JALT Meeting - Rolling Agenda and Minutes 2026
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List of items to bring to JALT meeting
Add to this by adding the following to the article where the problem is documented:
{{DiscussTask | JALT
* <question details>}}(this will bring it to Task if not addressed at JALT)
or
{{Discuss | JALT
* <question details>}}(this will not bring it to Task) Toggle columns: Last modified
| wiki page | question | Last modified |
|---|---|---|
| wiki page | question | Last modified |
| Check pre acute consistent | JALT
| 2025-12-17 6:30:28 PM |
| Chronic Health Facility |
| 2025-11-28 1:43:16 PM |
| Chronic Health Facility |
| 2025-11-28 1:43:16 PM |
| Chronic Health Facility | We have discussed lately that we might want to become more nuanced about some chronic care locations (Deer Lodge (DLC) and Riverview). I have removed the details from the above linked fields and consolidated here. Once this page is cleaned up this discussion entry can be removed.
| 2025-11-28 1:43:16 PM |
| Collection of data on homelessness | JALT
* who should we clarify with, I would think if they have a MB PHIN or are self pay then you would choose MB, if they don't then I would choose Not known Lisa Kaita 21:25, 6 September 2025 (CDT)
| 2026-03-10 1:20:00 AM |
| Data Processor Portal | JALT
| 2026-01-06 6:31:16 PM |
| Definition of a Medicine Program Admission | JALT
| 2025-12-09 12:55:39 AM |
| Discharged to community | JALT
Just a placeholder for now because the idea of how we define dispo to community (or for that matter, re-admit Previous Location) in data came up re. things like Readmission to MedWard and others. We have the obvious "Home" but if someone is discharged to something like Dialysis, would that also count? How do we define? Ideally by a column in s_dispo table such as s_dispo.loc_type, but that one uses "non-patient" which it also uses for Deceased patients (should we just split that out?). There is probably even more to this. Likely Julie has more than one approach in reporting. This came up because we were looking to define this for LAU collection readmission data.
| 2026-01-22 3:40:32 AM |
| Dispo field | JALT
I thought we had decided at JALT to collect this as presented by EPR... do I remember this wrong? I had already added it in CCMDB.accdb Change Log 2025#2025-03-11-1. Ttenbergen 22:52, 11 March 2025 (CDT)
| 2026-03-11 7:10:29 AM |
| John or Jane Doe patient | JALT
| 2026-03-14 1:38:21 AM |
| Patients residing in Manitoba with ambiguous MH Health coverage | JALT
| 2025-08-14 5:06:29 PM |
| Project NonTradLoc | JALT
| 2026-01-13 8:28:31 PM |
| Project Overstay2 |
| 2025-12-17 5:44:01 PM |
| Query check tmp AHC | JALT
| 2026-01-13 8:58:25 PM |
| Selkirk Mental Health Centre | JALT - Mental Health Facilities in Addition to Selkirk
| 2026-03-16 3:16:25 AM |
| Selkirk Mental Health Centre | JALT - Mental Health Facility Coding vs PCH
| 2026-03-16 3:16:25 AM |
| Service tmp post-send consistency checks |
| 2025-11-27 10:44:27 PM |
| Service/Location field |
| 2025-12-24 8:46:05 AM |
| Standard data cleaning process |
| 2025-03-12 2:51:43 AM |
| STB Medicine Collection Guide | There was a discussion about the beds that had been "handed to" them... what was the outcome, should it go here?
| 2026-01-06 4:43:51 PM |
| Transfer for bed management | JALT
| 2026-03-10 1:22:38 AM |
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JALT 2026-3-4
- Present: Tina, Julie, Jen, Lisa, Allan, Dan
- Minutes by: Allan
1. Lisa reported that the collectors have begun using the Transfer for bed management and Intended1stSrvc, without major problems.
2. Allan reported that after previously contacting Dr. Hajadiocos in regards to ward patients on non-GIM services, and being told that Dr. H will arrange a virtual meeting with those groups, he has not heard back again.
3. New item -- adding new "admit from/transfer to" sites, e.g. Eden Mental Health Centre
- Lisa already can make such additions to the S table
- It currently appears that mental health facilities (e.g. Selkirk Mental Health Centre) are being classified under PCH, which is incorrect. We agreed that we will add "Mental Health Centre" as a new category of healthcare site
4. New item -- Dan/Tina explained that for their bed movement efficiency work, they are replacing LOS with a different parameter,
- This new parameter is defined over any given time interval as: Total # of bed-days/#Discharges
- it is a superior measure of discharge efficiency that smooths out short-term fluctuations and LOS outliers, and in asymptotically equals average LOS
- They are already using this index for ward patients
- After discussion, we agreed that while this index might be useful for ICUs also, we will delay reporting it until we finalize the new-style ICU service and ICU bed reporting
5. Next JALT meeting will be April 16, 2026
JALT 2026-1-22
- Present: Tina, Julie, Jen, Lisa, Allan, Dan
- Minutes by: Allan
1. A lot MORE discussion about Transfer for bed management
- With Dan's help we DEFINED this concept: A transfer for bed management is a transfer (remembering that it only applies to transfers at the same level [ICU-to-ICU or ward-to-ward] with the single exception of going from ward to LAU) that is NOT to benefit the patient, but rather to benefit the bed system. The alternative is a transfer that is to benefit the care of the patient, e.g. transfer from Grace ICU to MICU for dialysis.
