Project AHC: Difference between revisions
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* For any medicine record being sent after the project start date, capture whether there were any allied health consults, the reason for the consult does not matter. | * For any medicine record being sent after the project start date, capture whether there were any allied health consults, the reason for the consult does not matter. | ||
* Some patients may have more than one consult for the same allied health professional during their hospital stay, record each time there is a new consult for any of the allied health professions listed. | * Some patients may have more than one consult for the same allied health professional during their hospital stay, record each time there is a new consult for any of the allied health professions listed. | ||
** If there is more than one consult, link together the data collected per consult by entering a common number in the integer / "N" column | ** If there is more than one consult, link together the data collected per consult by entering a common number in the integer / "N" column; start with the number 100 so three is no confusion with other tmp entries that use the integer to link | ||
* self-consults by any allied health professional should be captured as a new consult | * self-consults by any allied health professional should be captured as a new consult | ||
* Verbal consults will not have an order or consult written, if when reviewing a chart there is a note by an allied health professional and no associated consult/order enter that as yes and note the dttm of the first documentation | * Verbal consults will not have an order or consult written, if when reviewing a chart there is a note by an allied health professional and no associated consult/order enter that as yes and note the dttm of the first documentation | ||
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== Data Entry Instructions == | == Data Entry Instructions == | ||
The following instructions hold for one of each of the allied health teams, ie AH_C_OT, AH_C_PT, AH_C_SW, AH_C_HC | The following instructions hold for one of each of the allied health teams, ie AH_C_OT, AH_C_PT, AH_C_SW, AH_C_HC | ||
Same instructions for each unless otherwise noted. | Same instructions for each unless otherwise noted. Acronym definitions: AH_C - Allied Health Consult, OT - Occupational Therapy, PT - Physical Therapy(Physiotherapy), SW - Social Work, HC - Home Care. | ||
Conditional formatting per allied health team: PT blue, OT yellow, SW green, HC red. | |||
=== 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. | |||
** for consults that are initiated prior to the first [[Service tmp entry]] use the dttm of the first [[Service tmp entry]] | |||
** for consult that are initiated via care maps/clinical pathways, use the dttm that the form is initiated | |||
* Project '''"AH_C_<the allied health team>_s"''' | |||
Update the record as follows: | Update the record as follows: | ||
* '''Item''': leave | * '''Item''': | ||
** '''"Referral sent"''' - leave this entry in place if a referral sis 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 | |||
* '''Date''': date 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) | * '''Date''': date 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) | ||
* '''Time''': time of the consult (best guess better than nothing but not mandatory) | * '''Time''': time of the consult (best guess better than nothing but not mandatory) | ||
* '''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 / "N" column''' - linking together of entries for the same consult | * '''Integer / "N" column''' - linking together of entries for the same consult | ||
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The following lines will automatically be added to each new medicine record, existing records entered prior to the start date of the project will need to have these entered manually: | The following lines will automatically be added to each new medicine record, 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>''' - Item: "not entered" (because you haven't set a value yet) | * '''Project: AH_C_<the allied health team>''' - Item: "not entered" (because you haven't set a value yet) | ||
** for consults that are received prior to the first [[Service tmp entry]] use the dttm of the first [[Service tmp entry]] | |||
** At the GGH patients that are already receiving Homecare services will have a printout from the EHCR (electronic home care record??) in the chart, choose the option "aware of patient transfer from other source" if this is the case. The date and time that the EHCR is printed will be on the form | |||
Update the record as follows: | Update the record as follows: | ||
* '''Item''': change the item dropdown as follows as you come across information | * '''Item''': change the item dropdown as follows as you come across information | ||
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** '''"aware of patient transfer from other source"''' - alternative if noted by AH | ** '''"aware of patient transfer from other source"''' - alternative if noted by AH | ||
** '''"Late consult received"''' - alternative if noted by AH | ** '''"Late consult received"''' - alternative if noted by AH | ||
* '''Date''': date the consult is received, only if clearly documented | * '''Date''': date the consult is received, only if clearly documented | ||
* '''Time''': time the consult is received, only if clearly documented | * '''Time''': time the consult is received, only if clearly documented | ||
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* '''Date''': date 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) | * '''Date''': date 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) | ||
* '''Time''': time of the consult (best guess better than nothing but not mandatory) | * '''Time''': time of the consult (best guess better than nothing but not mandatory) | ||
* '''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 | * Integer, Real, Comment: not used | ||
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This data is being collected as a current state for [[Project Overstay2]]. | This data is being collected as a current state for [[Project Overstay2]]. | ||
{{Data Integrity Check List|}} <!-- this will populate automatically from the cross-checks --> | {{Data Integrity Check List|}} <!-- this will populate automatically from the cross-checks --> | ||