Team Meeting June 12 2008: Difference between revisions

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Dr. Roberts:

Asked each hospitals Medicine data collectors to report on how they were collecting the ADLs now and at the time of the initial MOST score study:

#Asked each hospitals Medicine data collectors to report on how they were collecting the ADLs now and at the time of the initial MOST score study:

Grace-Used to document the worst within 24 hours of admission and changed to the closest assessment to admission. Try if possible to derive the ADL from the ER notes but the majority of the time it is taken from nursing notes within 24 hour of the patients admission to the ward.

#Grace-Used to document the worst within 24 hours of admission and changed to the closest assessment to admission. Try if possible to derive the ADL from the ER notes but the majority of the time it is taken from nursing notes within 24 hour of the patients admission to the ward.

Vic-Used to document the worst within 24 hours of admission and changed to the closest assessment to admission. Read the ER notes since OT and PT are greatly involved in patient care they do the ADL assessment and it is consistently well done prior to the ward admission.

#Vic-Used to document the worst within 24 hours of admission and changed to the closest assessment to admission. Read the ER notes since OT and PT are greatly involved in patient care they do the ADL assessment and it is consistently well done prior to the ward admission.

HSC-It used to be based on the worst within 24 hours of admission. Some switch to the way the patient was prior to admission others are using the closest assessment to the time of admission.

#HSC-It used to be based on the worst within 24 hours of admission. Some switch to the way the patient was prior to admission others are using the closest assessment to the time of admission.

SBGH-It used to be based on the worst within 24 hours of admission. All collectors changed to the way the patient was just prior to the hospital admissions. This information is collected as part of the ER history.

#SBGH-It used to be based on the worst within 24 hours of admission. All collectors changed to the way the patient was just prior to the hospital admissions. This information is collected as part of the ER history.

Questions to Dr. Roberts:

If a patient is sedated what should their GCS be? It should be based on there non sedated state not chemically altered.

#If a patient is sedated what should their GCS be? It should be based on there non sedated state not chemically altered.

If a patient had a stroke and can't talk but can communicate what should their score be? The verbal score should be 15.

#If a patient had a stroke and can't talk but can communicate what should their score be? The verbal score should be 15.

Does NPO quality as dependent? No

#Does NPO quality as dependent? No

Does a foly quality as dependent? No if it is for convenience.

#Does a foly quality as dependent? No if it is for convenience.

#If a patient has a preexisting cognitive impairment what should their GCS be? If they are operating at their regular level of functionality it should be 15.

#If their is not a clearly recorded previous stroke or MI but the EKG interpretation or CT scan reports a prior event should it still be recorded as a commorbidity? Yes

@@ Line 56: / Line 56: @@
 Dr. Roberts:
-Asked each hospitals Medicine data collectors to report on how they were collecting the ADLs now and at the time of the initial MOST score study:
+#Asked each hospitals Medicine data collectors to report on how they were collecting the ADLs now and at the time of the initial MOST score study:
-Grace-Used to document the worst within 24 hours of admission and changed to the closest assessment to admission. Try if possible to derive the ADL from the ER notes but the majority of the time it is taken from nursing notes within 24 hour of the patients admission to the ward.
+#Grace-Used to document the worst within 24 hours of admission and changed to the closest assessment to admission. Try if possible to derive the ADL from the ER notes but the majority of the time it is taken from nursing notes within 24 hour of the patients admission to the ward.
-Vic-Used to document the worst within 24 hours of admission and changed to the closest assessment to admission. Read the ER notes since OT and PT are greatly involved in patient care they do the ADL assessment and it is consistently well done prior to the ward admission.
+#Vic-Used to document the worst within 24 hours of admission and changed to the closest assessment to admission. Read the ER notes since OT and PT are greatly involved in patient care they do the ADL assessment and it is consistently well done prior to the ward admission.
-HSC-It used to be based on the worst within 24 hours of admission. Some switch to the way the patient was prior to admission others are using the closest assessment to the time of admission.
+#HSC-It used to be based on the worst within 24 hours of admission. Some switch to the way the patient was prior to admission others are using the closest assessment to the time of admission.
-SBGH-It used to be based on the worst within 24 hours of admission. All collectors changed to the way the patient was just prior to the hospital admissions. This information is collected as part of the ER history.
+#SBGH-It used to be based on the worst within 24 hours of admission. All collectors changed to the way the patient was just prior to the hospital admissions. This information is collected as part of the ER history.
 Questions to Dr. Roberts:
-If a patient is sedated what should their GCS be? It should be based on there non sedated state not chemically altered.
+#If a patient is sedated what should their GCS be? It should be based on there non sedated state not chemically altered.
-If a patient had a stroke and can't talk but can communicate what should their score be? The verbal score should be 15.
+#If a patient had a stroke and can't talk but can communicate what should their score be? The verbal score should be 15.
-Does NPO quality as dependent? No
+#Does NPO quality as dependent? No
-Does a foly quality as dependent? No if it is for convenience.
+#Does a foly quality as dependent? No if it is for convenience.
+#If a patient has a preexisting cognitive impairment what should their GCS be? If they are operating at their regular level of functionality it should be 15.
+#If their is not a clearly recorded previous stroke or MI but the EKG interpretation or CT scan reports a prior event should it still be recorded as a commorbidity? Yes
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