ACP Status Collection in ICU: Difference between revisions

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== Coding Instructions ==

*NOTE: '''2016-APR-08'''-Record the '''DATE''' in TMP when ACP status was documented on patients chart.

When you enter a new ICU patient two records will be automatically generated in the tmp table:

#'''ACP Status at admit'''

#*~~Note: if~~ the ~~pt already has an~~ ACP status in the chart ~~prior to~~ admission ~~to the ICU, this status~~ can be ~~used for admission to the ICU, unless it is documented at time~~ of ICU admission ~~that there is a change~~.

#*Record the closest date when ACP status was documented in the chart at time of ICU admission. Date can be before of after ICU admission.

#'''ACP Status at end''' (end of ICU: at discharge, transfer or death). If the pt has care as been discontinued, do not automatically change the ACP to C. Use the last documented ACP on ~~the~~ chart for the end of ICU stay.

#'''ACP Status at end''' (end of ICU: at discharge, transfer or death).

#*Record the closest date that ACP status was documented in the chart at time of ICU discharge, transfer or death.

#**NOTE: *If the pt has care as been discontinued, do not automatically change the ACP to C. Use the last documented ACP status documented on chart for the end of ICU stay.

Change the ITEM for each of them to the ACP status at that time.

*NOTE'''2016-APR-08 -Record THE DATE when ACP status was documented.'''

**ACP status date at ADMIT: use closest date when ACP status was documented at time of ICU admission.

**ACP DATE at END: use closest date that ACP status was documented at time of ICU discharge, transfer or death.

Options are as follows

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If ACP M is just written with no qualifiers then one would classify as ACP M-.

=== Questions from Dr. Kendiss Olafson - email to Trish 18-MAR-2016 ~~===~~

=== Questions from Dr. Kendiss Olafson - email to Trish 18-MAR-2016 - posted by [[User:JMojica|JMojica]] 11:14, 2016 March 22 (CDT) ===

- posted by [[User:JMojica|JMojica]] 11:14, 2016 March 22 (CDT) {{discussion}}

*Data Analysis

#'''There are significant amount of profiles with ACP status at ICU admission (R, M+, M-, C) however, at discharge, the ACP is n/a at discharge or death.

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#** ''if correct to assume, then the ACP status at END must be the same as the ACP status at ADMIT if there is no new ACP status recorded in between. Do not enter '''ACP n/a'''. This has to be added to the CCMDB Data Integrity Checks. [[User:JMojica|JMojica]] 11:14, 2016 March 22 (CDT) ''

#***'''Any feedback from the data collectors regarding ease of collecting this variable?'''

*I don't have any issues with collecting ACP status. If I have ever entered N/A in the above situation, this would have been done accidentally. I can't think of a situation where a change in a documented ACP status on admit would change to an N/A on discharge.[[User:Mlagadi|Mlagadi]] 11:58, 2016 March 22 (CDT)

*'''VIC'''- I don't have any issues with collecting ACP status. If I have ever entered N/A in the above situation, this would have been done accidentally. I can't think of a situation where a change in a documented ACP status on admit would change to an N/A on discharge.[[User:Mlagadi|Mlagadi]] 11:58, 2016 March 22 (CDT)

=== WRHA guidelines ===

@@ Line 6: / Line 6: @@
 == Coding Instructions ==
+*NOTE: '''2016-APR-08'''-Record the '''DATE''' in TMP when ACP status was documented on patients chart.
 When you enter a new ICU patient two records will be automatically generated in the tmp table:
 #'''ACP Status at admit'''
-#*Note:  if the pt already has an ACP status in the chart prior to admission to the ICU, this status can be used for admission to the ICU, unless it is documented at time of ICU admission that there is a change.
+#*Record the closest date when ACP status was documented in the chart at time of ICU admission. Date can be before of after ICU admission.
-#'''ACP Status at end''' (end of ICU: at discharge, transfer or death).  If the pt has care as been discontinued,  do not automatically change the ACP to C.  Use the last documented ACP on the chart for the end of ICU stay.
+#'''ACP Status at end''' (end of ICU: at discharge, transfer or death).
+#*Record the closest date that ACP status was documented in the chart at time of ICU discharge, transfer or death.
+#**NOTE: *If the pt has care as been discontinued, do not automatically change the ACP to C.  Use the last documented ACP status documented on chart for the end of ICU stay.
 Change the ITEM for each of them to the ACP status at that time.
-*NOTE'''2016-APR-08 -Record THE DATE when ACP status was documented.'''
-**ACP status date at ADMIT: use closest date when ACP status was documented at time of ICU admission.
-**ACP DATE at END: use closest date that ACP status was documented at time of ICU discharge, transfer or death.
 Options are as follows
@@ Line 29: / Line 29: @@
 If ACP M is just written with no qualifiers then one would classify as ACP M-.
-=== Questions from Dr. Kendiss Olafson - email to Trish 18-MAR-2016 ===
+=== Questions from Dr. Kendiss Olafson - email to Trish 18-MAR-2016 - posted by [[User:JMojica|JMojica]] 11:14, 2016 March 22 (CDT) ===
-- posted by [[User:JMojica|JMojica]] 11:14, 2016 March 22 (CDT) {{discussion}}
+{{discussion}}
 *Data Analysis
 #'''There are significant amount of profiles with ACP status at ICU admission (R, M+, M-, C) however, at discharge, the ACP is n/a at discharge or death.
@@ Line 36: / Line 36: @@
 #** ''if correct to assume, then the ACP status at END must be the same as the ACP status at ADMIT if there is no new ACP status recorded in between. Do not enter '''ACP n/a'''. This has to be added to the CCMDB Data Integrity Checks.   [[User:JMojica|JMojica]] 11:14, 2016 March 22 (CDT) ''
 #***'''Any feedback from the data collectors regarding ease of collecting this variable?'''
-*I don't have any issues with collecting ACP status. If I have ever entered N/A in the above situation, this would have been done accidentally. I can't think of a situation where a change in a documented ACP status on admit would change to an N/A on discharge.[[User:Mlagadi|Mlagadi]] 11:58, 2016 March 22 (CDT)
+*'''VIC'''- I don't have any issues with collecting ACP status. If I have ever entered N/A in the above situation, this would have been done accidentally. I can't think of a situation where a change in a documented ACP status on admit would change to an N/A on discharge.[[User:Mlagadi|Mlagadi]] 11:58, 2016 March 22 (CDT)
 === WRHA guidelines ===