Task Team Meeting - Rolling Agenda and Minutes 2022
List of items to bring to task meeting
Add to this by adding the following to the article where the problem is documented:
{{DiscussTask | explanation}}
| Question | Modification date"Modification date" is a predefined property that corresponds to the date of the last modification of a subject and is provided by Semantic MediaWiki. | |
|---|---|---|
| Gangrene, NOS | can we use this code for necrosis or necrotic wounds? Lisa Kaita 11:57, 2024 April 17 (CDT)
| 25 April 2024 01:01:29 |
| ICD10 Guideline Sepsis | How hard of a rule is lactate >2? If they meet the criteria for septic shock with the exception of a high enough lactate, can we code septic shock Lisa Kaita 12:17, 2024 April 17 (CDT)
| 25 April 2024 00:57:46 |
| Query s tmp Boarding Loc ER delay reasonable | There are many false positives due to ICU delays shorter than 30 mins. Do we want to change anything about that threshold? Discussed with Julie and Lisa today but can't remember the outcome. Ttenbergen 10:58, 2024 April 24 (CDT)
| 24 April 2024 20:59:31 |
| STB ICUs VAP Rate, CLIBSI Rate Summary |
| 8 April 2024 16:27:53 |
| Sepsis (SIRS due to infection, without acute organ failure) | How hard of a rule is lactate >2? If they meet the criteria for septic shock with the exception of a high enough lactate, can we code septic shock Lisa Kaita 12:17, 2024 April 17 (CDT)
| 9 March 2019 21:24:42 |
| Severe sepsis | How hard of a rule is lactate >2? If they meet the criteria for septic shock with the exception of a high enough lactate, can we code septic shock Lisa Kaita 12:17, 2024 April 17 (CDT)
| 31 October 2019 15:04:29 |
| Shock, septic | How hard of a rule is lactate >2? If they meet the criteria for septic shock with the exception of a high enough lactate, can we code septic shock Lisa Kaita 12:17, 2024 April 17 (CDT)
| 10 January 2019 19:32:04 |
| Stroke, NOS | we need clarification on when to use this code, eg. if there is a history where it says a history of stroke, or if on CT they comment remote lacunar infarcts? Lisa Kaita 12:01, 2024 April 17 (CDT) | 17 April 2024 17:01:53 |
Also see Task Team Meeting - Rolling Agenda and Minutes 2020
_
_
ICU Database Task Group Meeting – January 6, 2022
- Present: Allan, Julie, Sherry, Lisa, Stephanie, Tina, Val, Pam, Mailah, Mindy
- Minutes prepared by: AG
- Action items in BOLD
1. Update on new lab listings, which appear to duplicate prior listings. Allan has begun working on this. Nothing new to report.
2. Update on what Shared Health is planning with regards to the databases. Allan reported that as requested, he provided Perry with a document (from Tina) a technical description of what is needed. Awaiting more information from Perry.
3. Update on plan (4/15/2021 Task meeting) to implement automatic coding of APACHE comorbidities. Allan is working on refining the ICD10 codes.
4. Update on the decision from 11/30/2021 meeting to revert to the old system, of starting a new record (with new APACHE score and new admit diagnoses) with service changes. This has been done, with relevant changes to the Wiki and “unwinding” of the 10 records that contain such MICU to SICU or SICU to MICU transfers into separate records.
5. Allan reported that he is working on drafting a Data Sharing Agreement that all users of line-level (i.e. individual record) data will need to complete to obtain such data. Draft version is in Database_Request_Process#Data_Accessibility_and_Responsibility. Work is ongoing on this. Also, a decision will need to be made about whether we need a similar agreement for users of cumulative/aggregate data.
6. Discussion about the Minimal Data Set and reporting. We agreed:
- We will retain the 11 elements of the “true” minimal dataset, all of which come from Cognos.
- Going forwards, all reporting by Julie will consist of details only from completed records, along with information about what % and # of records for the time interval are incomplete as of the time of the reporting.
- Lisa will let all collectors know of this change
- Tina has updated Minimal Data Set regarding it
- Allan will let Bojan know -- done.
7. There is a new ICD10 code U07.5 Past history of Covid-19 infection which is meant to be used just like the other “Past history of…” codes. Lisa to let all collectors know about it.
8. After discussion we agreed that there is no further need for the Wiki page "HSC Boarding Locations". Tina has deleted it.
9. The question was raised about definition of Emergency Surgery (concept). After discussion we agreed to maintain it as is, i.e. admitted from Operating Room or Recovery AND surgery was classified as E1. Tina has updated wiki Emergency Surgery (concept), Emergency Surgery (TISS Item) and Admit Type for APACHE II to make sure this is defined consistently.
10. There is confusion about TISS elements T19 - Spontaneous breathing via ETT without PEEP/CPAP, with or without supplemental O2 (TISS Item) and - Supp O2 though any device, delivered via nose, mouth, ETT or trach (TISS Item) .
- This issue tracks back to the 6/15/2021 and 7/8/2021 minutes where indeed the current versions of TISS#19 and TISS#20 were chosen, both as 2 points, in order to correlate correctly to the original/actual delineation of TISS. So, no changes needed for these.
11. Tina identified that there are approximately 200 database questions that have been assigned for assessment but not addressed. Lisa will go over this list and categorize them into 3 groups: Need to be addressed; Can be deleted from further consideration; Unclear. We’ll discuss this further next meeting.
12. Next meeting February 3, 2022 at 11 am.
2021...
Also see Task Team Meeting - Rolling Agenda and Minutes 2021