Palliative Service: Difference between revisions

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***** Yes, we will miss this information. Like many other things we don't code. If we need this information at some point we can start collecting it. Ttenbergen 10:59, 2013 October 28 (CDT)

*****I think we need to clarify with Dr.Garland to ensure that this information is not important to include in our complication codes. Another option would be to make a separate code "ACP C" and then the palliative code could be worded, "palliative consult" to make it clearer. The ACP coding system is the same throughout the WRHA and is a widely accepted system. It seems odd that we cannot use this in the database as least for the ACP C patients. It would greatly clarify our coding and the outcomes on many patients.

****** and ~~what does~~ ACP C ~~stand~~ for~~? Thanks~~.[[User:TOstryzniuk|Trish Ostryzniuk]] 11:39, 2013 October 28

******Appreciate the question and input. Hope we can shrink this article down shortly. The medicine program is only interested in tagging patients whom it is known at the start of a ward admission that the plan is comfort care only and thus to tag it in TMP. The medicine program is not interested on tagging those patient that become ACP C or comfort care '''AFTER''' ward admission. There comes a point were the database program has to decide where to limit collection details otherwise it is endless and you get collection creep going on. This is the same for Palliative care. Medicine program has chosen a definition so that any research or data modeling that is being done from our database, this element is clear on how it is being collected and thus can be explained. I have put this forward to Allan in an email since he was the person who went to get interpretation from Dan. [[User:TOstryzniuk|Trish Ostryzniuk]] 20:00, 2013 October 28 (CDT)

*******(CDT)http://www.wrha.mb.ca/professionals/acp/index.php here is the link for you Trish.

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 ***** Yes, we will miss this information. Like many other things we don't code. If we need this information at some point we can start collecting it. Ttenbergen 10:59, 2013 October 28 (CDT)
 *****I think we need to clarify with Dr.Garland to ensure that this information is not important to include in our complication codes.  Another option would be to make a separate code "ACP C" and then the palliative code could be worded, "palliative consult" to make it clearer.  The ACP coding system is the same throughout the WRHA and is a widely accepted system.  It seems odd that we cannot use this in the database as least for the ACP C patients.  It would greatly clarify our coding and the outcomes on many patients.
-****** and what does ACP C stand for? Thanks.[[User:TOstryzniuk|Trish Ostryzniuk]] 11:39, 2013 October 28
+******Appreciate the question and input. Hope we can shrink this article down shortly.   The medicine program is only interested in tagging patients whom it is known at the start of a ward admission that the plan is comfort care only and thus to tag it in TMP.  The medicine program is not interested on tagging those patient that become ACP C or comfort care '''AFTER''' ward admission.   There comes a point were the database program has to decide where to limit collection details otherwise it is endless and you get collection creep going on.  This is the same for Palliative care. Medicine program has chosen a definition so that any research or data modeling that is being done from our database, this element is clear on how it is being collected and thus can be explained.  I have put this forward to Allan in an email since he was the person who went to get interpretation from Dan. [[User:TOstryzniuk|Trish Ostryzniuk]] 20:00, 2013 October 28 (CDT)
 *******(CDT)http://www.wrha.mb.ca/professionals/acp/index.php  here is the link for you Trish.