Trach Task

Task items replaced iTISS as a sampler of specific "nursing workload" items that the medicine program continues to track as QA indicators.

Only mark a task as performed if it was done during a patients stay on your ward. If a task was done prior to patient coming to your ward or after patient is transferred to another ward, it should be marked as no or none during the stay on your ward.

These items are included in: S_AllDiagnoses table which can be found in CCMDB.mdb.

Trach Task

Possible entries for Tracheostomy task:

• 100100 - Trach None
• 100101 - Trach Acute-1st 48 hrs (new trach)
• 100102 - Trach Chronic-more than 48 hrs

Template:Data Integrity Checks

• see Check Duplicate Task Entries

Proposed: Trach task vs Dx

• need to create: Med DX Tracheostomy 77400 but Trach Not in Task
  • presumably this is not only the 00 subdx we need...
• need to create: Med_Task_has_trach but no Tracheostomy

If these always coincide then why do we collect a task at all? Ttenbergen 10:51, 2014 September 25 (CDT) Template:Discussion I believe the task is collected for workload/staffing purposes, where the diagnosis of tracheostomy is collected as a diagnosis or acquired diagnosis for coding purposes

Will anyone ever be counted as "acute" if collected according to these rules?

• The problem is that in the "rules" the pt must have had the trach procedure done while on the ward, which rarely happens. The "acute" rule only applies if it is a trach done in the last 48 hours which could happen. I think that the collectors are counting all the trach patients whether the trach was done while on the ward or not, according to the numbers. I do not see the value in whether it is acute or chronic because we no longer even do this in the ICU tiss. I think there is more value in whether it is a temporary trach or permanent trach. (Just a suggestion).--LKolesar 15:02, 2013 May 8 (EDT)

• This entire article does not make sense. By this definition no one on a medical ward would have a trach task marked. By this definition, a pt that gets a trach while in the ICU would not get the task marked when they are transferred to medicine. Trach task, in my opinion, should be marked if a pt has a trach no matter when they got the trach or where. (It is a nursing workload issue). Also, instead of the terms acute and chronic, it should be temporary or permanent for the options. Medicine collectors please let me know how you deal with this task.--LKolesar 10:01, 2013 May 8 (EDT)
  • interesting point. Just had a quick look, here are the numbers: File:Trach entry counts.JPG

Trish, Julie, Laura: do these make sense in light of what Laura just said? Ttenbergen 13:15, 2013 May 8 (EDT)

• • I think everyone interprets the task trach to mean trach care, not trach insertion, otherwise we would not have the numbers that we do. I don't mind making this clear in the instructions if this is the intent of this task. Let me know. --LKolesar 11:24, 2013 May 9 (EDT)

• need to resolve this before any checks can be implemented. Ttenbergen 10:52, 2014 September 25 (CDT)