Project AHC

Projects
Active?:	active
Program:	Med
Requestor:	Dan Roberts
Collection start:	2025-07-02
Collection end:

As of 2025-07-02, this project only runs at GRA.

Data Collection

• For any medicine record being sent after the project start date, capture whether there were any allied health consults, the reason for the consult does not matter.
• 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 allied health professions listed.
  • If there is more than one consult, link together the data collected per consult by entering a common number in the integer / "N" column

for mutiple consults I am identifying in the Q column, 1,2,3 the date will have to be used to decipher what entries belong with each consult unless we link them Lisa Kaita 17:29, 3 July 2025 (CDT) let's use the "N" column, it's meant for an integer number and will be easier to compare. If the "Q" column ends up with a comment, as it often seems to, then also having the number in there will be a mess. Ttenbergen 22:56, 3 July 2025 (CDT) okay but the integers have to start with a number greater than the numbers for pairing boarding loc and TR right? otherwise the program will link all the number 1's without looking at the project type? Lisa Kaita 11:44, 4 July 2025 (CDT)

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• 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
• If there is an order to consult one of the AHC professionals, and it is later cancelled (doesn't matter how long after the order) then capture the consult

Data Entry Instructions

The following instructions hold for one of each of the allied health teams, ie AH_C_OT, AH_C_PT, AH_C_SW, AH_C_HC Same instructions for each unless otherwise noted.

Referral sent

A line with Project "AH_C_<the allied health team>_s" and item "Referral sent" will be entered automatically for new patients, existing records entered prior to the start date of the project will need to have these entered manually.

The option for no consult, which is currently under referral received should be moved here, and if there is no consult than nothing else should be entered ie. collector will delete all other rows pertaining to that AH service Lisa Kaita 10:33, 4 July 2025 (CDT)

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DR if allied health is consulted in ER prior to the first Service tmp entry should we use the first Service tmp entry dttm? Lisa Kaita 12:49, 3 July 2025 (CDT) I have no idea. It would not only be in ED, it would be more generally prior to, could come from surgery or family medicine. Need to ask Dan. Ttenbergen 14:11, 3 July 2025 (CDT)

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Update the record as follows:

• Item: leave unchanged

what is leave unchanged above? Lisa Kaita 09:00, 4 July 2025 (CDT)

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• Date: date of the 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 of the consult (best guess better than nothing but not mandatory)

DR question out to DR to confirm if time is required

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• Checkbox: check if the date and/or time is a best guess
• Integer / "N" column - linking together of entries for the same consult
• Real, Comment: not used

Consult Received

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: AH_C_<the allied health team> - Item: "not entered" (because you haven't set a value yet)

Update the record as follows:

• Item: change the item dropdown as follows as you come across information
  • "referral received" - formal or informal (phone call, conversation, rounds conversation noted in IPN, etc)
  • "aware of patient transfer from other source" - alternative if noted by AH
  • "Late consult received" - alternative if noted by AH
  • "not consulted" - if you have finished the chart and didn't find one

This option not consulted should move to AH_c<the allied health team>_s Lisa Kaita 10:33, 4 July 2025 (CDT)

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• Date: date the consult is received, only if clearly documented
• Time: time the consult is received, only if clearly documented
• Checkbox: check if the date and/or time is not documented
• Integer / "N" column - linking together of entries for the same consult
• Real, Comment: not used

Optional Entries

Allied Health wants to work on improving the process and has asked us to track a few options if they occur. For these, rely on AH to enter these right with their IPN note, ie collectors are not required to interpret or adjudicate this. This has been discussed with Allied health.

Item options are:

• • "patient not ready for AH assessment"
  • "consult form not complete"
  • "not appropriate for AH assessment"

• If you see one of these, enter a record with
• Project: AH_C_<the allied health team>_O ("o" for option)
• Item: enter he relevant one of the "item options" mentioned above
• Date: date the optional entry was charted, if easily available (optional data)
• Integer / "N" column - linking together of entries for the same consult
• Real, Time, Checkbox, Comment: not used

Consult Dealt With

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: AH_C_<the allied health team>_A (A for "Acted on") - Item: "not entered" (because you haven't set a value yet)

Update the record as follows:

• Item: change the item dropdown as follows as you come across information
  • "addressed" - entry in the chart from relevant allied health team, could be formal such as blue/yellow OT PT forms, or an IPN entry, we need an indication of engagement, not just acknowledging receiving the consult
  • "never" - if you have finished the chart and didn't find one
• Date: date of the 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 of the consult (best guess better than nothing but not mandatory)

DR question out to DR to confirm if time is required

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• Checkbox: check if the date and/or time is a best guess
• Integer, Real, Comment: not used

Consult Discharged

If there is a specific record (see #Optional Entries) that the patient was discharged by allied health, then enter:

• Project: AH_C_<the allied health team>_D (D for "discharged")
• Item: "discharged from AH caseload"
• Date, Time', Checkbox, Integer, Real, Comment: not used

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
• we don't track utilization consults

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 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

• enter the consult

Special Cases

any others?

Data Use

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

Consistency Checks

• date/time within admission
• consult dttm and dealt with dttm must within admission
• if there is an option entry the consult can not be never

others?

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others?

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automatic list once implemented:

Data Integrity Checks (automatic list)

	App	Status
Query check_tmp_AHC	CCMDB.accdb	needs review

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