Allan's links

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Allan offered to help us out with the documentation. This page lists things that need attention.

specific questions for Allan

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edit page question ModDate
edit page question ModDate
edit Dispo field
  • In terms of avoidable bed days, they often hold the bed for a day, as you said, but if the patient does not return, would we not want this in the avoidable bed days? Therefore the dispo date and time would be when the bed is given up? I believe EPR already uses this as their dispo date and time Lisa Kaita 08:04, 2022 April 29 (CDT)
    • if did not return, I think we should consider the holding of bed as transfer delay. The bed should have been given to new patient from the dttm the bed was put on hold. I agree that dispo is when the bed was given up. --JMojica 16:12, 2022 April 29 (CDT)
      • This would not be a transfer delay at all. Someone walking out AMA is different from someone being transfer ready, it could be someone who should still be in hospital but leaves to find their next hit. I am not sure how common the different scenarios of AMA are, though. Maybe it's a task meeting item? Ttenbergen 12:40, 2022 May 4 (CDT)
2022-05-04 5:40:43 PM
edit Gastrointestinal hemorrhage (GI bleed), not specified if lower or upper There is confusion surrounding how to code a known lower GI BLeed, some have been using this code, others have used Hemorrhage, NOS combined with Melena or Hematochezia or Diverticulosis, small or large intestine or Intestinal polyp etc. Lisa Kaita 12:54, 2022 May 16 (CDT) 2022-05-16 5:54:11 PM
edit Transfer Ready DtTm tmp entry We need a consistent approach to how we handle the following scenario: We can assume that in all scenarios there is no other clear documentation.
  • 1. Discharge order written with date and time, but the order is to discharge the following day or on a specific date (reasons for the delay are some times clearly documented, ie if they are waiting for homecare services or transportation etc, or discharge post last dose IV ABX, discharge after dialysis.
    • 2. Recently at SB, they have been including the Med Reconciliation orders in EPR documents. Typically, once a pt is transferrable, a Med Rec is initiated. If there are no discharge orders, no discharge summary and no discharge time documented, including the examples above specific to Medicine, could we (SB) also use this as our TransferReady dtm?--Mailah Damian 13:51, 2022 May 18 (CDT)
    2022-05-18 6:57:38 PM
    edit Blood Product Data z
  • Identified as something we should do to streamline data collection. I have made this page to document progress toward this import.
    • This will not happen until we have a PHIA approved repository. Ttenbergen 11:32, 2022 February 9 (CST)
  • 2022-02-09 5:32:44 PM
    edit ABG Data z
  • Identified as something we should do to streamline data collection. I have made this page to document progress toward this import. Blood gas data is in DSM listing; need to compare to see if we can use it
    • Allan will revisit with Lab people whether this is obtainable now Ttenbergen 11:34, 2022 February 9 (CST)
  • 2022-04-21 10:25:05 PM
    edit Direct Data Access for RIS/PACS z
  • Identified as something we should do; the notes below are quite old but might still be a starting point.
    • This will not happen until we have a PHIA approved repository. Ttenbergen 11:32, 2022 February 9 (CST)
  • 2022-02-09 5:32:42 PM
    edit Template:ICD10 Guideline MRSA z "It was decided that Allan with contact Dr. Embil after COVID is over and see if we can obtain this data from Infection Control. If so, we could import it into the database, and have our data collectors cease obtaining it." - did anything come of that? 2021-01-12 8:59:00 PM