Minimal Data Set: Difference between revisions

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~~This~~ is a data ~~collection~~ '''~~priority.~~''' ~~Minimal Data Set~~, ~~parts A & B below, must~~ be entered '''~~DAILY~~''' ~~onto the [[Laptop Setup | laptop]] for~~ '''~~ALL NEW admissions~~''' ~~as soon as possible each day you are in~~ to collect data.

The '''Minimal Data Set''' is the least amount of data that needs to be collected for a new patient when they are first [[adding a patient | added]] to the database. This data is [[Sending patients | sent]] every week for '''all patients''', not just those who are [[Final Check]]ed. This data needs to be entered for '''all newly admitted patients''' during '''every data collection shift'''. With the exception of special requests from head office, it is more important to collect this data than to complete collection for existing patients, '''especially for incomplete files'''.

If you '''try to send''' with part A of the minimal data set '''incomplete for any patient''' (even ones who are not [[Final Check]]ed), the [[CCMDB.mdb]] will give an "incomplete minimal data set" error and list the patient, and you will not be able to send '''any''' patients.

If '''~~part A~~''' of the ~~'''~~minimal data set''' ~~is not complete~~ for ~~'''~~any''' ~~patient~~, the [[CCMDB.mdb]] will give an "incomplete minimal data set" error and list the patient, and you will not be able to send '''any''' patients.

==Minimal Data Set Elements ==

*A. ~~'''Daily, ALL NEW~~ patients~~'''~~:

*A. For all new patients at every shift:

** serial number

** hospital

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** last name

** hospital chart number

** ~~unit~~ admit date (time not ~~necessary)~~

** [[Admit%2C_Transfer_and_Discharge_date_and_time#Admit_Date_and_Time | admit date]]

*** time should be entered if available, but will not generate an error if not entered since it is often not available immediately.

*B. For existing patients at every shift, add as they become available:

*B. ~~Daily also~~, ~~when you are in collecting data , the following also need to be entered onto the [[Laptop Setup | laptop]] as soon~~ as ~~it is~~ available:

** admit '''time'''

** '''~~admit~~ time'''

** discharge date and time

** ~~'''~~discharge date and time ~~'''~~

** PHIN

** DOB

*** [[Admit, Transfer and Discharge date and time#Priority_collection_before_sending | Importance of discharge DATE]]

The absence of these two items in Part B, will not stop the [[CCMDB.mdb|CCMDB]] from [[sending]] files. These items are allowed to be empty since they may not be available initially, but they should be filled in as soon as available.

~~NOTE:~~ The absence of these two items in Part B, will not stop the [[CCMDB.mdb|CCMDB]] from ~~sending files from your~~ [[~~Laptop Setup | laptop~~]] to ~~the [[Regional Server]].~~

*** How discharge date is used in ~~[[PDA_Pending.mdb | Pending.mdb]]~~

** data for those '''TmpV2''' entries where instructions say that all data is sent at every send

~~Data on '''ALL PATIENTS''' gets sent to the Regional Server each week that files are sent; see [[Sending Patients]] for details~~.

==Instruction for STB Med Minimal Data Set - Primary Source for the Admit date/time to Medicine Service:==

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*b. for Non Acute Care - C service medicine patients at STB, use EPR's registration tab/visit location/location history, for date/time accepted to medicine service.

=== Minimal data set only??===

Do these instructions apply to the minimal data set only, or to all Admit date/time entries? If so, [[Admit%2C_Transfer_and_Discharge_date_and_time#Definition_for_Medicine]] should be amended with this and it should be removed from here. [[User:Ttenbergen|Ttenbergen]] 14:40, 1 November 2010 (CDT)

== Reason why data is required for patients that are not complete yet ==

Data in the minimal data set is sent for all patients as soon as available, even before the patient is final checked. This allows us to include longer-stay patients who have not yet been discharged in our statistics and reporting.

Data from patients who are not yet complete is used for the following:

* to generate occupancy statistics

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* to monitor the number of outstanding patients

~~=== Removal of DOB and PHIN from the list ===~~

We removed PHIN and DOB from this list because it was causing problems entering patients admitted to our ICUs without identification. Chart Number and location should allow us to identify any such patients conclusively anyway.

