Task Team Meeting - Rolling Agenda and Minutes 2022

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Also see Task Team Meeting - Rolling Agenda and Minutes 2021

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ICU Database Task Group Meeting – June 22, 2022

  • Present: Allan, Julie, Tina, Lisa, Stephanie, Joyce, Mindy, Brynn, Mailah, Gail, Pam, Pagasa
  • Minutes prepared by: AG
  • Action items in BOLD

1. Allan reported that he asked Bojan today to ask Perry again about Shared Health helping us move hosting by Digital Health forward. Awaiting more information from Bojan/Perry.

2. Update on moving to automated identification of the five APACHE II comorbid conditions. Tina reported that she is working on this. We agreed that this will be backdated to 1/1/2019, i.e. when we began using ICD10 coding.

3. Regarding creating new table containing information (metadata) about individual medicine wards (including High Obs). Tina reports no new progress.

4. Update regarding the universal, unique patient identifier in Cognos, ClientGUID.

  • Tina reports she needs to give this more thought.

5. Update regarding rule in template Template:ICD10 Guideline Transplant Failure in relation to ICD10 codes for transplant rejection.

  • We want to eliminate the guideline that says: If you use this code, you should not also code the comorbid diagnosis for past history of the transplant. Julie identified that in the past 3 yrs there have been 354 T86.x codes (i.e. transplant failure or rejection) -- 30 as acquired, 105 as admit and 219 as comorbids.
  • Before moving forward on it and fixing the template Allan and Julie will soon chat about the programming logic to fix these going backwards.

6. There was more discussion about the transfer ready issues. Tina and Julie are working on this.

7. We reviewed and dealt with a number of outstanding questions.

8. Update on new lab listings, which appear to duplicate prior listings. Allan will contact Dr. Sokoro at DSM to clarify how these 11 new listing may relate to those labs we currently collect/count.

9. Next Task meeting July 13 at 11 am


ICU Database Task Group Meeting – May 17, 2022

  • Present: Allan, Lisa, Julie, Pam, Tina, Gail, Barret, Val, Mindy, Stephanie, Mailah, Pagasa
  • Minutes prepared by: AG
  • Action items in BOLD

1. Allan updated the group about asking Shared Health to help us move hosting by Digital Health forward. Awaiting more information from Perry.

2. Change for Apache Chronic to ICD10 from separate variable - Update on moving to automated identification of the five APACHE II comorbid conditions. Tina is working on this.

3. Location metadata storage - Regarding creating new table containing information (metadata) about individual medicine wards (including High Obs). Tina is working on this.

4. ClientGUID field - Update regarding the universal, unique patient identifier in Cognos, ClientGUID.

  • Would be convenient for us and we want to use it to replace both pseudoPHIN and PersonID, except that we don’t have it for records entered manually by data collectors.
  • Tina will inquire with Chastity about this.

5. Update regarding rule in template Template:ICD10 Guideline Transplant Failure in relation to ICD10 codes for transplant rejection.

  • We want to eliminate the guideline that says: If you use this code, you should not also code the comorbid diagnosis for past history of the transplant. Julie identified that in the past 3 yrs there have been 354 T86.x codes (i.e. transplant failure or rejection) -- 30 as acquired, 105 as admit and 219 as comorbids.
  • Before moving forward on it and fixing the template Allan and Julie will chat about the programming logic to fix these going backwards.

6. Controlling Dx Type for ICD10 codes - Barret updated the group on his first path through all our ICD10 codes to identify those that should NOT be allowed in the 3 bins (comorbids, admit dx, acquired dx). He’s about 40% through the listings.

7. There was more discussion about the transfer ready issues. There will be a smaller working group meeting on this June 8.

8. Update on new lab listings, which appear to duplicate prior listings. Allan reported that Dr. Sokoro, his contact at DSM, is away until next week, after which Allan will contact him to clarify how these 11 new listing may relate to those labs we currently collect/count.

