Task Team Meeting - Rolling Agenda and Minutes 2023: Difference between revisions

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== ICU Database Task Group Meeting – Jan 11, 2023 ==  
== ICU Database Task Group Meeting – Jan 11, 2023 ==  
'''Copied here as starting point for 2023, please edit/overwrite'''
*Present: Allan, Gail, Julie, Michelle, Mindy, Stephanie, Tina, Val, Pagasa, Mailah
*Present: Allan, Gail, Julie, Michelle, Mindy, Stephanie, Tina, Val, Pagasa, Mailah
*Minutes prepared by: AG
*Minutes prepared by: AG
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3.  New item: Clarification of [[Pulmonary emphysema or bullous disease without COPD]].  Allan modified this Wiki entry to make it clearer.
3.  New item: Clarification of [[Pulmonary emphysema or bullous disease without COPD]].  Allan modified this Wiki entry to make it clearer.


4.  New item:  Regarding Sudden [[cardiac death (and died)]]
4.  New item:  Regarding the code [[Sudden cardiac death (and died)]]
*After discussion we recognized that we have no need to specifically code patients' cause of death.  We know it occurred by virtue of the [[Dispo field]].  Thus we '''agreed to remove this item from the list of ICD-10 codes, and to have Julie go into all records where it has been recorded and remove it'''.  Allan modified the Wiki page also.
*After discussion we recognized that we have no need to specifically code patients' cause of death.  We know it occurred by virtue of the [[Dispo field]].  Thus we '''agreed to remove this item from the list of ICD-10 codes, and to have Julie go into all records where it has been recorded and remove it'''.  Allan modified the Wiki page also.


5.  New question:  It was noticed that an error occurs if a diagnosis of Influenza is recorded (which is an implied bug) and one attempts to combine it with a Nosocomial problem code.  '''Tina will fix this.'''
5.  New question:  It was noticed that an error occurs if a diagnosis of Influenza is recorded (which is an implied bug) and one attempts to combine it with a Nosocomial problem code.   
* Tina confirmed the error using [[Influenza pneumonia]] and [[Nosocomial infection, NOS]]; didn't make any changes because I believe in this scenario the code [[Influenza virus NOS -- should almost never be used]] should probably be used to satisfy the requirement for a pathogen. Alternative would be to add all or some influenza codes to [[:Category:Double duty pathogen]].


6.  Followup item from long ago: Seeking to get ABGs at Grace Hospital to be included in the Lab Info System (LIS).
6.  Followup item from long ago: Seeking to get ABGs at Grace Hospital to be included in the Lab Info System (LIS).
*The last time we tried for this, in 2015, the resp therapy group at Grace was not interested in being required to manually logging this information into LIS, as IS done at HSC and St. B.
*The last time we tried for this, in 2015, the resp therapy group at Grace was not interested in being required to manually logging this information into LIS, as IS done at HSC and St. B.
*We think they may be more open to it now -- so '''Allan will ask Heather Smith to raise it with them.'''  
*We think they may be more open to it now -- so today Allan emailed Heather Smith, asking her to raise it with them.   
*'''If they indeed now are willing, then Allan will talk to Dr. Soroko about getting it implemented'''.
*'''If they indeed are willing, Allan will talk to Dr. Soroko about getting it implemented'''.
 
7.  New item: Uncertainty of when/how to use [[Complication of labor and delivery, NOS]]
*As our database is only for adult patients, this code should not be used to indicate such a complication for a newborn.  For example:  During hospitalization, such a complication occurs, but it only affects the newborn and has no medical consequence for the mother --- do NOT use this code.
*Of course, for some such complications when the newborn with a complication becomes an adult, that problem persists, e.g. [[Fetal Alcohol Syndrome]].  If that adult is then admitted, it is the specific problem (such as [[Fetal Alcohol Syndrome]]) that should be listed as a [[Comorbid Diagnoses]] -- again you would NOT code [[Complication of labor and delivery, NOS]].
*The only time [[Complication of labor and delivery, NOS]] would be coded is when the mother herself incurs a complication of labor or delivery, AND there is not a more specific code for the complication she suffered.
*Allan modified this Wiki page for clarity.


8. '''Next Task meeting January 11, 2023 at 11 am'''
8. New item: Clarification of when/how to use [[Oral mucositis]]
*This code is for widespread or diffuse oral mucus membrane involvement -- as often occurs after some chemotherapies, and a few other causes.
*Do not use it for localized oral lesions or involvement in just a part of the oral mucosa.  In such a case code the specific cause if known, and otherwise use [[Disorder of oral mucosa (mouth, lips, tongue), NOS]]. 
*Allan has updated the Wiki to reflect this.


