Minutes Team Meeting December 5, 2011: Difference between revisions

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3. [[User: Ttenbergen |Tina]] presented the new [[Pharmacy collection | Pharmacy collection format]] and [[Drugs Collected | new drug list ]] . She is going to place the new list as a trial on the laptops so that data collectors can try utilizing it before we go “live” collecting pharmacy with the new format and [[Drugs Collected | new drug list ]]. We need to make sure it is user-friendly. As of '''January 1, 2012''', when this new system of collection begins, HSC will be manually collecting pharmacy along with all the other critical care data collectors in the city. Tina also summarized how the pharmacy data is used by researchers and managers.

4. Tina reviewed the ~~“[[Fix~~ CCMDB.~~mdb~~ using copy to local.bat |fix CCMDB]]” that is on the [[Regional Server]]. The instructions are on the wiki. Search for the word “fix” on our wiki to find this information. Tina also reminded the data collectors that problems with the laptops can be often dealt with by ehealth.

4. Tina reviewed the “Fix CCMDB.accdb using [[copy to local.bat |fix CCMDB]]” that is on the [[Regional Server]]. The instructions are on the wiki. Search for the word “fix” on our wiki to find this information. Tina also reminded the data collectors that problems with the laptops can be often dealt with by ehealth.

5. Tina explained that when a data collector changes their employment status at a hospital but continues to collect data, they need to ensure that their computer status is not stopped or discontinued. Ensure that HR knows that you will be continuing to use the computer log in, outlook, etc.

'''6. [[Overstay Predictor Project]]''': [[Dr. Dan Roberts]] is working towards implementation of this new project which utilizes data that medicine collectors already collect. The [[~~MOST~~]] ~~score~~ and comorbid parameters will be used to formulate a prediction about a pt within 2 business days of admission. If a pt, based upon these parameters, is thought to be at risk for over staying in the hospital beyond when they are medically stable for discharge, then a multidisciplinary team will begin planning for discharge right away. It is hoped that this tool will facilitate a more timely discharge. The problems that need to be worked out for the data collectors is that vacation coverage will need to be guaranteed. It will be essential that data is done in a timely fashion so we will not be able to get behind on data collection. We plan to ensure better coverage by likely hiring a float data collector. We will also look into better use of casuals. When this study begins, only 2 sites will be pilot sites: STB and Grace.

'''6. [[Overstay Predictor Project]]''': [[p:Dr. Dan Roberts]] is working towards implementation of this new project which utilizes data that medicine collectors already collect. The [[ALERT Scale]] and comorbid parameters will be used to formulate a prediction about a pt within 2 business days of admission. If a pt, based upon these parameters, is thought to be at risk for over staying in the hospital beyond when they are medically stable for discharge, then a multidisciplinary team will begin planning for discharge right away. It is hoped that this tool will facilitate a more timely discharge. The problems that need to be worked out for the data collectors is that vacation coverage will need to be guaranteed. It will be essential that data is done in a timely fashion so we will not be able to get behind on data collection. We plan to ensure better coverage by likely hiring a float data collector. We will also look into better use of casuals. When this study begins, only 2 sites will be pilot sites: STB and Grace.

7. Discussion about the use of [[:Category:Casual Data Collectors | Casual Data Collectors]]. They need to do some collection on a regular basis to remain proficient. Discussed the need to put the available hours on the wiki instead of the regional server so that the casuals can sign up for shifts more easily. [[User: PTorres | Pagasa]] will supply [[User: LKolesar | Laura]] with a list of the casual data collectors and she will email them to inform them of changes and to see if they still want to be on the casual roster. List of causal collectors and status can be found here: [[:Category:Casual Data Collectors | Casual Data Collectors]].

7. Discussion about the use of [[:p:Category:Casual Data Collectors | Casual Data Collectors]]. They need to do some collection on a regular basis to remain proficient. Discussed the need to put the available hours on the wiki instead of the regional server so that the casuals can sign up for shifts more easily. [[User: PTorres | Pagasa]] will supply [[User: LKolesar | Laura]] with a list of the casual data collectors and she will email them to inform them of changes and to see if they still want to be on the casual roster. List of causal collectors and status can be found here: [[:p:Category:Casual Data Collectors | Casual Data Collectors]].

