TISS Form (TISS28)

Legacy Content

This page contains Legacy Content.

• Explanation: Change to collect TISS data in CCI Picklist
• Successor: TISS28 Collection Guide

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The TISS Form for TISS28 is used as part of TISS28 Data Collection. See TISS General Info for general information about our TISS data, and TISS28 Collection Guide for details about how our Data Collectors collect this.

The Form

See Media:TISS28 Form.pdf for a copy of the TISS form.

The current master TISS forms can be found at \\ad.wrha.mb.ca\WRHA\HSC\shared\MED\MED_CCMED\TISS28\Form\PDFs_for_Printshop\2013_Sep-18_for Printshop (item 40 wording)

Ordering copies from the HSC print shop

Master forms are reproduced at the HSC print shop. To order copies:

• Complete a print shop requisition. The following should be specified:
  • Cost centre (Critical Care)
  • Quality of forms required
  • Print on pale pink paper
  • Print double-sided (duplex)
  • Hole punch (3-hole)
    • the 3-punch is required for collectors managing forms in their binders, and for wards managing the forms, so this continues to be needed even though we no longer store the forms long-term.
• Forward the completed requisition to the print shop (keep the pink copy for office records).
• Email the master PDFs (#The Form) to the print shop, referencing the requisition number.

QA form check by data processor

When the printed forms are returned from the print shop, perform a quick quality assurance check before distribution to the sites:

• Is the print quality acceptable?
• Are the holes punched on the correct side?
• Is the form image aligned correctly on the page?

Data processor Admin task

• Mark the date received in main office on the original requisition.
• Also indicate the date the copies were distributed to the various sites.
• File the completed requisition.

Form Design and Implementation

We use Teleform for TISS28 Form Scanning so the form has to be exactly the one that was generated by Teleform Designer. Any modifications of the form could break our scanning process.

The master copy of the form resides in Teleform Designer on the Data Processor PC. Production Version 2012-Dec-11 is the "master" copy used to evaluate completed and returned forms when scanned.

Printshop version

• The Printshop paper Version dated 2013-Mar-5 is using Teleform production Ver 2012-12-11. Wording changes have been made on form for printshop for items #2,8,11,31, 39. Top of form instruction made larger also. Revision information at bottom of form updated.

• The electronic copies of TISS28 form for each site for printshop in located on S:\MED\CCMED\​S:\MED\CCMED\TISS28\Form\PDFs_for_Printshop\2013_Mar_05_for Printshop. Refer to the wiki copy File:TISS28 Form.pdf for reference only.

Preparing site-specific masters

There are site-specific PDF templates for each ICU site in S:\MED\CCMED\​S:\MED\CCMED\TISS28\Forms\For Printshop

As an aid to data collection, each site is provided with blank forms that are prefilled with their respective site designator, e.g., HSC, GRA, etc. To prefill the site designator:

• Open Teleform Designer.
• Open the TISS form template (TISS28 PROD 2012-12-11).
• Double-click the SITE field. Teleform will display the field properties window.
• Click the Appearance tab.
• Click the Prefill tab.
• Enter the three-character abbreviation for the site to be prefilled (one of HSC, GRA, VIC, STB, CON, or OAK).
• Click OK
  • IMPORTANT: DO NOT press save when you have finished the above task. This will affect the PRODUCTION that is already in production.

The site designator will now be pre-filled on the form.

Creating the PDF

There are site-specific PDF templates for each ICU site in S:\MED\CCMED\​S:\MED\CCMED\TISS28\Forms\New_PDFs_for_Printshop

To create a PDF of the prefilled form:

• Select File