Task Team Meeting - Rolling Agenda and Minutes 2019

List of items to bring to task meeting

Add to this by adding the following to the article where the problem is documented:

{{DiscussTask | explanation}}

	Question	Modification date"Modification date" is a predefined property that corresponds to the date of the last modification of a subject and is provided by Semantic MediaWiki.
Decubitus Stage not indicated Details	This instruction is taken from old dx Decubitus (pressure) ulcer, stage not indicated; since we will now have a series of codes for suspected deep tissue injury, we need to change this, but what should be here, and what should move into Template:Decubitus Deep Tissue Damage Details? Ttenbergen 15:29, 30 June 2025 (CDT) This page should remain the same, deep tissue injury is really considered to be a different way to stage/document decubitus ulcers An unstageable ulcer is still used in documentation and grading of decubitus ulcers Lisa Kaita 20:23, 7 October 2025 (CDT)	8 October 2025 01:25:23
Dispo field	If this is actually done then why don't we just make the nursing stations available? We already have s_dispo table entries for them. 35 entries since 2016, 6 in the last 12 months. Are there other things for which this entry is used? Checked for reasons for this decision but they don't appear documented Ttenbergen 19:42, 13 March 2025 (CDT) JALT I thought we had decided at JALT to collect this as presented by EPR... do I remember this wrong? I had already added it in CCMDB.accdb Change Log 2025#2025-03-11-1. Ttenbergen 22:52, 11 March 2025 (CDT) Yes, I saw that, come to think of it I don't think we decided, not in my notes, but we can use it and I will change the wiki instructions Lisa Kaita 11:25, 13 March 2025 (CDT) If we are going to collect this detail for dispo, should we consider whether or not to also look at SH in preadmit living situation?, currently lumped with community facility with support. Lisa Kaita 14:45, 16 April 2025 (CDT) The entry name includes "TRSF" - is the entry for the previous location equivalent in EPR? Ttenbergen 23:30, 16 April 2025 (CDT) no because the previous location would usually be <site>_ER Lisa Kaita 09:53, 28 May 2025 (CDT) Sorry, I should have asked about "pre-hospital location in ADT". Ttenbergen 16:21, 28 May 2025 (CDT) That more detailed info included things like HSC Lennox Bell; we discussed whether or not we need to document the details of this. If so, the following is likely a starting point: Home Home with support Institution NOS TRSF Group/Supportive housing TRSF to Correctional Facility any Hospices GH-Transitional care HSC - Transitional care Misericordia - Transitional care STB - Transitional care VIC - Transitional care HSC Lennox Bell Manitoba Adolescent Treatment Center - unknown/other what is this about again? we already collect these with the exception of the transitional care units, which don't exist, at GH, HSC, SBGH and VIC, but there is a TCU at Miseri and DLC Lisa Kaita 21:18, 6 September 2025 (CDT) we discussed whether we should shift to EPR's "TRSF to Residential Care" and decided not to because our data is more granular. But we should be able to compare to their TRSF, so should understand which of our data would compare to theirs, and how. I think the above is a list of what we have in dispo, so which of those correspond do what listing in EPR? Ttenbergen 10:31, 8 September 2025 (CDT)	8 September 2025 15:31:26
pre_acute_living_situation field	JALT should we be including Misericordia TCU here? Lisa Kaita 11:57, 5 June 2025 (CDT)	3 October 2025 15:28:45

See Task Team Meeting - Rolling Agenda and Minutes 2018 for previous year's minutes.

ICU Database Task Group Meeting – January 9, 2019

• Present: Allan, Con, Joanna, Julie, Tina, Trish
• Absent: Laura
• Minutes prepared by: AG
• Action items in BOLD

1. Through discussion it became clear that there’s a need to modify the RTA wiki page to clarify that by definition it is not an RTA if renal failure (acute or chronic) is present. Said another way, an RTA is a metabolic acidosis due to an inability of the renal tubules to extcrete hydrogen ions in the presence of a normal creatinine clearance, as indicated usually by a normal creatinine. Allan will add this to the wiki article -- DONE.

2. There was substantial concern voiced by Con and Joanna about how long the new system is taking to code. At this point it’s as much as 4-fold longer than before. We discussed possible reasons, which include:

• ICD10 coding, though this is possibly less burdensome than is CCI coding.
• The biggest single issue raised was that among the 3 “levels” of CCI coding: (a) Dates for each occurrence; (b) Date for first occurrence and then counts; (c) Date for first occurrence only.
  • We recognized that we probably could downgrade all of ‘a’ to be ‘b’
  • And that for at least some of ‘b’ we could downgrade to ‘c’
    • We decided today to do that for HD, PD, CRRT and ICP monitoring
    • Allan will take a look at the entire list, especially the picklist page, and consider further items that can be downgraded.
• Other options for reducing workload for CCI include: (i) compressing the number of body parts, (ii) reducing and/or compressing the number of “what was done to the body part” items.
• We’ll discuss all this at next Task meeting.

3. Julie raised the question of Charlson items -- specifically that previously most such items were allowed to be listed either as admit or comorbid diagnoses. The question is what do we want to do now about this. Allan will review both Charlson’s original description, and Quan’s administrative data implementation to see what THEY did regarding this.