Project AHC

Projects
Active?:	planned
Program:	Med
Requestor:	Dan Roberts
Collection start:	within the next week or so "within the next week or so" contains an extrinsic dash or other characters that are invalid for a date interpretation.
Collection end:	somewhere between 100 records and 3 months

Data Collection

• For any medicine record being sent after the project start date, capture whether there were any allied health consults.
• Some patients may have more than one consult for the same allied health professional during their hospital stay, record each time there is a new consult for any of the 6 allied health professions. We do not need to collect when they are discharged by an allied health profession.
• We only want new consults that are generated by the medicine team. If they are transferred in from ICU or another ward or from ER, where they are already being followed by an allied health professional, only enter yes if the medicine team generates a new consult
• self-consults by any allied health professional should be captured as a new consult
• Verbal consults will not have an order or consult written, if when reviewing a chart there is a note by an allied health professional and no associated consult/order enter that as yes and note the dttm of the first documentation

Data Entry Instructions

The following lines will automatically be added to each new medicine record, existing records entered prior to the start date of the project will need to have these entered manually:

• Project: AHC_HC - Item: "not entered" (because you haven't set a value yet)
• Project: AHC_OT - Item: "not entered"
• Project: AHC_PT - Item: "not entered"
• Project: AHC_SW - Item: "not entered"
• Project: AHC_SLP - Item: "not entered"
• Project: AHC_Dietician - Item: "not entered"

• Item: change the item dropdown as follows as you come across information
  • "yes" - if you found any consult for (Home care HC, Occupational therapy OT, Physiotherapy PT, Social Work SW)
  • "no" - if you have finished the chart and didn't find one
• Date: date of the first consult if available, if consult not in chart but there is clear documentation in the chart use the dttm of the first note/assessment (best guess better than nothing but not mandatory)
• Time: time (if available) of the first consult

if not available/documented should we have that as an option? Lisa Kaita 13:59, 2024 November 28 (CST) two options... checkbox for "time missing" or better to say do a best guess but must enter. Thoughts? Ttenbergen 14:16, 2024 November 28 (CST) good with checkbox but does Dr R have any ideas of what his preference would be? Lisa Kaita 14:44, 2024 November 29 (CST) he mostly said he wants counts. That will likely turn into a "how much delay". At that point a guessed date would be better than none. If we turn it into "guessed date" and "check box if guessed" we get the most data. Would that be harder to enter? I will forward him the question anyway. Ttenbergen 01:35, 2024 December 1 (CST) That would be fine as long as intruction is clear Lisa Kaita 19:35, 2024 December 1 (CST)

• SMW

• Cargo

• Categories

• Integer: not used
• Real: not used
• Checkbox: not used
• Comment: not used

Are we to go through each allied health consult SW, SLP, PT, OT, HC, Dietician, and put a Yes or No to all of them? Or just put a Yes in the ones that were consulted? Mcrawley 07:49, 2024 December 2 (CST) Not sure how you would go about collecting it ("are we to go through..."), but yes, the idea is to put a yes and date for the ones that have consults, and a no for the ones that don't, to make sure they are not just forgotten. It will be a bit of extra effort to add those for existing records, but for new records you would just change them to "no" when you are comfortable there was no consult. Maybe other collectors can speak to actually finding and entering them. Ttenbergen 09:24, 2024 December 2 (CST)

• SMW

• Cargo

• Categories

Sources

• SBGH in EPR - check for consults in the orders tab, there will also be documentation in the documents section by the various allied health teams, if they have been consulted
• HSC and GGH - check for an order and also the consult sections of the chart, there will also be documentation in the notes section by the various allied health team, if they have been consulted

Consult not required for...

• we don't track consults for pharmacy

Special Case - Consult before admission or after discharge from medicine

• Only enter yes, if the medicine team writes a new order to consult one of the allied health team.
  • OT said that if one of the OT members is consulted in ICU, or another ward, or ER, they do not re-consult, they give an OT to OT report - don't enter that
  • OT also said said sometimes the medicine team will write a new consult, but that it isn't necessary if they are already following, they will however write a "transfer" note. she was uncertain if all other allied health teams practice the same way. Many of the consults are verbal. - you would enter a re-consult written as that

Special Case - Consult ordered and cancelled before being seen

How should we deal with an AHC consult, never seen by said AHC and then consult is cancelled? This was a 2 hr window, if that makes a difference, but what if it is a longer interval like days? Lisa Kaita 10:42, 2024 December 2 (CST) Collect it; It is still a consult and causes the noise and effort expended that goes with it. Ttenbergen 11:40, 2024 December 2 (CST)

• SMW

• Cargo

• Categories

Special Cases

any others?

Data Use

This data is being collected as a current state for Project Overstay2.

Consistency Checks

Data Integrity Checks (automatic list)

	App	Status
Query s_tmp_AHC_consistent	CCMDB.accdb	implemented

Related articles

{{Discuss|

• Should we include homecare consults if they are ONLY for resuming pre-existing services