Minutes Team Meeting October 1, 2014: Difference between revisions

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==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~~.

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, 2015.

==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.

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 septicemia, 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.

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==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~~

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 asked coworkers or contact Trish or Tina.

==Postal code - data entry==

==[[Postal code collection | 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~~.

Mining data - main office seeing data with MB PHIN but postal code is from another province.

~~Collectors waiting further clarification~~: ~~since PHIN, Prov and~~ postal code ~~are tied together~~, ~~which is the priority:~~

*[[Statistician]] has found 621 inconsistent postal codes vs Province vs PHIN. This is 0.1% error rate which is extremely low.

*pts have MB PHIN ~~but permanent address is example: Ontario~~

*the process of mining the data and asking question is to try to understand and explain our information better and decide how to report it.

*pts lists permanent address in MB, but doesn't have a PHIN

*Tina has put into place few consistency checks into ccmdb. e.g. See; [http://ccmdb.kuality.ca/index.php/Postal_code_collection#CCDMB_Data_Integrity_Checks Postal Code checks in CCMDB]

*pts have no permament home address, including those in Mission homes

Followed up at [[Steering Committee]] Oct 6.14 - collectors: enter postal code, PHIN and province as found on chart or EPR. Please review [[[[Postal code collection | Postal Code]] article.

==angiogram in lab counts==

EPR - custom list - training guideline intro to clinical EPR

[[Laura Kolesar]] - counting [[:Category: Angiograms | Angiograms]] in [[Lab Collection Process]]

~~round table - everyone please bring~~ a ~~question~~ or ~~a collection guideline issues~~ you ~~would like~~ to ~~asked collection team input on~~

==EPR - custom list - training guideline intro to clinical EPR==

*EPR has a set listing of things you need to see. The LMS training shows you how to create custom listing of patients.

*If you need help, [[Laura Kolesar]] or [[Lisa Kaita]] can also show you. Please let [[Trish Ostryzniuk | Trish]] know if you need further assistance.

*HSC is the last site to start EPR.

==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~~.

*A discussion took place on what was included i.e. just culture and sensitivity or is AFB included and BAL? Are viral cultures included? TBA- Allan advise to bring to Task team meeting Nov 6.14.

round table - everyone please bring a question or a collection guideline issues you would like to asked collection team input on

[[Category: Minutes 2014]]

@@ Line 3: / Line 3: @@
 ==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.
+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, 2015.
 ==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.
+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 septicemia, 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.
@@ Line 13: / Line 13: @@
 ==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
+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 asked coworkers or contact Trish or Tina.
-==Postal code - data entry==
+==[[Postal code collection | 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.
+Mining data - main office seeing data with MB PHIN but postal code is from another province.
-Collectors waiting further clarification: since PHIN, Prov and postal code are tied together, which is the priority:
+*[[Statistician]] has found 621 inconsistent postal codes vs Province vs PHIN.  This is 0.1% error rate which is extremely low.
-*pts have MB PHIN but permanent address is example: Ontario
+*the process of mining the data and asking question is to try to understand and explain our information better and decide how to report it.
-*pts lists permanent address in MB, but doesn't have a PHIN
+*Tina has put into place few consistency checks into ccmdb.  e.g. See; [http://ccmdb.kuality.ca/index.php/Postal_code_collection#CCDMB_Data_Integrity_Checks Postal Code checks in CCMDB]
-*pts have no permament home address, including those in Mission homes
+Followed up at [[Steering Committee]] Oct 6.14 - collectors: enter postal code, PHIN and province as found on chart or EPR.  Please review [[[[Postal code collection | Postal Code]] article.
 ==angiogram in lab counts==
-EPR - custom list - training guideline intro to clinical EPR
+[[Laura Kolesar]] - counting [[:Category: Angiograms | Angiograms]] in [[Lab Collection Process]]
-round table - everyone please bring a question or a collection guideline issues you would like to asked collection team input on
+==EPR - custom list - training guideline intro to clinical EPR==
+*EPR has a set listing of things you need to see.  The LMS training shows you how to create custom listing of patients.
+*If you need help, [[Laura Kolesar]] or [[Lisa Kaita]] can also show you.  Please let [[Trish Ostryzniuk | Trish]] know if you need further assistance.
+*HSC is the last site to start EPR.
 ==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.
+*A discussion took place on what was included i.e. just culture and sensitivity or is AFB included and BAL? Are viral cultures included? TBA- Allan advise to bring to Task team meeting Nov 6.14.
+round table - everyone please bring a question or a collection guideline issues you would like to asked collection team input on
 [[Category: Minutes 2014]]