9. Next Task meeting June 16 at 10:30 am

ICU Database Task Group Meeting – May 4, 2022

  • Present: Allan, Lisa, Brynn, Michelle, Julie, Pam, Tina, Gail, Val, Gladys, Pagasa
  • Minutes prepared by: AG
  • Action items in BOLD

1. Allan updated the group about asking Shared Health to help us move hosting by Digital Health forward. At a Zoom meeting about this on May 2, including Allan, Shelley Irvine Day, others from SH and DH, it was again recognized that we need Perry Gray to take this to the SH Executive. To that end, Bojan Paunovic asked Perry about the status. Perry replied that he will address it this week. It is not completely clear what form this will take, so we’ll have to wait and see. Awaiting more information from Perry.

2. Update on replacing Accept DtTm with first Service tmp entry, and Arrive DtTm with first Boarding Loc. Tina reports this is now essentially completed.

3. Update on moving to automated identification of the five APACHE II comorbid conditions. Tina reported that she is working on this.

4. Regarding creating new table containing information (metadata) about individual medicine wards (including High Obs). Tina reports no new progress.

5. New item. After discussion we agreed that we no longer need the DC Treatment field and will stop collecting it. Tina has removed it from collection

6. New item: Unique patient identifiers.

  • Manitobans have PHIN; non-Manitobans have a pseudoPHIN. In addition, everyone has a PersonID. These latter two are created for the database and thus have no external existence, i.e. could not be used to link our data to other data. Also, it requires both a consistency check and Pagasa to ensure that the pseudoPHIN and PersonID are consistent across the entire database.
  • Cognos has a universal, unique code called the ClientGUID and as such it could be a very convenient replacement for both pseudoPHIN and PersonID, and allow for linkage to other datasets -- except that we don’t have it for records entered manually by data collectors (instead of using Cognos data as the starting point). This latter occurs mainly for all IICU patients (as they’re not on the “patient follow” method of assigning collectors) and for a smattering of others (likely <25/year). We agreed that we will replace pseudoPHIN and PersonID with the ClientGUID if we can secure a reliable method of filling it in for records entered manually.
    • To this end, Tina will inquire with Chastity.
    • If it turns out we can do it then:
      • Tina has in mind a workaround for the IICU patients
      • Tina will implement automated entry of ClientGUID from Cognos -- and then its absence will indicate to Pagasa those we need to fill in manually.
      • Tina/Julie will update the ClientGUID backwards to the start of its existence, and to the extent possible connect it to pseudoPHIN and PersonID prior to that.
  • We’ll discuss this more next time.

7. New item. We recognized the inconsistency of an item in the template Template:ICD10 Guideline Transplant Failure regarding ICD10 codes for transplant rejection. Specifically we agreed to eliminate the guideline to: If you use this code, you should not also code the comorbid diagnosis for past history of the transplant. In order to help guide us whether to try and fix this going backwards, Julie will obtain a count of the number of persons with codes for transplant rejection.

8. Update on new lab listings, which appear to duplicate prior listings. After the regular meeting today, Allan, Julie and Tina discussed these. Allan has identified 11 new lab listings that may (or may not) relate to the lab counts we collect.

  • Tina has sent Allan the official DSM codes for the labs we collect -- and thereafter Allan will contact DSM to clarify how these 11 new listing may relate to them.

9. Next Task meeting May 18 at 11 am

ICU Database Task Group Meeting – April 19, 2022

  • Present: Allan, Lisa, Brynn, Julie, Pam, Tina, Sherry, Gail, Mindy, Val, Mailah
  • Minutes prepared by: AG
  • Action items in BOLD

1. Update on new lab listings, which appear to duplicate prior listings. Tina will send Allan an updated list of these (done) and he’ll contact the lab this week.