8. Transfer ready dates and times. [[User: JMojica | Julie]] reviewed that ~~[http://ccmdb.kuality.ca/index.php/Admit,_Transfer_and_Discharge_date_and_time#~~Instructions_for_medicine_transfer_ready_dates_and_times~~| transfer ready dates and times for medicine]~~ this means that the pt could be discharged and is medically stable.

8. Transfer ready dates and times. [[User: JMojica | Julie]] reviewed that "Instructions_for_medicine_transfer_ready_dates_and_times" this means that the pt could be discharged and is medically stable.

*If a pt comes to a ward with the main reason is for paneling or discharge planning then the admit date and the transfer ready are the same. Just add 5 minutes to the transfer ready time to allow access to accept the time. Dr Roberts is working on getting the doctors to put a stamp in the chart to indicated when they are medically stable. The utilization management tool has not been very helpful in determining this information. Our data base has been more valuable in the past to determine over stays. There was also some discussion about transfer ready for critical care. The plan is that an order needs to be written and once written, a de-escalation of care will also occur (ie. remove art line, take off monitor, etc. ) essentially the pt becomes a ward pt once they are transfer ready. This is being worked on at this time.

*If a pt comes to a ward with the main reason is for [[paneling]] or discharge planning then the admit date and the transfer ready are the same. Just add 5 minutes to the transfer ready time to allow access to accept the time. Dr Roberts is working on getting the doctors to put a stamp in the chart to indicated when they are medically stable. The utilization management tool has not been very helpful in determining this information. Our data base has been more valuable in the past to determine over stays. There was also some discussion about transfer ready for critical care. The plan is that an order needs to be written and once written, a de-escalation of care will also occur (ie. remove art line, take off monitor, etc. ) essentially the pt becomes a ward pt once they are transfer ready. This is being worked on at this time.

9. Data collectors mentioned to Tina that a message pops up frequently when inputting new patients that there are no labs. Tina will try to fix this.

