Task Team Meeting - Rolling Agenda and Minutes 2023

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ICU Database Task Group Meeting – Jan 11, 2023

Copied here as starting point for 2023, please edit/overwrite

• Present: ___
• Minutes prepared by: AG
• Action items in BOLD

1. Transition to Database Server#Shared Health - Nothing new about either of the possible alternative options for hosting the database.

2. Two related issues: (a) APACHE Comorbidities in ICD10 codes - Moving to automated identification of the five APACHE II comorbid conditions, and (b) Non-standard ICD10 Diagnoses - Adding non-standard ICD10 Diagnoses to APACHE II codings for chronic conditions or admit diagnoses.

• Allan has done both of these tasks, and what remains to be done is: (a) Tina to reformat them for integration into our existing data infrastructure (ACCESS and SAS) (Tina has done), (b) send the reformatted version to Allan so he can ensure completeness (Tina has done), and finally (c) Tina/Julie to incorporate them into workflow and backdate them to 1/1/2019.
• Allan and Tina to meet about this later today.

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

4. Validating new types of DSM results - Update on lab issues -- Allan and Tina have a followup meeting planned with Dr. Sokoro and Alun Carter.

5. Controlling Dx Type for ICD10 codes - Regarding the task (led by Barret) to improve data collector diagnosis assignment into the 3 "bins" of admission diagnosis, acquired diagnosis and comorbid diagnosis.

• Lisa believes there is capacity to have one of the experienced collectors to work with Barret on this task. Lisa, Barret and Julie to meet about this soon.

6. New item: for Pre acute living situation field, how to code group homes. After discussion, we recognized that group homes, "Supportive Housing" and assisted living exist on a continuum of care levels in the community. Furthermore, no user has ever asked for this information. Thus, we agreed to combine them altogether. To this end Tina will create a new value for this field (to be called something like “Community Facility with support”, and distinguish it from PCHs.

7. New question: now to code transfusion-associated fluid overload. Answer is combine one of the Congestive Heart Failure codes with Iatrogenic problem NOS, related to a surgery or procedure, NOS, and of course to code the transfusion as a procedure.

8. Next Task meeting January 11, 2023 at 11 am

2022...

Also see Task Team Meeting - Rolling Agenda and Minutes 2022