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}}
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| Chronic Health Facility |
- review, that might need to be consolidated with this page as well.
We have discussed lately that we might want to become more nuanced about some chronic care locations (Deer Lodge (DLC) and Riverview). I have removed the details from the above linked fields and consolidated here. Once this page is cleaned up this discussion entry can be removed.
- Discussed at
- These should be made consistent with [[Template:PCH Riverview Deer Lodge (DLC)]] and should probably use that template to enforce consistent use. Ttenbergen 14:23, 2024 October 16 (CDT)
- and I have lost track of the details Ttenbergen 10:45, 2024 November 1 (CDT)
- There might be an easy way out of this question. We now only have one awaiting code; if waiting for any of them qualifies for this code then we may not need to know about the level of care. But then again, some of those sites also have acute/LAU type settings so we may need to figure this out after all...Ttenbergen 20:27, 2024 December 11 (CST)
- that template does not exist or I can't find it Lisa Kaita 14:56, 25 June 2025 (CDT)
- This issue raised a problem with medicine data recently, and we will review again if this needs to be coded more granular after all,
- dicussed at JALT June 25, 2025: while Bojan would like this it is not possible to keep track of unit changes and not always easy to tell which unit they arrive from so leave a Riverview and Deer Lodge (DLC), with the exception of the PCH units in each facility.Lisa Kaita 14:52, 25 June 2025 (CDT)
| 28 November 2025 13:43:16 |
| 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)
- does this include patients who are discharged home with private nursing service? (steph)
- With "this" do you mean "TRSF Group/Supportive housing"? I would not have thought so. If you mean "Home with Support Services", good question. How would HIS use it (aside from getting it wrong at times)? We should probably stick with their definition for consistency. Convince me otherwise. Julie also might have thoughts on how we would use this entry, will flag for her. Ttenbergen 01:02, 24 October 2025 (CDT)
- I think this would be belong under home with support services, but do the virtual wards fall under transfer to Group/Supportive housing? Lisa Kaita 14:03, 14 November 2025 (CST)
- Are there others? I think H6...
- Those that have home O2 prior to admission, and go home with O2, do we use Home with support services everytime? Or is it only during the first time they get set up with home O2 service?
Allyson Alcudia 14:40, 12 December 2025 (CST)
| 12 December 2025 20:44:55 |
| Selkirk Mental Health Centre |
- I am unclear with these instructions, if indirect code as applicable? if we are using chronic care facility, like we do for Riverview and Deer Lodge (DLC), we have Riverview as an option for if they arrive as a direct or indirect, but now Deer Lodge (DLC) and Selkirk mental health are not an option, shouldn't we be treating these all the same? There is a question on the Chronic Health Facility Lisa Kaita 17:50, 16 June 2025 (CDT)
- I agree we should treat them the same. Also, there is now Eden Mental Health Centre in Winkler, which is listed together with Selkirk on the File:GRA ALC Form.pdf. Selkirk groups together with PCHs when reported, so to treat Eden similar to Selkirk in the absence of separate record, the most consistent coding would be "Manitoba PCH outside of Winnipeg". That is probably not where a user of our data would expect to find this. Should we consider any of the residential addiction treatment centres the same way (Bruce Oake Recovery Centre, Native Addictions Council of Manitoba, ...)?
