CCMDB Wiki

ACP Status Collection in ICU: Difference between revisions

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{{Project
|ProjectActive=legacy
|ProjectProgram=CC
|ProjectRequestor=Critical Care QI Team
|ProjectCollectionStartDate=2015-08-10
|ProjectCollectionStopDate=2016-12-31
|Project=ACP Status Collection in ICU
}}
{{LegacyContent
|explanation=Collection for this project stopped 2016-12-31
|successor=See [[ACP Status Collection over time]] for related collection projects.
|content=
This article is about collecting the "ACP Status" (Advanced Care Planning) temp entry.
This article is about collecting the "ACP Status" (Advanced Care Planning) temp entry.


== Start and stop date ==
== Start and stop date ==
* First ACP Collection Start Date: 2015-AUG-10
* First ACP Collection Start Date: 2015-08-10
* Date with complete data across all sites: 2015-SEP-1
* Date with complete data across all sites: 2015-09-01
* Date that ACP status documented in chart closest to ICU ADMIT and ICU END.  Start to collect dates on: 2016-APR-8
* Date that ACP status documented in chart closest to ICU ADMIT and ICU END.  Start to collect dates on: 2016-04-8
* Revised ACP Collection Start Date: 2016-May-01
* Revised ACP Collection Start Date: 2016-05-01
* '''Stop Date: 2016-Dec-31'''
* '''Stop Date: 2016-12-31'''
**For patients who have been admitted before or on Dec 31, 2016 and are still in the unit by Jan 2017 and have ACP status data, just email Pagasa the ACP status, ACP source and dates - she will add it in the TMPV2 table of the master database.


== Purpose ==
== Purpose ==
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**** '''ACP M+''' - all medical care given except cardiac resuscitation; intubation either happened or allowed
**** '''ACP M+''' - all medical care given except cardiac resuscitation; intubation either happened or allowed
**** '''ACP M-''' - all medical care given except cardiac resuscitation and intubation; also if ACP M is written without +/-
**** '''ACP M-''' - all medical care given except cardiac resuscitation and intubation; also if ACP M is written without +/-
**** '''[[ACP C]]''' - comfort care
**** '''[[ACP-C]]''' - comfort care
**** '''not documented''' - should be paired with same in ACP Status
**** '''not documented''' - should be paired with same in ACP Status
** Project '''ACP Source'''
** Project '''ACP Source'''
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=== Examples ===
=== Examples ===
Some EXAMPLES of pairing ACP status and Source in CCMDB_TMP: [[Media:ACP status collection examples status and source.pdf | CLICK HERE]] to see table of examples.
Some EXAMPLES of pairing ACP status and Source in CCMDB_TMP: [[Media:ACP status collection examples status and source.pdf|CLICK HERE]] to see table of examples.


=== If care has been discontinued ===
=== If care has been discontinued ===
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== WRHA guidelines / forms ==
== WRHA guidelines / forms ==
*[http://www.wrha.mb.ca/acp/files/Workbook.pdf WRHA ACP Guidelines/workbook]
*[[Media:WRHA ACP form Nov 2013.pdf | Example of WRHA ACP FORM]]
*[http://home.wrha.mb.ca/corp/policy/files/110.000.200.pdf  WRHA Advance Care Policy]
*[[Media:AdmittingOrdersforICU.pdf | Example of Admitting Orders for ICU]]
*[[Media:WRHA ACP form Nov 2013.pdf |Example of WRHA ACP FORM]]
*[[Media:AdmittingOrdersforICU.pdf |Example of Admitting Orders for ICU]]
 


== {{CCMDB Data Integrity Checks}} ==
== Cross Checks ==
==== Complete and Incomplete patients ====
* [[Query s tmp ACP]]
* ACP entries must be paired
* there has to be a status entry
* there has to be a source entry
* if there is a date, it can't be after the [[Dispo_DtTm]]
==== Complete patients ====
* unless source item = "not documented" there has to be a date
* unless status item = "not documented" there has to be a date
* source and status items can't be null, "" or "enter"
* source and status integers have to be present


== Data use / Reporting and Analysis ==
== Data use / Reporting and Analysis ==
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* the data are saved in table L_TmpV2 under projects "ACP at admit / ACP at end / ACP Status / ACP Source" of the centralized_data.mdb
* the data are saved in table L_TmpV2 under projects "ACP at admit / ACP at end / ACP Status / ACP Source" of the centralized_data.mdb
* the SAS program that reads the data can be found in X:\Julie\SAS_CFE\CFE_macros\CFE_CC_ACP.sas
* the SAS program that reads the data can be found in {{S:\MED\MED_CCMED}}Julie\SAS_CFE\CFE_macros\CFE_CC_ACP.sas


== Legacy ==
== Legacy ==
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''see [[Comfort Care]] for collection of similar info in Medicine''
''see [[Comfort Care]] for collection of similar info in Medicine''


 
}}
 
[[Category:End-of-life related data]]
[[Category: All Projects ICU only]]
[[Category:ACP]]
[[Category: End-of-life related data]]
[[Category: ACP]]
Retrieved from "https://ccmdb.kuality.ca/index.php?title=ACP_Status_Collection_in_ICU"