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. | |
|---|---|---|
| Chronic Health Facility |
| 28 November 2025 13:43:16 |
| Decubitus Stage not indicated Details |
| 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)
| 14 November 2025 20:03:52 |
| Selkirk Mental Health Centre |
| 26 November 2025 21:29:21 |
| Sex field |
| 12 November 2025 06:16:35 |
| Task Questions | ||
Also see Task Team Meeting - Rolling Agenda and Minutes 2020
ICU Database Task Group Meeting – January 7, 2021
- Present: Allan, Tina, Julie, Trish, Pam, Lisa, Sherry, Val
- Minutes prepared by: AG
- Action items in BOLD
1. Continued discussion of patients admitted to an ICU service.
- Collectors relate that the COGNOS listings are pretty accurate at HSC and Grace, and improving at St. B.
- Tina spoke to Chantal Plaetinck (manager of Admitting at St. B) about the ongoing issues there. After discussion we agreed that Tina will create a button on the laptops that will allow collectors to send a templated email to St. B admitting when they identify an error regarding an ICU admission by either service or location. Furthermore, she’ll ensure that we can count the number of these. We’ll do this for at most a few months, with the hope that this feedback will allow St. B admitting to improve their processes and reduce these errors. (see Process for bad data in Cognos)
- In order to finish mapping COGNOS HSC Critical Care services to either MICU or SICU, Julie updated the following for up to 1/4/2021, so it now includes 4 months of data:
- HSC Critical Care / Adult General -- 1 of these, in SICU
- HSC Critical Care / Amputee -- 0 of these
- HSC Critical Care / General -- 4 of these, in SICU
- HSC Critical Care / Intensive Care -- 4 of these, 2 in MICU, 2 in SICU
- HSC Critical Care / Obstetrics -- 2 of these, 1 in MICU, 1 in SICU
- HSC Critical Care / Oncology -- 3 of these, in SICU
- In response to discussion, Allan indicated that while we DO want to get locations, services and timing all correct, that it is not the end of the world if we are off by 1-2 hours in the actual timing of when a change occurred.
2. Update regarding having data collectors do all TISS coding -- Tina, Trish and the collectors are still working to get this going at all sites.
3. Update on the discrepancy 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 onward. Tina fixed this discrepancy and Val will look at the Wiki information about it to ensure it is correct.
4. Update on “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.
5. New questions
- (a) It was identified that there can be discrepancies between the time a transfer (of location or of service) is noted in COGNOS vs. when it truly occurs.
- Example: ICU transfer to ward is listed earlier (and sometimes substantially earlier) in COGNOS then when it actually occurs. In this case the COGNOS time should be the “transfer-ready” time, while the actual time should be the service/location change time.
- As per item#1, above, while we DO want to get timing correct, it is not a huge problem if a service or location time change is recorded an hour off from reality.
- (b) It was pointed out that WHO has begun creating temporary, codes for newly-described COVID complications. An example is COVID-19–related multisystem inflammatory syndrome (U07.3).
- This is a syndrome, so far only described in children, with numerous manifestations depending on which organ or organs are involved.
- As we have only had ONE of these so far, we agreed that we will not give it its own ICD10 code, but instead code it by linking COVID-19–related multisystem inflammatory syndrome to the existing code Disorder of the immune system, NOS. Allan has added this to the COVID-19 Wiki article.
UPDATE: we are adding Post COVID-19 condition as per discussion with Allan 2021-01-12.
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:
- After the COVID emergency passes, Allan to talk with Medicine leadership (including Ebi, Nick, Mary Anne, others) about precisely what information they need/want reported for Medicine ward patients within each hospital. The issue here is whether, within each hospital, they really need to distinguish data by ward, or by teaching vs. non-teaching.
- 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].
ICU Database Task Group Meeting – December 16, 2020
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
1. Continued discussion of PatientFollow Project, Change from Service Location to Service, Boarding Loc and Transfer Ready DtTm tmp entry, Definition of a Medicine Laptop Admission
- 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 now 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].