[[Category: Data Collection Guide]]

[[Category: IT Instructions]]

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-This is a data collection '''priority.'''  Minimal Data Set, parts A & B below, must be entered '''DAILY''' onto the [[Laptop Setup | laptop]] for '''ALL NEW admissions''' as soon as possible each day you are in to collect data.
+The '''Minimal Data Set''' is the least amount of data that needs to be collected for a new patient when they are first [[adding a patient | added]] to the database. This data is [[Sending patients | sent]] every week for '''all patients''', not just those who are [[Final Check]]ed. This data needs to be entered for '''all newly admitted patients''' during '''every data collection shift'''. With the exception of special requests from head office, it is more important to collect this data than to complete collection for existing patients, '''especially for incomplete files'''.
+If you '''try to send''' with part A of the minimal data set '''incomplete for any patient''' (even ones who are not [[Final Check]]ed), the [[CCMDB.mdb]] will give an "incomplete minimal data set" error and list the patient, and you will not be able to send '''any''' patients.
-If '''part A''' of the '''minimal data set''' is not complete for '''any''' patient, the [[CCMDB.mdb]] will give an "incomplete minimal data set" error and list the patient, and you will not be able to send '''any''' patients.
 ==Minimal Data Set Elements ==
-*A. '''Daily, ALL NEW patients''':
+*A. For all new patients at every shift:
 ** serial number
 ** hospital
@@ Line 12: / Line 11: @@
 ** last name
 ** hospital chart number
-** unit admit date (time not necessary)
+** [[Admit%2C_Transfer_and_Discharge_date_and_time#Admit_Date_and_Time | admit date]]
+*** time should be entered if available, but will not generate an error if not entered since it is often not available immediately.
+*B. For existing patients at every shift, add as they become available:
-*B. Daily also, when you are in collecting data , the following also need to be entered onto the [[Laptop Setup | laptop]] as soon as it is available:
+** admit '''time'''
-** '''admit time'''
+** discharge date and time
-** '''discharge date and time '''
+** PHIN
+** DOB
-*** [[Admit, Transfer and Discharge date and time#Priority_collection_before_sending | Importance of discharge DATE]]
+The absence of these two items in Part B, will not stop the [[CCMDB.mdb|CCMDB]] from [[sending]] files. These items are allowed to be empty since they may not be available initially, but they should be filled in as soon as available.
-NOTE: The absence of these two items in Part B, will not stop the [[CCMDB.mdb|CCMDB]] from sending files from your [[Laptop Setup | laptop]] to the [[Regional Server]].
-*** How discharge date is used in [[PDA_Pending.mdb | Pending.mdb]]
-** data for those '''TmpV2''' entries where instructions say that all data is sent at every send
-Data on '''ALL PATIENTS''' gets sent to the Regional Server each week that files are sent; see [[Sending Patients]] for details.
 ==Instruction for STB Med Minimal Data Set - Primary Source for the Admit date/time to Medicine Service:==
@@ Line 32: / Line 25: @@
 *b. for Non Acute Care - C service medicine patients at STB, use EPR's registration tab/visit location/location history, for date/time accepted to medicine service.
+=== Minimal data set only??===
+Do these instructions apply to the minimal data set only, or to all Admit date/time entries? If so, [[Admit%2C_Transfer_and_Discharge_date_and_time#Definition_for_Medicine]] should be amended with this and it should be removed from here. [[User:Ttenbergen|Ttenbergen]] 14:40, 1 November 2010 (CDT)
 == Reason why data is required for patients that are not complete yet ==
+Data in the minimal data set is sent for all patients as soon as available, even before the patient is final checked. This allows us to include longer-stay patients who have not yet been discharged in our statistics and reporting.
 Data from patients who are not yet complete is used for the following:
 * to generate occupancy statistics
@@ Line 39: / Line 36: @@
 * to monitor the number of outstanding patients
-=== Removal of DOB and PHIN from the list ===
-We removed PHIN and DOB from this list because it was causing problems entering patients admitted to our ICUs without identification. Chart Number and location should allow us to identify any such patients conclusively anyway.
 [[Category: Data Collection Guide]]
 [[Category: IT Instructions]]