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 .  [[User: Ttenbergen |Tina]] presented the new [[Pharmacy collection | Pharmacy collection format]] and [[Drugs Collected | new drug list ]] .  She is going to place the new list as a trial on the laptops so that data collectors can try utilizing it before we go “live” collecting pharmacy with the new format and [[Drugs Collected | new drug list ]].  We need to make sure it is user-friendly.  As of '''January 1, 2012''', when this new system of collection begins, HSC will be manually collecting pharmacy along with all the other critical care data collectors in the city.  Tina also summarized how the pharmacy data is used by researchers and managers.
-.  Tina reviewed the “[[Fix CCMDB.mdb using copy to local.bat |fix CCMDB]]” that is on the [[Regional Server]].  The instructions are on the wiki.  Search for the word “fix” on our wiki to find this information.  Tina also reminded the data collectors that problems with the laptops can be often dealt with by ehealth.
+.  Tina reviewed the “Fix CCMDB.accdb using [[copy to local.bat |fix CCMDB]]” that is on the [[Regional Server]].  The instructions are on the wiki.  Search for the word “fix” on our wiki to find this information.  Tina also reminded the data collectors that problems with the laptops can be often dealt with by ehealth.
 .  Tina explained that when a data collector changes their employment status at a hospital but continues to collect data, they need to ensure that their computer status is not stopped or discontinued.  Ensure that HR knows that you will be continuing to use the computer log in, outlook, etc.
-'''6.  [[Overstay Predictor Project]]''': [[Dr. Dan Roberts]] is working towards implementation of this new project which utilizes data that medicine collectors already collect.  The [[MOST]] score and comorbid parameters will be used to formulate a prediction about a pt within 2 business days of admission.  If a pt, based upon these parameters, is thought to be at risk for over staying in the hospital beyond when they are medically stable for discharge, then a multidisciplinary team will begin planning for discharge right away.  It is hoped that this tool will facilitate a more timely discharge.  The problems that need to be worked out for the data collectors is that vacation coverage will need to be guaranteed.  It will be essential that data is done in a timely fashion so we will not be able to get behind on data collection.  We plan to ensure better coverage by likely hiring a float data collector. We will also look into better use of casuals.  When this study begins, only 2 sites will be pilot sites:  STB and Grace.
+'''6.  [[Overstay Predictor Project]]''': [[p:Dr. Dan Roberts]] is working towards implementation of this new project which utilizes data that medicine collectors already collect.  The [[ALERT Scale]] and comorbid parameters will be used to formulate a prediction about a pt within 2 business days of admission.  If a pt, based upon these parameters, is thought to be at risk for over staying in the hospital beyond when they are medically stable for discharge, then a multidisciplinary team will begin planning for discharge right away.  It is hoped that this tool will facilitate a more timely discharge.  The problems that need to be worked out for the data collectors is that vacation coverage will need to be guaranteed.  It will be essential that data is done in a timely fashion so we will not be able to get behind on data collection.  We plan to ensure better coverage by likely hiring a float data collector. We will also look into better use of casuals.  When this study begins, only 2 sites will be pilot sites:  STB and Grace.
-.  Discussion about the use of [[:Category:Casual Data Collectors | Casual Data Collectors]].  They need to do some collection on a regular basis to remain proficient.  Discussed the need to put the available hours on the wiki instead of the regional server so that the casuals can sign up for shifts more easily.   [[User: PTorres | Pagasa]] will supply [[User: LKolesar | Laura]] with a list of the casual data collectors and she will email them to inform them of changes and to see if they still want to be on the casual roster.  List of causal collectors and status can be found here: [[:Category:Casual Data Collectors | Casual Data Collectors]].
+.  Discussion about the use of [[:p:Category:Casual Data Collectors | Casual Data Collectors]].  They need to do some collection on a regular basis to remain proficient.  Discussed the need to put the available hours on the wiki instead of the regional server so that the casuals can sign up for shifts more easily.   [[User: PTorres | Pagasa]] will supply [[User: LKolesar | Laura]] with a list of the casual data collectors and she will email them to inform them of changes and to see if they still want to be on the casual roster.  List of causal collectors and status can be found here: [[:p:Category:Casual Data Collectors | Casual Data Collectors]].
-.  Transfer ready dates and times.  [[User: JMojica | Julie]] reviewed that  [http://ccmdb.kuality.ca/index.php/Admit,_Transfer_and_Discharge_date_and_time#Instructions_for_medicine_transfer_ready_dates_and_times| transfer ready dates and times for medicine] this means that the pt could be discharged and is medically stable.
+.  Transfer ready dates and times.  [[User: JMojica | Julie]] reviewed that  "Instructions_for_medicine_transfer_ready_dates_and_times" this means that the pt could be discharged and is medically stable.
-*If a pt comes to a ward with the main reason is for paneling or discharge planning then the admit date and the transfer ready are the same.  Just add 5 minutes to the transfer ready time to allow access to accept the time.  Dr Roberts is working on getting the doctors to put a stamp in the chart to indicated when they are medically stable.  The utilization management tool has not been very helpful in determining this information.  Our data base has been more valuable in the past to determine over stays.  There was also some discussion about transfer ready for critical care. The plan is that an order needs to be written and once written, a de-escalation of care will also occur (ie. remove art line, take off monitor, etc. ) essentially the pt becomes a ward pt once they are transfer ready.  This is being worked on at this time.
+*If a pt comes to a ward with the main reason is for [[paneling]] or discharge planning then the admit date and the transfer ready are the same.  Just add 5 minutes to the transfer ready time to allow access to accept the time.  Dr Roberts is working on getting the doctors to put a stamp in the chart to indicated when they are medically stable.  The utilization management tool has not been very helpful in determining this information.  Our data base has been more valuable in the past to determine over stays.  There was also some discussion about transfer ready for critical care. The plan is that an order needs to be written and once written, a de-escalation of care will also occur (ie. remove art line, take off monitor, etc. ) essentially the pt becomes a ward pt once they are transfer ready.  This is being worked on at this time.
 .  Data collectors mentioned to Tina that a message pops up frequently when inputting new patients that there are no labs.  Tina will try to fix this.
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