JALT
| 26 November 2025 21:29:21 |
| Sex field |
I just came across an incomplete record (from S9 laptop) that has a sex entry "Undiff". Our dropdown doesn't contain this so this likely came from Cognos. If this is now being coded in EPR, and considering that this would affect the "biological sex" we use in defining this, should we introduce this as an option? If we do not want to introduce this as an option, do our cross checks catch this? They might not, since this could not have been entered manually. Ttenbergen 00:16, 12 November 2025 (CST)
| 12 November 2025 06:16:35 |
| St.Amant |
- Is that actually true, that we use the code for patients in one of their residential programs? Would we even know the patient is, considering many are now set up as home-stays or group homes? Or do we only collect this for people who actually live there, if there is still such a thing? Ttenbergen 15:40, 29 October 2025 (CDT)
- I ran a query to check and
Since 2022:
Pre acute living situation for patients where Dispo is St Amant has been recorded as:
- 23 Chronic Health Facility
- 14 Community Facility with support
- 5 Personal Care Home
- 2 House
- 1 other - known but not listed
- 1 Apartment
Pre acute living situation for patients where Previous Location is St Amant has been recorded as:
- 1 Apartment
- 1 Personal Care Home
How are we using this code, and how should we use it? Ttenbergen 16:07, 29 October 2025 (CDT)
* When I have seen this in a chart the address is usually 440 River Road, which is the St Amant facility, I code it as per the wiki instructions, as a chronic care facility. I know that St Amant has several group homes as well, but I wouldn't know their addresses and the documentation is usually not that specific to include who manages the group home. With the new dispo options, group homes would be transfer to group/supportive housing Lisa Kaita 15:46, 26 November 2025 (CST) | 26 November 2025 21:46:22 |
| pre_acute_living_situation field | JALT should we be including Misericordia TCU here? Lisa Kaita 11:57, 5 June 2025 (CDT)
- We found some cases where, during the same hospitalization, there are different values for this. For example, the first ward admission may have "house" and the immediate next ICU admission may have "PCH". I think there is no scenario where that makes sense. If you can think of one, tell me.
- For existing data like this, how would we best treat it heuristically. Would the first record be more likely to be right because the chart is still cleaner and easier to follow? Or would a later record be more likely to be correct since more of the patient's story would have emerged? Thoughts?
- This may arise when we complete the profiles separately ie. medicine done before ICU or vice versa, and more information may be more available in the chart, or it may have been an error where one was updated the other was not Lisa Kaita 15:32, 26 November 2025 (CST)
| 26 November 2025 21:32:33 |
Also see Task Team Meeting - Rolling Agenda and Minutes 2020
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ICU Database Task Group Meeting – January 6, 2022
- Present: Allan, Julie, Sherry, Lisa, Stephanie, Tina, Val, Pam, Mailah, Mindy
- Minutes prepared by: AG
- Action items in BOLD
1. Update on new lab listings, which appear to duplicate prior listings. Allan has begun working on this. Nothing new to report.
2. Update on what Shared Health is planning with regards to the databases. Allan reported that as requested, he provided Perry with a document (from Tina) a technical description of what is needed. Awaiting more information from Perry.
3. Update on plan (4/15/2021 Task meeting) to implement automatic coding of APACHE comorbidities. Allan is working on refining the ICD10 codes.
4. Update on the decision from 11/30/2021 meeting to revert to the old system, of starting a new record (with new APACHE score and new admit diagnoses) with service changes. This has been done, with relevant changes to the Wiki and “unwinding” of the 10 records that contain such MICU to SICU or SICU to MICU transfers into separate records.
5. Allan reported that he is working on drafting a Data Sharing Agreement that all users of line-level (i.e. individual record) data will need to complete to obtain such data. Work is ongoing on this. Also, a decision will need to be made about whether we need a similar agreement for users of cumulative/aggregate data.
6. Discussion about the Minimal Dataset and reporting. We agreed:
- We will retain the 11 elements of the “true” minimal dataset, all of which come from Cognos.
- Going forwards, all reporting by Julie will consist of details only from completed records, along with information about what % and # of records for the time interval are incomplete as of the time of the reporting.
- Lisa will let all collectors know of this change
- Tina will change the Wiki regarding it
- Allan will let Bojan know -- done.
7. There is a new ICD10 code U07.5 Past history of Covid-19 infection which is meant to be used just like the other “Past history of…” codes. Lisa to let all collectors know about it.
8. After discussion we agreed that there is no further need for the Wiki page HSC Boarding Locations. Tina will delete it.
9. The question was raised about definition of “emergency surgery”. After discussion we agreed to maintain it as is, i.e. admitted from Operating Room or Recovery AND surgery was classified as E1. Tina will ensure that this is consistent in the Wiki.
10. There is confusion about TISS elements #19 and #20. Allan will track back in the Minutes to clarify what we want (7/8/21 and 9/1/21 minutes). Julie will figure out the correct # of TISS points for these.
11. Tina identified that there are approximately 200 database questions that have been assigned for assessment but not addressed. Lisa will go over this list and categorize them into 3 groups: Need to be addressed; Can be deleted from further consideration; Unclear. We’ll discuss this further next meeting.
12. Next meeting February 3, 2022 at 11 am.
2021...
Also see Task Team Meeting - Rolling Agenda and Minutes 2021