2. Update on asking Shared Health to help us move hosting by Digital Health forward. There is a Zoom meeting about this scheduled May 2 including Shelly Irvine Day to talk about it further, but prior to that Allan will ask Bojan to send to Perry a request for an update (done). Awaiting more information from Perry.

3. Updates on two data change issues: (a) moving to automated identification of the five APACHE II comorbid conditions, and (b) replacing Accept DtTm with first Service tmp entry, and Arrive DtTm with first Boarding Loc.

  • The status of making these changes are similar, i.e. that there are many Wiki pages and other data-related issues that have to be identified and modified before going live with these 2 changes. Tina is working on them.
  • Allan reported that after talking with Carmen and Bojan, they desire to have reporting on transfer delays (including out of ED) altered to be as follows:
    • Reporting on all 3 of these items (transfer out of ED, transfer out of ICU, transfer out of ward) to be the same.
    • At today’s meeting we made some decisions, but on April 27 Julie and Allan had additional discussion and these will be done as indicated herein, in which (unlike the prior decision, we will include, not exclude, delays <30 mins)
    • For transfer out of ED delays report as follows: total # of patients who left alive and admitted to hospital; distribution of TRUE transfer delays [i.e. from transfer-ready until they left]; average value of the TRUE delay; cumulative true delays
    • For delays in transfer out of ICU or ward, report both of the following:
      • Total # of patients who left alive to a lower level of care -- among these provide distribution of true transfer delays [from transfer-ready until they left to lower level, considering leaving to lower level without a noted transfer ready date/time as 0 delay]; average value of true delay; cumulative true delays AND also report #of people who had a transfer ready date/time to lower level but in fact went to a higher or same level instead AND also report #of people who had a transfer ready date/time to lower level but in fact died before going anywhere
      • same as above except restricted to those with transfer delays >2 hrs (ICU) and >4hrs (ward)
  • Sherry identified that the ward attendings at Grace are generally not putting a date/time alongside their notes (and orders) indicating a patient is transfer ready to a lower level of care. Allan let Nick and Ebi know this April 21 in hope they can get it to change, so that they can then have more accurate transfer delay data -- Nick indicated he will try and work with them on this.

4. Regarding creating new table containing information (metadata) about individual medicine wards (including High Obs). Tina reports no new progress.

5. Final discussion about how to code if someone has a limb or organ removed during this stay but before they become our patient, in light of the fact that we already have a group of “Past history of” ICD10 codes for this. See April 6 minutes for decisions on this item.

  • Remaining is to modify the guidelines for Admit Procedure. This has now been done.

6. After further discussion, we agreed that instead of creating new location items of hospital-specific procedure locations, we already have a location item ("Other Procedure Location") that we will use for both previous locations and disposition locations. Tina has made this happen.

7. New item: whether to allow/disallow duplication of diagnoses. This arose with a patient who had two separate skin infections during a single admission. After discussion we agreed to allow this, and remove the crosscheck disallowing it. Tina has disabled query check_ICD10_duplicates.

8. New item: when should Liver enzymes, elevated (liver function tests) be used, as opposed to Disorder of liver, NOS? Discussion highlighted:

  • In general, coding abnormal laboratory findings is optional when the specific cause is known and coded.
  • In the absence of knowing the specific cause, the choice of using the code for abnormal lab test versus a nonspecific diagnosis code (e.g. Disorder of liver, NOS) should mainly be guided by whether or not the other coded diagnoses are present.
    • Example: COVID is associated with elevated LFTs in about 30% of cases. Thus if that is the only recognized reason for the elevated LFTs, then it makes most sense to code and link the COVID diagnosis and the abnormal labs together (instead of using the Disorder of liver, NOS code).

9. Next Task meeting May 4 at 11 am.

ICU Database Task Group Meeting – April 6, 2022

  • Present: Allan, Mindy, Gladys, Mailah, Stephanie, Julie, Tina, Val, Pam, Pagasa
  • Minutes prepared by: AG
  • Action items in BOLD

1. Instructions_for_importing_a_batch_of_DSM_Data#Check_for_new_labs - Update on new lab listings, which appear to duplicate prior listings. Nothing new to report.

