Reporting Indicators Documentation Status

This page automatically lists articles about indicators we use in reporting, and the issues that have been identified with those indicators.

	DiscussQuestion	DiscussWho	Modification date"Modification date" is a predefined property that corresponds to the date of the last modification of a subject and is provided by Semantic MediaWiki.	Last editor is"Last editor is" is a predefined property that contains the page name of the user who created the last revision and is provided by Semantic MediaWiki.
ADL Score			6 August 2025 20:50:03	Ttenbergen
ALERT Scale			6 August 2025 20:50:02	Ttenbergen
APACHE Acute Diagnoses			15 November 2022 16:39:51	Ttenbergen
APACHE Score			6 August 2025 20:50:06	Ttenbergen
Acuity			9 April 2020 17:40:42	Ttenbergen
Age			30 July 2025 16:12:50	Ttenbergen
Avoidable Days (Critical Care)			30 July 2025 16:29:53	Ttenbergen
Bed occupancy			30 July 2025 16:29:21	Ttenbergen
Beds occupied by transferrable patients (Critical Care)	For the Directors Quarterly and Annual Report (Critical Care), the Dispo DtTm is used as the time of reference. The record's ICU Dispo DtTm, or the linked ICU Hospitalization's Dispo DtTm?	Julie	7 December 2025 21:02:14	Ttenbergen
Beds occupied by transferrable patients (Medicine)			30 July 2025 16:29:29	Ttenbergen
CRRT Days			19 October 2023 21:17:19	JMojica
Central Line Associated Blood-Stream Infection (CLA-BSI) rate			30 June 2025 06:12:17	Ttenbergen
Central Line Day			18 October 2023 17:01:54	JMojica
Charlson Comorbidity Index			30 June 2025 06:12:25	Ttenbergen
Decubitus ulcer collection summary			23 October 2025 21:10:16	Ttenbergen
Delirium days			6 August 2025 20:50:05	Ttenbergen
Duration of Mechanical Ventilation			30 June 2025 06:12:32	Ttenbergen
ER Delay	I have re-updated Created_Variables_Common_maker_2021 query, for some reason the change I had made was not reflected in the master version. Ready to test. Ttenbergen 13:25, 2022 June 28 (CDT) emailed Tina some inconsistencies found in ER Delays Aug 15,2022. --JMojica 13:21, 2022 August 29 (CDT) are these still an issue? Ttenbergen 11:15, 2024 May 1 (CDT) I will re-check again. Can't remember if have been resolved. --JMojica 14:40, 2024 October 2 (CDT) I just had a look at that sas file (they open as text files) to see how you define transfer delay. If that file is still being used we may have a problem, it still defines tdelay different if a pt goes to a higher level of care, goes AMA or dies, and we changed that some time ago. So is this still the reference of how you calculate this? Ttenbergen 22:50, 2024 November 16 (CST) This data is problematic before 2011-Q2,the only reason there are any is because it derives them for EMIPs. Some data may be available in Moves for Medicine, but that would still leave a gap. Ttenbergen 23:09, 2024 November 16 (CST) OK, will be working on this getting data from Moves for Medicine from period Sept 2007 to June 3, 2011. will give to Pagasa for upload to Arrive DtTm field. I will update the WIKI as soon as done. Conclusion: for Medicine, prior Sept 2007, no ER delay while for Critical Care, no ER Delay prior July 1, 2016 -- these are treated as missing. --JMojica 16:35, 2024 December 11 (CST) This measure is not referenced by any of the Reports pages. Which reports actually use this? Is it wrapped into a specifically stratified indicator like beds lost or similar? Ttenbergen 15:14, 7 December 2025 (CST) This is reported in ICU quarter report Length_of_Time_for_Transfer_from_ED_to_ICU_within_same_facility but not in Medicine. ER delay is reported as requested. --JMojica 10:32, 8 December 2025 (CST)	all Julie	8 December 2025 22:03:52	Ttenbergen
ICU Acquired Antibiotic Resistant Organism (ARO) rate			30 June 2025 06:12:51	Ttenbergen
ICU Acquired Catheter-associated Urinary Tract Infection (CAUTI) rate			6 August 2025 20:50:05	Ttenbergen
ICU Acquired Sepsis			30 July 2025 16:33:55	Ttenbergen
ICU Acquired Ulcer Rate			23 October 2025 20:02:04	Ttenbergen
ICU Diagnosis APACHE Category Rate			7 March 2025 15:41:31	Ttenbergen
ICU Interfacility Transfer			4 August 2025 17:54:11	Ttenbergen
ICU Primary Diagnosis ICD10 Chapter Rate			7 March 2025 15:41:34	Ttenbergen
ICU Resource Utilization - Chest Xrays			29 December 2022 18:34:01	Ttenbergen
ICU Resource Utilization - Creatinine Tests			29 December 2022 18:34:06	Ttenbergen
Indicators			16 March 2022 20:36:55	Ttenbergen
Invasive mechanical ventilation at 2300 hrs (concept)			16 March 2022 20:38:35	Ttenbergen
LOS Medicine per hospital admission			30 July 2025 16:33:47	Ttenbergen
LOS Per Record			7 March 2025 15:41:46	Ttenbergen
LOS Per Service			30 June 2025 06:12:34	Ttenbergen
LOS per Location			7 March 2025 15:41:41	Ttenbergen
Length of Time for Transfer from ED to ICU within same facility			8 December 2025 21:56:14	Ttenbergen
Medicine Primary Diagnosis Rate			7 March 2025 15:41:40	Ttenbergen
