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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Contents

• 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.

Report versions

There are unit-limited versions of this, but there is also a program wide version that includes all except ACCU and ICCS (since those are cardiac). There is also a "WRHA Critical Care QI Report" - compares across units.

Julie mentioned a second report: "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? Or is it really a version of this report so we can just list it here?

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somewhere it mentioned "Quarterly report of Delirium cases, Delirium Rates, Delirium Days and Delirium Rate Days for all ICUs in the region"; we have Delirium Days in Indicators, but not the others. Are they all defined around the same concept, so that we could rename that indicator "Delirium" and describe them all in there?

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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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