2. Update on what Shared Health is planning with regards to the databases. Allan reported that he resent to Perry Gray the most recently requested document about this. Awaiting more information from Perry. Tina reported that through the ticket about this she put in to Digital Health awhile ago, apparently they are deciding on who should be the “owner” of the database.

3. Update on agreement to move to automated identification of the five APACHE II comorbid conditions. So, collectors will no longer be specifically identifying these once Julie/Tina implement this change.

4. Regarding creating new table containing information (metadata) about individual medicine wards (including High Obs). Tina reports that Chastity gave her a data sample from Cognos and that Tina/Julie to go over it.

5. More discussion about how to code if someone has a limb or organ removed during this stay but before they become our patient, in light of the fact that we already have a group of “Past history of” ICD10 codes for this. We agreed on the following:

  • As per the existing guidelines, those “Past history of” codes will remain restricted to comorbid diagnoses.
  • In coding an admission which is directly related to a prior procedure:
    • We will expand the guidelines for Admit Procedure. Specifically, to the existing 48 hour rule we will add “OR -- irrespective of whether it's within 48 hours (this could be outside of current hospitalization), if the association of that procedure with the admission is abundantly obvious (as per data collector discretion)”
    • We recognize and accept that since there is no linking of diagnoses with procedures, and in light of restricting “Past history of” diagnosis codes to comorbid diagnoses, such a relationship will be suggestive, not explicit.
  • Example: Patient had a BKA before ICU admission (either before hospital admission, or during this hospital admission), and then develops a wound infection from the amputation site with sepsis. Past history, loss of limb(s) should be a comorbid diagnosis. The CCI code for the amputation should be an Admit Procedure, and the diagnosis would be Iatrogenic, infection, following a procedure or surgery, NOS .

6. More discussion about replacing Accept DtTm with first Service tmp entry, and Arrive DtTm with first Boarding Loc

  • A canvassing of collectors indicates that the Service tmp and Boarding Loc entries are likely MORE accurate that are the Accept DtTm and Arrive DtTm fields.
  • Julie informed the group that per old guidelines, before calculating statistics on discharge/transfer delays, she substracts 2 hrs for ICU and 4 hrs for wards.
    • Apparently, this was in order to account/adjust for procedural delays (e.g. room cleaning, transport, etc) in moving patients.
    • As many/most of those sorts of delays ARE modifiable, it’s not clear if this practice should continue.
    • Allan queried Bojan Paunovic, Carmen Hrymak and Ebi Renner to ask about how they prefer this in the future. The consensus answer is to report both:
      • (a) total # of patients who left alive; the distribution of TRUE transfer delays [i.e. from transfer-ready until they left]; and the average value of the TRUE delay
      • (b) same as 'a' except restricted to those with transfer delays >2 hrs (ICU) and >4hrs (ward)
    • Tina will implement an automatic data check (soft check) for such delays <30 mins, and in calculating the statistics on such delays, Julie will ignore them if <30 mins.
  • Once all this is done, we will make the switchover, ceasing to collect Accept DtTm and Arrive DtTm fields.

7. Further discussion about recording Drug-induced immunosuppression, particularly as part of the APACHE comorbidity

  • As per before, this is now going to be collected exclusively under ICD10 code Z92.25 Past history of immunosuppressive drugs or corticosteroids. Lisa to notify collectors about this.
  • Of note, there’s no real reason to convert over the prior incarnations of collecting this as a CCI/TISS item, as in any case it exists as a created variable, not a hard-coded variable.