== 2022... ==
== 2022... ==

Revision as of 17:21, 2023 January 25

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}}

Toggle columns: Last modified

wiki page question Last modified
wiki page question Last modified
Iatrogenic, mechanical complication/dysfunction, internal prosthetic device or implant or graft NOS At our last TASK meeting the decision was made to exclude spontaneous rupture of an ETT cuff or cuff leak, but we are wondering if this is correct based on what is listed in the includes section of this page and what is in Iatrogenic, mechanical complication/dysfunction, internal orthopedic prosthetic device or implant or graft or bone device and Iatrogenic, mechanical complication/dysfunction, cardiac or vascular prosthetic device or implant or graft, NOS Lisa Kaita 12:37, 2024 March 20 (CDT) 2024-03-20 5:37:32 PM
STB ICUs VAP Rate, CLIBSI Rate Summary
  • IIRC we collected CAM positive (TISS Item) specifically for this, right? If so, can we stop collecting it? And can we make sure a stoppage like this in the future results in reviewing what we collect? Ttenbergen 10:02, 2024 March 20 (CDT)
    • Delirium rate per 1000 days per unit is being reported in the OIT reports. ---JMojica 11:49, 2024 March 20 (CDT)
      • As in Delirium days is reported in Critical Care Program Quality Indicator Report? But that doesn't mention anything about per-1000-days. Ttenbergen 17:00, 2024 March 20 (CDT)
      • The rate is mentioned in the succeeding definition with the delirium days as numerator. Your proposal here is to stop collecting TISS item CAM positive which I disagree because that TISS item is being used and reported as rate in OIT report. Besides, the reason why it was dropped in in the STB VAPCLI report is because the requestor has changed. Brett Hiebert who used to request this was involved in the VAP group and another Delirium group so he asked to have both as one request. Brett had left and the VAP group filled up a new request to continue the VAP data and not on the delirium data. --JMojica 13:58, 2024 March 25 (CDT)
2024-03-25 6:59:38 PM

Also see Task Team Meeting - Rolling Agenda and Minutes 2022

_

_

ICU Database Task Group Meeting – Jan 11, 2023

  • Present: Allan, Gail, Julie, Michelle, Mindy, Stephanie, Tina, Val, Pagasa, Mailah
  • Minutes prepared by: AG
  • Action items in BOLD

1. Transition to Database Server#Shared Health - Nothing new about either of the possible alternative options for hosting the database.

2. Controlling Dx Type for ICD10 codes - Regarding the task to improve data collector diagnosis assignment into the 3 "bins" of admission diagnosis, acquired diagnosis and comorbid diagnosis.

  • Lisa indicated that for a first pass on this, she will distribute all the codes among all the collectors.

3. New item: Clarification of Pulmonary emphysema or bullous disease without COPD. Allan modified this Wiki entry to make it clearer.

4. New item: Regarding the code Sudden cardiac death (and died)

  • After discussion we recognized that we have no need to specifically code patients' cause of death. We know it occurred by virtue of the Dispo field. Thus we agreed to remove this item from the list of ICD-10 codes, and to have Julie go into all records where it has been recorded and remove it. Allan modified the Wiki page also.

5. New question: It was noticed that an error occurs if a diagnosis of Influenza is recorded (which is an implied bug) and one attempts to combine it with a Nosocomial problem code.

6. Followup item from long ago: Seeking to get ABGs at Grace Hospital to be included in the Lab Info System (LIS).

  • The last time we tried for this, in 2015, the resp therapy group at Grace was not interested in being required to manually logging this information into LIS, as IS done at HSC and St. B.
  • We think they may be more open to it now -- so today Allan emailed Heather Smith, asking her to raise it with them.
  • If they indeed are willing, Allan will talk to Dr. Soroko about getting it implemented.

7. New item: Uncertainty of when/how to use Complication of labor and delivery, NOS

  • As our database is only for adult patients, this code should not be used to indicate such a complication for a newborn. For example: During hospitalization, such a complication occurs, but it only affects the newborn and has no medical consequence for the mother --- do NOT use this code.
  • Of course, for some such complications when the newborn with a complication becomes an adult, that problem persists, e.g. Fetal Alcohol Syndrome. If that adult is then admitted, it is the specific problem (such as Fetal Alcohol Syndrome) that should be listed as a Comorbid Diagnoses -- again you would NOT code Complication of labor and delivery, NOS.
  • The only time Complication of labor and delivery, NOS would be coded is when the mother herself incurs a complication of labor or delivery, AND there is not a more specific code for the complication she suffered.
  • Allan modified this Wiki page for clarity.

8. New item: Clarification of when/how to use Oral mucositis

  • This code is for widespread or diffuse oral mucus membrane involvement -- as often occurs after some chemotherapies, and a few other causes.
  • Do not use it for localized oral lesions or involvement in just a part of the oral mucosa. In such a case code the specific cause if known, and otherwise use Disorder of oral mucosa (mouth, lips, tongue), NOS.
  • Allan has updated the Wiki to reflect this.

2022...

Also see Task Team Meeting - Rolling Agenda and Minutes 2022