- We also agreed to define hospital repatriation as transfer back to a hospital outside of the WRHA. Tina made this change on the Transfer for bed management page.
- Tina indicated that there are other groups working on bed capacity issues, and suggests we interface with them. Tina will send contact info and Allan will make contact.
- Dan clarified that as those other groups do NOT (currently) possess any clinical details about patients, that their efforts regarding capacity and bed needs must be incomplete. As WE have the clinical detail (and chart review by experienced nurse data collectors) for medicine wards and ICUs, there is potential there for collaboration.
- Allan has modified the Transfer for bed management wiki page to provide some general guidance for using this code for ICU-to-ICU transfers.
2. Followup regarding ward patients on non-GIM services, particularly Nephro, Neuro, Resp
- This is very confusing for many reasons, including:
- Some of these patients are physically on Medicine wards, but others are not
- Nephro, Neuro and Resp have their own wards, in some hospitals
- Some of these patients might be on a GIM ward and cared for by GIM housestaff but the official attending is not GIM (e.g. Nephro)
- Other of these patients might be on a GIM ward cared for as non-teaching by a subspecialty attending (e.g. Nephro) -- but as we don't know about this, they are included in GIM ward reporting by Julie
- The mixture of all these alternatives change over time
- The Medicine Database is not informed and therefore not kept up to date on all of this confusion
- Indeed, to accurately track all of this requires that we get real-time bed assignment information (IF it exists)
- The Service tmp entry from ADT via Cognos provides some clarity on the actual service caring for each patient, though Julie has found that for ward patients this is incorrect in a minority of cases (probably correct in >90%)
- Allan reported that he contacted personnel from Department, GIM, Neuro, Nephro,and Resp -- and only heard back from Renal Transplant and Resp.
- Given that, Allan has emailed Nick to ask him if/how he wants to proceed on this.
JALT 2025-12-18 (Copied for continuity, delete once the first new minutes for the year are in here)
- Present: Tina, Julie, Jen, Lisa, Allan
- Minutes by: Allan
1. 2025-05 Revision of concept around ICUotherService / Intended1stSrvc]] - We finalized decisions relating to concepts around service, location and ICU reporting.
- We agreed that the options for the dropdown listings should all be the same for Boarding Loc, Service/Location, and the new field Intended1stSrvc, and that these will be the same as those currently used for Boarding Loc, i.e: HSC-MICU, HSC-SICU, HSC-IICU, STB-MICU, STB-CICU, STB-ACCU and GH-CC
- We recognize that these will then be different from the "official" ADT services listings provided to us in Cognos2
2. Definition of a Medicine Program Admission - There was extensive discussion about ward patients on non-GIM services, particularly Nephro, Neuro, Resp
- This is very confusing for many reasons, including:
- Some of these patients are physically on Medicine wards, but others are not
- Nephro, Neuro and Resp have their own wards, in some hospitals
- Some of these patients might be on a GIM ward and cared for by GIM housestaff but the official attending is not GIM (e.g. Nephro)
- Other of these patients might be on a GIM ward cared for as non-teaching by a subspecialty attending (e.g. Nephro) -- but as we don't know about this, they are included in GIM ward reporting by Julie
- The mixture of all these alternatives change over time
- The Medicine Database is not informed and therefore not kept up to date on all of this confusion
- The Service tmp entry from ADT via Cognos provides some clarity on the actual service caring for each patient, though Julie has found that for ward patients this is incorrect in a minority of cases (probably correct in >90%)
- Some of these issues relate to data that might be useful for the work being done by Dan & Tina on moving patients through the system
- We are unsure how much of such detailed, cumulative data, about all this is desired by the administrative heads of the Department of Medicine and some of the Sections
- although per Julie and Lisa, Nick H. did request that we collect on the new Nephrology Transplant patients on B2 at HSC
- ACCORDINGLY -- given all this confusion, Allan has sent an email to the leadership of: Department, GIM, Neuro, Nephro, Resp, along with Dan --- proposing that a meeting get set up to:
- First -- understand the wishes of those stakeholders for cumulative data on their various ward patients
- Second -- Figure out how we could provide such reporting
- Third -- come back to the stakeholders to explain what ongoing information would be needed for us to provide that reporting (e.g. being kept appraised of the agreements between GIM and the subspecialties about use of GIM ward beds).
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Ttenbergen 22:17, 18 December 2025 (CST) |
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For earlier minutes see JALT Meeting - Rolling Agenda and Minutes 2025