Overstay Predictor Project: Difference between revisions

== Pilot Information ==

Official pilot start data for the Grace has been delayed.  Linda to update this week.[[User:TOstryzniuk|Trish Ostryzniuk]] 13:06, 2012 July 4 (CDT)

Please continue the informal testing that has been going on for the last few days.  

For every '''medicine''' patient at the '''Grace''' hospital, '''as soon as possible''', but definitely '''within 48 business hrs of admission''':  

* find the new "Overstay" form on the chart

*for the first 6 check boxes on the form, create a record for each in tmp entries and check the checkbox if the answer is Yes.  (one to one from the form, no interpretation necessary)  

* Also, enter at least all the following as part of minimal dataset

** DOB

=Outstanding Issues & Questions=

=== If you can't find data  Question===

==== working diagnoses Question====

Occasionally the working diagnosis written by the MD is CVA but this has not been confirmed by CT; should this be coded in admission diagnosis anyway and then removed later if not confirmed?

*'''yes indicate the CVA if it is suspected even if not confirmed'''

===Programming Stuff===

#is the dx code for violent behaviour secondary to dementia included in the list?

#would it be helpful for us to note the reason the pt has stayed past the date it is noted they are medically stable somewhere; the chart usually notes whether the pt is being panelled, waiting for services or assessments etc. or whether the pt becomes "unstable" again while waiting for d/c

#does the algorithm include age, and/or whether the pt originally comes from a nursing home? pts from an existing nursing home bed will not overstay as frequently as those from home

#is it possible for the 6 overstay requirements in the temp file to be generated automatically like the postal code is rather than having to add the 12 items manually?  we then would just have to check the box to answer each question

Where on the chart will this new form be and will it be a colored form?[[User:TOstryzniuk|Trish Ostryzniuk]] 10:43, 2012 April 24 (CDT)

'''*The form will be in the same section as the nursing database. Not sure about the colour.'''  

*What is the purpose of putting the sticker on the chart; will this be looked for by other disciplines to identify the need for their intervention?

** see [[#Purpose]] [[User:Ttenbergen|Ttenbergen]] 11:56, 2012 May 2 (CDT)

* Use the data as you would have entered before as that is what the algorithm was based on. I hope that helps, since I know some collectors used to collect this much later. Pls let me know if you need more info. [[User:Ttenbergen|Ttenbergen]] 12:47, 2012 April 27 (CDT)

#what if our assessment differs from that of the admitting nurse e.g. they ask the pt/family on admission if they have fallen within the past 6 months and are told no or the information is not available, and we see from looking through the chart that falls have been documented within this timeframe?

#is the admission information the only source used or will the complications be taken into consideration e.g. if the pt develops a new cva as a complication do we redo the overstay predictor?

[[Category: OverstayProject]]

[[Category: All Projects]]