8. Next Task meeting April 20 at 11 am

ICU Database Task Group Meeting – March 9, 2022

  • Present: Allan, Julie, Lisa, Tina, Pam, Pagasa, Barret, Pam, Stephanie, Mailah
  • Minutes prepared by: AG
  • Action items in BOLD

1. Update on new lab listings, which appear to duplicate prior listings. 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 agreement to move to automated identification of the five APACHE II comorbid conditions. So, collectors will no longer be specifically identifying these once Julie/Tina implement this change. See also point (7)

4. Location metadata storage - Regarding creating new table containing information (metadata) about individual medicine wards (including High Obs). Tina/Julie to implement this, but Tina recently recognized that Cognos contains this information and before implementing it using info supplied by collectors, she has asked Chastity about obtaining it from Cognos instead.

5. Question from list: How to code if someone has a limb or organ removed during this stay but before they become our patient?

6. Question from list: Change to replace Accept DtTm with first Service tmp entry, and Arrive DtTm with first Boarding Loc

  • We want to finally retire arrive time and accept time, replacing them with info from the Boarding Loc and Service temp. But Julie notes that we use these data to calculate and report on ER delays, and that in comparing the old with new way methods she has found some inconsistencies. So, before we completely make the changeover,
    • At the next task meeting Julie will show us histograms comparing the two sets of data
    • Lisa will look at the inconsistencies and see if she can figure out why it’s happening

7. Question from list Drug-induced immunosuppression.

  • Tina made the point that the way we’re currently recording this entity for purposes of Chronic Health APACHE is as a TISS element, but that this is awkward and suboptimal.
  • After discussion we agreed to instead collect this information under existing code Z92.25 Past history of immunosuppressive drugs or corticosteroids, and for that purpose Allan has changed the definition of that ICD-10 code, which is applicable to both ICU and wards. Lisa to notify collectors of this. Tina to update the created variables queries to reflect this.

8. Next Task meeting April 6 at 11 am

ICU Database Task Group Meeting – February 17, 2022

  • Present: Allan, Julie, Sherry, Lisa, Tina, Pam, Pagasa, Mindy, Brynn, Barret
  • 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. Change for Apache Chronic to ICD10 from separate variable - We agreed to move to automated identification of the five APACHE II comorbid conditions. So, collectors will no longer be specifically identifying these. Julie/Tina to implement this change.

4. Update on the approximately 200 database questions that have been assigned for assessment but not addressed.

  • Tina reports this list is down to about 120 now.
  • After discussion, we agreed to delay aggressively addressing these until our data collectors come back from their COVID assignments.

5. Location metadata storage - Update on creating new table containing information (metadata) about individual medicine wards (including High Obs). Tina/Julie to implement this. It will require that data collectors notify Julie and/or Tina and/or Pagasa when a specific ward is altered in such ways.

6. New questions:

7. Next meeting March 9 at 1pm.

ICU Database Task Group Meeting – February 3, 2022

  • Present: Allan, Julie, Sherry, Lisa, Tina, Val, Pam, Pagasa, 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. Further consideration of T19 - Spontaneous breathing via ETT without PEEP/CPAP, with or without supplemental O2 (TISS Item) and T20 - Supp O2 through any device, delivered via nose, mouth, ETT or trach (TISS Item).

