Minutes Team Meeting October 1, 2014

In progress......not complete......feel free to add. Trish Ostryzniuk 13:52, 2014 October 6 (CDT)

Update - status of new ICU/MED repository

Excellent progress in main office for this year. Medicine working from new system as of last week June 20 2014. ICU database targeted to be to new system only as of: January 1.14.

VAP - physician support

Collectors have the support of ICU Regional Director, to feel that they should asked ICU physicians directly or by email if needed, if they are having difficulty with a DX of a VAP or other infections which we are following very specific criteria. Collector's have specific criteria they follow when auditing a chart however, on numerous occasions, a collector is finding a diagnosis example: VAP, or MSRA septecimia, yet no where on the chart can they find results that meet the criteria. This is a team patient quality of care project and is a team effort so all staff in unit work as a team. Collectors who are finding they are having an issue when approaching unit attending or physician staff please let me know.

• Julie Mojica reported VAP rate drop. QA teams monitoring closely and posting updates in every ICU.

Hand Hygiene practices on wards

Reminder to staff to maintain good hand hygiene practice when handling charts.

Recent changes Wiki

Reminder to staff in regards to the importance following recent changes on Wiki. Discussed how to open multiple tabs, and how to view diff and changes. Staff are encouraged to ask others if

Postal code - data entry

Main office to discuss any further guidelines about postal codes. Tina has put into place some consistency checks into ccmdb. Statistician has found 621 inconsistency. Collectors waiting further clarification: since PHIN, Prov and postal code are tied together, which is the priority:

• pts have MB PHIN but permanent address is example: Ontario
• pts lists permanent address in MB, but doesn't have a PHIN
• pts have no permament home address, including those in Mission homes

angiogram in lab counts

EPR - custom list - training guideline intro to clinical EPR round table - everyone please bring a question or a collection guideline issues you would like to asked collection team input on

sputum in lab counts

A discussion took place on what was included i.e. just culture and sensitivity or is AFB included? Are viral cultures included? TBA- Trish will look into what needs to be included.