Proposed: Trach task vs Dx ==
== Data Structure ==
* need to create: Med DX [[Tracheostomy]] 77400 but Trach Not in Task
the list of options is in [[s_AllDiagnoses table]] and the actual data is stored in [[L_Dxs]].
** presumably this is not only the 00 subdx we need...
* need to create: Med_Task_has_trach but no [[Tracheostomy]]
If these always coincide then why do we collect a task at all? Ttenbergen 10:51, 2014 September 25 (CDT) {{discussion}}
I believe the task is collected for workload/staffing purposes, where the diagnosis of tracheostomy is collected as a diagnosis or acquired diagnosis for coding purposes


== CCI ==
*This task will no longer be collected once we move to ICD10/CCI. There are codes there, CCI [[Tracheostomy creation]] and ICD10 [[Tracheostomy, has one]], [[Tracheostomy care]] and various tracheostomy complications. Will we want to move this data over or just keep it separate? Ttenbergen 19:26, 2018 October 25 (CDT)}}


[[Category: Task Elements]]
== Legacy ==
Task items replaced [[iTISS]] December 15, 2006.


== Will anyone ever be counted as "acute" if collected according to these rules? ==
== Related articles ==
*The problem is that in the "rules" the pt must have had the trach procedure done while on the ward, which rarely happens.  The "acute" rule only applies if it is a trach done in the last 48 hours which could happen.  I think that the collectors are counting all the trach patients whether the trach was done while on the ward or not, according to the numbers.  I do not see the value in whether it is acute or chronic because we no longer even do this in the ICU tiss.  I think there is more value in whether it is a temporary trach or permanent trach. (Just a suggestion).--[[User:LKolesar|LKolesar]] 15:02, 2013 May 8 (EDT)
{{Related Articles}}
{{discussion}}
*This entire article does not make sense.  By this definition no one on a medical ward would have a trach task marked.  By this definition, a pt that gets a trach while in the ICU would not get the task marked when they are transferred to medicine.  Trach task, in my opinion, should be marked if a pt has a trach no matter when they got the trach or where.  (It is a nursing workload issue). Also, instead of the terms acute and chronic, it should be temporary or permanent for the options.  Medicine collectors please let me know how you deal with this task.--[[User:LKolesar|LKolesar]] 10:01, 2013 May 8 (EDT)
** interesting point. Just had a quick look, here are the numbers: [[File:Trach entry counts.JPG]]
:: Trish, Julie, Laura: do these make sense in light of what Laura just said? Ttenbergen 13:15, 2013 May 8 (EDT)
**I think everyone interprets the task trach to mean trach care, not trach insertion, otherwise we would not have the numbers that we do.  I don't mind making this clear in the instructions if this is the intent of this task. Let me know. --[[User:LKolesar|LKolesar]] 11:24, 2013 May 9 (EDT)


*need to resolve this before any checks can be implemented. Ttenbergen 10:52, 2014 September 25 (CDT)
[[Category:Task Elements]]
}}

Latest revision as of 12:00, 30 July 2025

Legacy Content

This page contains Legacy Content.

Click Expand to show legacy content.

The trach task encodes whether or not a medicine patient has a tracheostomy. It is stored in the Diagnosis tab in CCMDB.accdb because that is the only way we could store it when we started to collect it.

Instructions

Medicine ward patients have lines created automatically under the diagnosis tab. The one for this element needs to be changed to one of the following:

Data Integrity Checks

See diagnoses in Category:Tracheostomy.

Data Integrity Checks (automatic list)

 AppStatus
Query check trach dx taskCCMDB.accdbretired

Data Structure

the list of options is in s_AllDiagnoses table and the actual data is stored in L_Dxs.

CCI

  • This task will no longer be collected once we move to ICD10/CCI. There are codes there, CCI Tracheostomy creation and ICD10 Tracheostomy, has one, Tracheostomy care and various tracheostomy complications. Will we want to move this data over or just keep it separate? Ttenbergen 19:26, 2018 October 25 (CDT)


Legacy

Task items replaced iTISS December 15, 2006.

Related articles

Related articles:

}}

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