Task Team Meeting - Rolling Agenda and Minutes 2018

Database Task Group Meeting – June 21, 2017

Present: Allan Garland, Con Marks, Laura Kolesar, Tina Tenbergen, Trish Ostryzniuk

1. Switching over to ICD-10 and CCI

We set out a timeline, as follows:
- Allan to finalize codes and naming (including acronyms where appropriate) by 7/21/2017 - this will include incorporating the bug list
- Work begins thereafter (with goal of being finished by end of October 2017) on making new Wiki articles for each code. To facilitate this we’ll use the mapping of old-to-new codes we made a few months ago. But, it will also require the data collectors to review the new listings. We will begin an inservicing process as this work proceeds.
- Tina to create the interface for inputting the new coding schema.
- Data collectors to begin “shadow entry” of the new coding on 11/1/2017
- Cease entering the current coding on 1/1/2018
Regarding identifying diagnoses for which there are specific definitions, Tina created a list of longer Wiki entries, under the presumption that such diagnoses will be included there.
We should create crosschecks at this early phase of development (e.g. every metastatic dz code must also have a primary source of cancer code).

2.Update on seeking data on PHIN validation data, hospitalization data, and mortality data from WRHA (Phil Jarman).

Allan reported that he spoke to the WRHA IT lead, Leona Lane (204-926-8086) who is working to set up a meeting including the current WRHA Privacy Officer. We also recognized that Tina should be at that session, to supply information about technologic issues in privacy. Allan will follow-up with Leona.

3. Follow-up on seeking collectors having eChart access. Trish is continuing to look into this.

4. New data collection issues:

Laura raised the question of how to code the “prior service” for a patient who makes a stop in a procedure area (e.g. cath lab, interventional radiology) on the way from ED to ICU or ward. We agreed that when the patient has actually been admitted to a service (e.g. Neurology for a stroke patient) that it’s easy. It’s less clear when this doesn’t occur, and the proceduralist (e.g. cardiologist, invasive radiologist) is merely doing a procedure. We agreed that we need to include Julie in this discussion, as she knows best how this information is being used.

Next Task Team Meeting: Thursday July 20, 2017 at 10:30 am