Project AHC
| Projects | |
| Active?: | active |
| Program: | Med |
| Requestor: | Dan Roberts |
| Collection start: | 2025-07-02 |
| Collection end: | |
As of 2025-07-02, this project only runs at GRA.
As of 2025-10-09, collect only the first consult sent dttm (or received if no indication of when the consult was sent)
Data Collection
- For any medicine record being sent after the project start date, capture the first allied health consult, the reason for the consult does not matter.
- Self-consults by any allied health professional should be captured as a new consult
- Verbal consults will not have an order or consult written, if when reviewing a chart there is a note by an allied health professional and no associated consult/order enter that as yes and note the dttm of the first documentation
- If there is an order to consult one of the AHC professionals, and it is later cancelled (doesn't matter how long after the order) then capture the consult
Data Entry Instructions
The following instructions hold for one of each of the allied health teams, ie AH_C_OT, AH_C_PT, AH_C_SW, AH_C_HC Same instructions for each unless otherwise noted. Acronym definitions: AH_C - Allied Health Consult, OT - Occupational Therapy, PT - Physical Therapy(Physiotherapy), SW - Social Work, HC - Home Care. Conditional formatting per allied health team: PT blue, OT yellow, SW green, HC red.
Referral sent
A line with Project "AH_C_<the allied health team>_s" and item "Referral sent" will be entered automatically for new patients, existing records entered prior to the start date of the project will need to have these entered manually.
- for consults that are initiated prior to the first Service tmp entry use the dttm of the first Service tmp entry
- for consult that are initiated via care maps/clinical pathways, use the dttm that the form is initiated, if there is no time indicated, use the date and time of arrival to the unit.
- Project "AH_C_<the allied health team>_s"
Update the record as follows:
- Item:
- "Referral sent" - leave this entry in place if a referral sis found
- "not consulted" - if you have finished the chart and didn't find one; in this case no other data for that consult should be entered, and any other lines generated for the respective allied health team should be deleted
- Date: date of the consult if available, if consult not in chart but there is clear documentation in the chart use the dttm of the first note/assessment (best guess better than nothing but not mandatory)
- Time: time of the consult (best guess better than nothing but not mandatory)
- Checkbox: check if the date and/or time is a best guess
- Integer / "N" column - linking together of entries for the same consult
- Real, Comment: not used
Consult Received
The following lines will automatically be added to each new medicine record, existing records entered prior to the start date of the project will need to have these entered manually:
- Project: AH_C_<the allied health team> - Item: "not entered" (because you haven't set a value yet)
- for consults that are received prior to the first Service tmp entry use the dttm of the first Service tmp entry
- At the GGH patients that are already receiving Homecare services will have a printout from the EHCR (electronic home care record??) in the chart, choose the option "aware of patient transfer from other source" if this is the case. The date and time that the EHCR is printed will be on the form
Update the record as follows:
- Item: change the item dropdown as follows as you come across information
- "referral received" - formal or informal (phone call, conversation, rounds conversation noted in IPN, etc)
- "aware of patient transfer from other source" - alternative if noted by AH
- "Late consult received" - alternative if noted by AH
- Date: date the consult is received, only if clearly documented
- Time: time the consult is received, only if clearly documented
- Checkbox: check if the date and/or time is not documented
- Integer / "N" column - linking together of entries for the same consult
- Real, Comment: not used
Sources
- SBGH in EPR - check for consults in the orders tab, there will also be documentation in the documents section by the various allied health teams, if they have been consulted
- HSC and GGH - check for an order and also the consult sections of the chart, there will also be documentation in the notes section by the various allied health team, if they have been consulted
Consult not required for...
- we don't track consults for
- pharmacy
- utilization
Special Case - Consult before admission or after discharge from medicine
- Only enter yes, if the medicine team writes a new order to consult one of the allied health team.
- OT said that if one of the OT members is consulted in ICU, or another ward, or ER, they do not re-consult, they give an OT to OT report - don't enter that
- OT also said sometimes the medicine team will write a new consult, but that it isn't necessary if they are already following, they will however write a "transfer" note. she was uncertain if all other allied health teams practice the same way. Many of the consults are verbal. - you would enter a re-consult written as that
Special Case - Consult ordered and cancelled
- enter the consult
Data Use
This data is being collected as a current state for Project Overstay2.
Legacy Collection Instructions (for data interpretation)
| legacy collection instructions |
|
As of 2025-10-09, collect only the first consult sent dttm (or received if no indication of when the consult was sent) The rest of these no longer apply for collection but are being maintained for data interpretation.
Optional EntriesAllied Health wants to work on improving the process and has asked us to track a few options if they occur. For these, rely on AH to enter these right with their IPN note, ie collectors are not required to interpret or adjudicate this. This has been discussed with Allied health. Item options are:
Consult Dealt WithThe following lines will automatically be added to each new medicine record, existing records entered prior to the start date of the project will need to have these entered manually:
Update the record as follows:
Consult DischargedIf there is a specific record (see #Optional Entries) that the patient was discharged by allied health, then enter:
|
Data Integrity Checks (automatic list)
| App | Status | |
|---|---|---|
| Query check_tmp_AHC | CCMDB.accdb | needs review |
|
can you please activate this cross check? thank you 14:13, 21 November 2025 (CST) |
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