Minutes Team Meeting June 19, 2013: Difference between revisions

#The plan for September collection meeting is to have [[Dr. Allan Garland]] to present general plans to database structure changes program has been working on.  Collectors are noting some small changes in their [[CCMDB.mdb]] and they are not sure why they are being done.

#***Take issues and discuss in the [[Critical Care Review Task Group | ICU Database Task team]]

#**one '''SUGGESTION''': June 21.13; Trish has sent out an email to data collectors (including [[Dr. Allan Garland]] and Kendiss) to review and proposed we use the SAME wording for Criteria 2, make a 3rd criteria so wording is CLEARER for [[Central_Line_Related_Blood_stream_Infection_(CLR-BSI)| CLR_BSI]] as the [[CCVSM general information | Cross Canada Critical Care Vital Sign Montoring Project]].

#**Hi Dr. Kumar We need your help on this.  Collectors are having trouble decided when previously colonized with ARO (Antibiotic Resistant Organism), when does it become an acute infection be in septicemia or pneumonia.

#[[:Category: TISS28 | TISS28]] is not only used to monitor bedside nurse workload trends, by administration and management, it is also used by [[CCVSM general information | CCVSM]] and ICU Quality Improvement team for research and monitoring for quality of patient care.

#every 3-4 month the data collectors are asked to provide a summary of observed issues with completion of TISS forms.  This information feed back to ICU Nursing Director [[Jodi Walker Tweed]], review with the QI officer [[Basil Evan]], ICU managers in the region. Manager then review with their staff and QI Officer review with Nursing Educators.  

#[[Julie Mojica]] presented a brief '''Comparative Analysis of TISS28 items 46-49 vs CRN Data collection'''  

#RE: Long stay patient and turning in TISS form after second page is started: CCVSM and ICU QI team is wanting data sooner rather than later, particularily related to certain items on TISS.  There has been a request that collector not hold on to all the TISS forms until patient is discharged from unit if LOS is 10 days or more.  For some units this has been challenging that they are not able to do weekly QA check of TISS before submitting.  IF the ICU starts to accept TISS AS IS with missing days and incomplete data we would need a way on form and in TISS database tag this.   

===[[:Category: OverstayProject | Overstay Project]] Bed day reduction in medicine program ===

#**reduction of panelling from hospitals and increase panelling from Home.  Better for patient to be panelled from home

#'''ISSUE''': Collectors state that the ADMIT from items if often MISSED on [[Media:Discharge Planning Screening Tool.pdf | Discharge Planning Screening Tool (DPST)]] for and that it should be a question with a number 7 by it, otherwise often missed and collect has to chase.  Bedside nurse have request this change at HSC as per [[Pat Stein]].   

#[[Statistician]] [[Julie Mojica]] is able to capture READMIT when linking databases if patient is from a unit we are collecting on.  This is in regards to some comment about capturing the number of FAILED DISCHARGES (sorry, don't recall all of discussion on this point).

#[[Debbie Page-Newton]] Requested to have the stats for the number of bed days/beds saved as a result of the [[:Category:OverstayProject | OverstayProject]]. It would also be beneficial if someone could figure out what that translates to in terms of actual dollars and cents saved. I think that generally people can relate to, and are more impressed by the amount of money saved.

===[[Palliative Care]] ===

#as per [[Linda Hathout]] & [[Dr. Dan Roberts]] the [[Media:Discharge Planning Screening Tool.pdf | DPST]], should done for palliative care patients, and a color should be generated. {{Discussion}} (not sure what the final color was decided if GREEN or YELLOW?  It was Green by [[Dr. Dan Roberts]] first email.

#*[[Dr. Dan Roberts]]: what ever we do we have to be consistent.  Can't make tool too sensitive.  Even with misclassifications, we pick up sufficient number of REDS to make a difference.   

#*PROPOSED: Add a '''subcode''' to code 90400 [[Palliative Care]]

#*Collector must make sure that any patient admitted as Palliative or becomes Palliative after being admitted to your unit, you must include this code in your DX slots in [[CCMDB.mdb]] where appropriate.

#[[Pat Stein]] - '''HSC_H4 issues''' with doing [[ADL]].  Information if kept on chart at each patient room. Other medicine wards at HSC do not do this.  Collector must go to each and every room to get information.  Often it is not done, nor is it clear or accurate. Collector must hunt around and guess most of the time.  Question was asked of Medicine program in past (at Steering Meeting) as to why medicine does not adopt a standard ADL assessment form if this is an important assessment that must be made at admission?  Challenging for collectors at a number of sites because documentation can be all over the place.  The data collectors at HSC-H4, as well at other sites,  will look into room to assess ADL if nothing on chart.

[[Category: Minutes 2013]]