Critical Care Program Quality Indicator Report

Reports
Report:	Critical Care Program Quality Indicator Report
StartDtTm:
EndDtTm:
Contact Person :	<names, organization if outside of Shared Health>
Recipients:	Distribution of Annual and Quarterly Reports
Frequency:	quarterly
MailingList:	Distribution of Annual and Quarterly Reports
Data Dependencies :	Age • Avoidable Days (Critical Care) • Beds occupied by transferrable patients (Critical Care) • CXR • Creatinine (labs) • Delirium days • Duration of Mechanical Ventilation • ICU Acquired Antibiotic Resistant Organism (ARO) rate • ICU Acquired Catheter-associated Urinary Tract Infection (CAUTI) rate • ICU Acquired Sepsis • ICU Acquired Ulcer Rate • ICU Diagnosis APACHE Category Rate • ICU Interfacility Transfer • ICU Primary Diagnosis ICD10 Chapter Rate • ICU Resource Utilization - Creatinine Tests • LOS Per Service • Length of Time for Transfer from ED to ICU within same facility • Night Time Discharges • Nursing Workload • Over Census at Midnight • Patient flow • Primary Admit Diagnosis • Readmission Rate to ICU • Severity of illness • Transfer Delay (Critical Care) • Unit Mortality • Ventilated patient flow • Ventilator Associated Pneumonia Rate • Ventilator Utilization Ratio
SASFiles:	<path for SAS files>

 

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• Default form:

• Tabular report
  • Report Label- Critical Care Activity Summary Report for the current quarter for each Unit
  • Start Date - 2003
  • End Date - July 2017 for all units (except HSC CCU, STB ACCU, STB ICCS which ended Dec 2018)
  • Part of the tabular report continues to be reported
    • label as Critical Care Comparative Report for the current quarter
    • one table containing 13 summary activity indicators of individual units for the current quarter
    • second table containing the VAP and CLBSI rates of all for the current quarter
• Graphical Report
  • Report1 Label - Critical Care Program Quality Indicator Report ( also refer as the Regional Report)
    • contains cumulative of all units except HSC CCU, STB ACCU and STB ICCS
  • Report2 Label - Individual ICU Quality Indicator Report
  • Report3 Label - WRHA Critical Care Quality Indicator Report
    • contains comparison of indicators among all units
  • Start date - July 2017 for all units (except HSC CCU, STB ACCU, STB ICCS which started Jan 2019)
  • End Date -
  • Each type of report contains 30 indicators starting Oct 2020 (Nursing workload or TISS Score per patient day was dropped).
  • The indicators reported monthly are from 2 or 3 years period while those reported quarterly are from 3 years period.

Added this because CAM positive (TISS Item) refers to it. What is this report? Two reports- one is the Critical Care Quality indicator chart Report and second - from database request by STB which is being reported by month.--JMojica 15:55, 2021 September 7 (CDT) The second report you mention, is that documented as one of the Reports yet? Ttenbergen 11:10, 2021 September 8 (CDT)

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moved here from [[]] needs integration: for Directors and Managers - Quarterly report of Delirium cases, Delirium Rates, Delirium Days and Delirium Rate Days for all ICUs in the region

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Distribution

Distribution of Annual and Quarterly Reports

File Locations

• Hard Copy of Report kept at desk of Database Program Statistician, Julie Mojica
• Electronic copy of report:
  • Tabular : X:\Reports\CriticalCareReport
  • Graphical: R:\Critical Care QIT\Director_Report\Report

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