Night Time Discharges			30 July 2025 16:56:10	Ttenbergen
Nursing Workload			24 June 2025 15:37:12	Ttenbergen
Occupancy For Bed Held			26 January 2023 16:05:54	JMojica
Over Census at Midnight			7 March 2025 15:41:43	Ttenbergen
Patient flow			23 July 2025 19:52:15	Ttenbergen
Readmission Rate to ICU			6 August 2025 20:50:08	Ttenbergen
Readmission to MedWard	when we were setting up LAU collection readmission data we realized that we are not clear on what exactly is included in a Discharged to community. We should decide how to define that and whether it should apply here and/or for other reports. In a meeting with Dan, Julie and Tina we also realized we need to include the newer home with supports etc in the definition of where someone was discharged to, and we may want to base this on Visit_Admit_dttm instead and so consider re-admission to either CC or med. If I understand right, the current definition considers someone who is re-admitted to ED the next day but then spends a week in CC before coming to a medicine bed is not considered a re-admission to medicine. I think EMIPs are excluded in the same way.	Julie	24 November 2025 21:36:16	Ttenbergen
Reporting Indicators			30 July 2025 17:10:06	Ttenbergen
Reporting Indicators Documentation Status			28 April 2021 21:04:16	Ttenbergen
Severity of illness			6 June 2025 19:50:47	Ttenbergen
Sex Rate			30 June 2025 06:12:45	Ttenbergen
Transfer Delay (Critical Care)	The Dispo location will be used to define the destination. As per Dr. Garland & Dr. Paunovic. I think we discussed at Task that we will do this differently now... right? The above is really about stratification, and not the indicator itself. Do you really only use it to stratify delays, or do you also report other indicators such as Length of Stay with it. Even if it is single-use, I think we should probably treat any generated value we use to stratify pretty much as we do Indicators, possibly using the same templates on the wiki. The stratification affects averages and totals, so it needs to be transparent. This is likely a can of worms because there must be much stratification in the reports. Ttenbergen 14:50, 7 December 2025 (CST)	Julie	7 December 2025 20:50:58	Ttenbergen
Transfer Delay (Medicine)	How about scenario Med(with TR) -> HOBS -> Med(with TR) -> hosp discharge According to the definition that would result in two delays but we only get a single Delay metric per record. So is it (a) sum (time from TR1 to start of HOBS, time from TR2 to hosp discharge) (b) sum (time from TR1 to start of HOBS, entire time at subsequent med level of care locations) In Beds occupied by transferrable patients (Medicine) you state that the metric is per patient, but is it really per patient, per record or per boarding loc? So if a patient goes from a boarding loc to another and back to the first, you presumably report the sum of the time at that loc for that pt, but for an average, would the N be 1 patient or 2 records? To take that further, if the pt goes to ICU and then comes back, would the N become 3? the inclusion criteria on that page don't really clarify how this is resolved. I realize we were breaking out these indicators and trying to have each explained all on page for ease of use by report users, but this is an example where I think it would be better to define things like 'the transfer delay complex' as individual indicators, individual stratifiers, and then possibly define a compound indicator that combines them, but refers to the earlier definitions. It makes it slightly harder to follow, but hopefully anyone who actually looks at a data definition value coherence of the details over light reading. Also, I realize it's more friendly to read in indicators that something is "per patient", but I think it is also important to be specific about this, so suggest we should change this to be the actual N used in any of our indicators. in file 20_... for GRA data Julie provides an explanation that may resolve this question. I am putting it below. If I understand that one correctly, W1 - W1TR - W2 - H1 - W3 - W3TR - Dispo would result in a delay of dispo-W1TR W1 - W2 - W2TR - H1 - W3 - W3TR - Dispo would result in a delay of dispo-W3TR Is that the right understanding? If Julie agrees the discussion can go.	Julie	11 December 2025 07:22:50	Ttenbergen
Unit Mortality	I seem to remember hearing that this excludes palliative patients or something like that. If not, did it use to? If it used to and changed we should state that here. If it still does, or never did, we might want to be specific about that above so it doesn't come up again.	Julie	8 December 2025 22:40:52	Ttenbergen
Ventilated patient flow			30 July 2025 17:11:17	Ttenbergen
Ventilator Associated Pneumonia Rate			30 July 2025 17:10:17	Ttenbergen
Ventilator Utilization Ratio			30 June 2025 06:12:40	Ttenbergen

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