Task Team Meeting - Rolling Agenda and Minutes 2021

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.
CCI Guideline Transfusions	It has become apparent that there is a discrepancy in the way this is collected amongst the sites. HSC- Does not count any blood products given during dialysis, plasmapheresis (note plasmaphersis is CCI pick code first time only), or during an OR that occurs during the admission SBGH - Includes blood products given during HD and plasmapheresis, but not OR procedures GGH - Counts blood products given in the OR, if the OR occurs during the admission timeframe, GGH does not have HD or plasmapheresis We do not report on blood products, and according to Julie no one has ever asked for this information. Important to note why are we collecting this information?, do we need to talk to our users? is this for workload? Bloodbank has their own database, could we tap into this? and stop collecting this altogether? Lisa Kaita 14:44, 30 January 2025 (CST)	30 January 2025 20:44:43

Last from 2020, copied here as a starting point for the first meeting in 2021, these should be overwritten

Present: Present: Allan, Barret, Tina, Julie, Trish, Pam, Stephanie, Mindy, Gladys, Gail, Lisa, Joyce, Mailah
Minutes prepared by: AG
Action items in BOLD

Further questions arose of which Onc, Renal, Neuro patients to include in the Medicine database. After discussion we recognized that the issue here is whether or not the patient is “using Medicine resources”, which include staff and beds. So, by this criterion:
- We WILL include Onc, Renal, Neuro patients who are physically located on a mixed COVID ward (i.e. locations that have both Medicine and non-Medicine (e.g. surgery) beds). Rationale is that those beds ARE a Medicine resource.
- We will NOT include Onc, Renal, Neuro patients who are in ED (e.g. EMIPs). Rationale is that those beds are NOT a Medicine resource.

2, Continued discussion of patients admitted to an ICU service.

Last meeting we mapped existing Cognos services to their respective ICUs in each site. This was possible with all except the following 7 services, for which Julie has now gone back and over the past 2 months identified patients with those services:
- HSC Critical Care / Adult General -- 0 of these
- HSC Critical Care / Amputee -- 0 of these
- HSC Critical Care / General -- 2 of these, both in SICU
- HSC Critical Care / Intensive Care -- 3 of these, 2 in MICU, 1 in SICU
  - HSC Critical Care / Obstetrics -- 1 of these, in MICU
- HSC Critical Care / Oncology -- 1 of these, in SICU
So, there seem to few enough of these that categorization isn’t a big problem. HOWEVER, Tina identified that working with Chastity she has not come to recognized that Cognos has 3 concepts within it that relate to service. SO before we go further with assigning patients to ICU services, Tina/Julie will look further into this and we’ll discuss further at our next Task meeting.

3. Followup on the recent changes St. B admitting made as regards to identifying ICU services.

Collectors report that things have greatly improved, though some mistakes are still being made. In particular, there is use made of the service “SBGH Critical Care / General”. We hope that these errors will decline as Admitting office staff become more familiar.
But we also decided to defer further discussion of this to the next Task meeting, for same reason as the last point of item#2, above.

4. Followup regarding having data collectors do all TISS coding

Has only begun at St. B, not yet at HSC or Grace where pink sheets are still being used
Towards the goal of making this change in all sites, Tina and Trish will work with collectors to fine-tune the laptop tool for collecting TISS info, and to get them trained up to use it.

5. New questions

Whether and how to code someone who has recovered from COVID-19. After discussion we agreed this is no different from any infection, and that once active infection is gone (even if manifestations such as respiratory fibrosis and respiratory failure remain) that we will NOT code it. Specifically, as the WHO has not seen fit to create an ICD-10 code for past history of COVID-19, we won’t either.
It was pointed out that there is a discrepency between collection of PRBC transfusions in CCI vs. the Transfusion guideline. After discussion we agreed (largely for simplicity of coding) that the rule will be: Code the 1st date of PRBC administration and the total number of units of PRBC given from that point onwards. Tina to fix this discrepency.
There are “locations” listed in Cognos that are variously called “Swap” or “Swing” at the different hospitals. These may or may not actually related to a change in physical locations. Clearly we need to sort out how we are going to handle these. Tina will review and we’ll discuss further at the next Task meeting.
Discussion about what name to use for what has previously been called “Boarding Loc”. In Cognos it goes by the name “assigned unit”, but this may ambiguously imply the final destination. So we agreed to call this field “Unit”.

6. Followup on trying to get hospital-level data elements from EPR.

Allan provided Bojan/Ebi with a written explanation of what is being requested -- we need to followup on this item.

7. Followup about working to reduce collector workload. Things that need to be done:

Find a new hosting/software infrastructure that can be in full compliance with privacy requirements. Allan and Tina will followup with CHI and Digital Health to pursue new hosting possibilities.
Thereafter, work to obtain CBS TraceLine for all transfusion data. Margaret Ring again (margaret.ring@blood.ca).
Thereafter, work to obtain RIS data for radiology tests. Shared Health CIO Charles Conway [204-926-1400; cconway3@sharedhealthmb.ca].