Project AHC: Difference between revisions
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== Data Collection applicable for... == | == Data Collection applicable for... == | ||
* For any medicine record being sent after the project start date, capture the first | * For any medicine record being sent after the project start date, capture the first consult for OT, PT, Social Work and Home Care. The reason for the consult does not matter. | ||
** OT said sometimes the medicine team will write a new consult, but that it isn't necessary if they are already following, they will however write a "transfer" note. she was uncertain if all other allied health teams practice the same way. Many of the consults are verbal. - '''you would enter a re-consult written as that''' | |||
=== Exclusion === | === Exclusion === | ||
* we don't track consults for | * we don't track consults for | ||
** pharmacy | ** pharmacy | ||
** utilization | ** utilization | ||
collect only the first consult sent dttm (or received if no indication of when the consult was sent) | |||
== Data Entry Instructions == | == Data Entry Instructions == | ||
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=== Referral sent === | === Referral sent === | ||
A line with Project '''"AH_C_<the allied health team>_s"''' and item "Referral sent" will be entered automatically for new patients, existing records entered prior to the start date of the project will need to have these entered manually. | A line with Project '''"AH_C_<the allied health team>_s"''' and item "Referral sent" will be entered automatically for new patients, existing records entered prior to the start date of the project will need to have these entered manually. | ||
* Project '''"AH_C_<the allied health team>_s"''' | * Project '''"AH_C_<the allied health team>_s"''' | ||
Update the record as follows: | Update the record as follows: | ||
* '''Item''': | * '''Item''': | ||
** '''"Referral sent"''' - leave this entry in place if a referral | ** '''"Referral sent"''' - leave this entry in place if a referral is found | ||
** '''"not consulted"''' - if you have finished the chart and didn't find one; '''in this case no other data for that consult should be entered, and any other lines generated for the respective allied health team should be deleted | ** '''"not consulted"''' - if you have finished the chart and didn't find one; '''in this case no other data for that consult should be entered, and any other lines generated for the respective allied health team should be deleted | ||
* '''Date''' / '''Time''': date/time of the consult if available | * '''Date''' / '''Time''': date/time of the consult if available | ||
** if consult not in chart but there is clear documentation in the chart use the dttm of the first note/assessment (best guess better than nothing but not mandatory) | ** if consult not in chart but there is clear documentation in the chart use the dttm of the first note/assessment (best guess better than nothing but not mandatory) | ||
** time of the consult is not mandatory, but a best guess would be preferred over not entering it | ** time of the consult is not mandatory, but a best guess would be preferred over not entering it | ||
* '''Checkbox''': check if the date and/or time is a '''best guess''' | * '''Checkbox''': check if the date and/or time is a '''best guess''' | ||
* | * Integer, Real, Comment: not used | ||
=== Consult Received === | === Consult Received === | ||
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** '''"Late consult received"''' - alternative if noted by AH | ** '''"Late consult received"''' - alternative if noted by AH | ||
* '''Date'''/'''Time''': date/time the consult is received, only if clearly documented | * '''Date'''/'''Time''': date/time the consult is received, only if clearly documented | ||
* '''Checkbox''': check if the date and/or time is '''not documented''' | * '''Checkbox''': check if the date and/or time is '''not documented''' | ||
* | * Integer, Real, Comment: not used | ||
=== Sources === | === Sources === | ||
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== Special Cases == | == Special Cases == | ||
=== Special Case - Consult before admission or after discharge from medicine === | |||
{{DL | | |||
The following was written within the data entry instructions: "** for consults that are initiated prior to the first [[Service tmp entry]] use the dttm of the first [[Service tmp entry]]". But down here it seems to say to only enter that there was a consult if the the med team writes a new order, in which case there would be a new dttm that is within range. So these seem contradictory to me. Am I missing something? [[User:Ttenbergen|Ttenbergen]] 16:46, 21 November 2025 (CST) | |||
}} | |||
* Only enter yes, if the medicine team writes a new order to consult one of the allied health team. | * Only enter yes, if the medicine team writes a new order to consult one of the allied health team. | ||
** OT said that if one of the OT members is consulted in ICU, or another ward, or ER, they do not re-consult, they give an OT to OT report - '''don't enter that''' | ** OT said that if one of the OT members is consulted in ICU, or another ward, or ER, they do not re-consult, they give an OT to OT report - '''don't enter that''' | ||
* | {{DL| | ||
* is this really a "don't enter that"? If so it should go under [[#Exclusion]]. [[User:Ttenbergen|Ttenbergen]] 16:46, 21 November 2025 (CST) | |||
* or is it an "aware of patient transfer from other source" for "consult received" - in which case it should be a sub-bullet under that entry | |||
}} | |||
=== Special Case - Self-consults / verbal consults === | === Special Case - Self-consults / verbal consults === | ||