  • The original TISS28 item (CCM 24(1):64-73,1996) of supplemental ventilatory support, worth 2 points, is either of: (a) Breathing spontaneously via ETT without PEEP/CPAP, or (b) Supplemental O2 by any method without mechanical ventilation (invasive or noninvasive)
    • So there’s some overlap here (which is OK since it’s a single TISS item) in that spontaneous breathing via ETT without PEEP/CPAP but with supplemental O2 fits into both ‘a’ and ‘b’
  • On 6/15/2021 we changed TISS19 and TISS20 to:
    • TISS19 = Spontaneous breathing via ETT without PEEP/CPAP, with or without supplemental O2 -- e.g. includes trach mask, T-tube
    • TISS20 = Supplemental O2 though any device, delivered via nose, mouth, ETT or trach [which must be without invasive or noninvasive mechanical ventilation]
    • However, at that time we incorrectly said that TISS19 is just 1 point, while in fact it should be 2 points (and TISS20 is 2 points also)
  • There is still overlap between these versions of TISS19 and TISS20, specifically: breathing via ETT with O2 but without PEEP/CPAP fits both -- but this is not a problem, as when one computes the TISS score for a given domain (e.g. respiratory support), only the single item with the highest point score is counted.
  • Allan suggests that we:
    • Clarify TISS20: Supplemental O2 though any device, delivered via nose, mouth, ETT or trach, without invasive or noninvasive mechanical ventilation
    • Modify TISS19: Spontaneous breathing via ETT without PEEP/CPAP, with or without supplemental O2, without invasive or noninvasive mechanical ventilation
    • Ensure that TISS19 and TISS20 both are 2 points

5. Update on the approximately 200 questions that have been flagged for assessment but not addressed.

  • Lisa dealt with approximately 40 of these, and referred approximately 70 of them to Julie and Pagasa.
  • The remainder were either assigned to others, or unassigned. Lisa will categorize them into into 3 groups: Need to be addressed; Can be deleted from further consideration; Unclear.

6. A clarification was made in the Wiki regarding Medical Assistance In Dying (Z51.81). Specifically that it should not be coded in a record if the patient was transferred to a different institution to undergo MAID -- instead it should be coded at that other institution.

7. It was agreed to stop the manual notation made in the Boarding Loc comment field for COVID patients or those on COVID wards.

8. Clarification of coding for iatrogenic pneumothorax.

  • The issue was that in coding iatrogenic PTX, the instructions are to combine: Iatrogenic, puncture or laceration, related to a procedure or surgery NOS along with one of the nontraumatic PTX codes. BUT all of the latter indicated not to use them for iatrogenic or traumatic causes --- and this was WRONG. The relevant Wiki pages have now been changed to say not to use them for traumatic pneumothorax, but that can be used for iatrogenic PTX.

9. After extensive discussion it was agreed to create a new table containing information (metadata) about individual medicine wards (including High Obs). This additional layer will be used to keep track over time of: bed count, ward type (specifically general ward vs. high obs) and other information. We recognize this will increase the work that Julie has to do for reporting on unit-specific information, but it provides flexibility for future. See Location metadata storage for further info. Tina/Julie to implement this. It will require that data collectors notify Julie and/or Tina and/or Pagasa when a specific ward is altered in such ways.

10. An example was raised that a patient went medicine ward --> endoscopy --> OR --> surgery ward; but there was no appropriate Dispo location from the medicine ward. After discussion, we agreed to add to Dispo locations for each hospital a listing such as: HSC, Procedure location, NOS. Tina to implement this; this is also mentioned at Medical_Assistance_In_Dying#Collection_Instructions_for_MAID so any update needs to fix that as well..

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. Draft version is in Database_Request_Process#Data_Accessibility_and_Responsibility. 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 Data Set 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 has updated Minimal Data Set 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 has deleted it.

9. The question was raised about definition of Emergency Surgery (concept). After discussion we agreed to maintain it as is, i.e. admitted from Operating Room or Recovery AND surgery was classified as E1. Tina has updated wiki Emergency Surgery (concept), Emergency Surgery (TISS Item) and Admit Type for APACHE II to make sure this is defined consistently.

10. There is confusion about TISS elements T19 - Spontaneous breathing via ETT without PEEP/CPAP, with or without supplemental O2 (TISS Item) and T20 - Supp O2 through any device, delivered via nose, mouth, ETT or trach (TISS Item) .

  • This issue tracks back to the 6/15/2021 and 7/8/2021 minutes where indeed the current versions of TISS#19 and TISS#20 were chosen, both as 2 points, in order to correlate correctly to the original/actual delineation of TISS. So, no changes needed 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

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