User talk:TOstryzniuk

Pending

• remap DX code to ICD10 for ICU and Medicine. 4 pages of ICD10 codes presented at Task meeting Sept 25.09. Not easy to follow info. Approved by Steering Committee: Date approved Oct 5.09? Julie provided a list of top 100, acute DX(admit 1), complication (problems) occuring after ICU admit , procedures occuring after ICU and comorbids. Kendiss Olafson and Garland to review.
  • list of codes sent to Clare Ramsey (manitoba central health policy group) by Julie on Dec 1.09 as approved by Dr. Roberts.
  • May 3.10 Steering Meeting - Al Garland to work on codes mapping over the summer and hopes to have it finished by end of August.10.TOstryzniuk 15:11, 4 May 2010 (CDT)
• Combine the following fields: Discharge to, and Sur/Exp into single ICU disposition field. Plan for New data repository.

• Eliminate for data collection: Registry: PATIENT TYPE - stop date? None. To be continued--TOstryzniuk 18:20, 10 December 2010 (CST)
  • is that where we left it? I thought the discussion was that it was to be replaced by a function of the admit diagnoses... Ttenbergen 10:36, 2012 September 5 (CDT)
    • Allan discussed plan to have Stat person code it and eliminate it from collector task. Not sure if that is still the plan or not?Trish Ostryzniuk 13:20, 2014 November 24 (CST)

Questions for Trish

You had a Trish Pending category, but since we are using the automatic lists now, this makes more sense. The category was pretty much empty, and I have cleared it out. Yes, Ok.

• current # of questions: 13

	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.
Temporary page to list dxs documented as requiring treatment to be coded	Tina -- to deal with these, let's make a template and put it in all the ICD10 pages that link to the list right below here. That template to say: This is an entity which you SHOULD code even if it is not being treated. I have made Template:ICD10 Guideline code even if not treated; should it be applied to the new codes or only those old pages? We need to decide were to put that info; adding it to old pages is probably not the right place. ICD10 collection might be it - will people look there? Emailed Trish about this. Ttenbergen 09:07, 2019 April 30 (CDT)	30 April 2019 14:07:14
GRA CAU	We made GRA_CAU available as dispo, but this raises questions about how the field should be treated in reporting. Trish emailed Mary Anne Lynch to find out how these units are actually intended to be used now. Ttenbergen 11:35, 2018 March 8 (CST) Trish, did you ever get an answer for this? Ttenbergen 10:18, 2019 November 5 (CST)	11 June 2020 17:04:59
Working from home	What forms need filling? Space requirements? Responsibility for records? Anything else?	5 May 2020 19:05:35
Centralized data front end.accdb Change Log 2020		24 September 2020 22:02:59
Employee Assistance Program	Emailed Trish to fill this in. Ttenbergen 16:26, 2017 June 22 (CDT)	7 November 2019 22:49:15
Vacation and staff shortage collection priorities	For coverage on the medicine ward isn't the overstay project the priority and not the discharges. Are we not trying to generate a color on admissions as soon as possible to identify reds and letting managers know as soon as possible? GHall 11:51, 2017 August 14 (CDT)	9 April 2020 17:45:46
Hospitalization in Winnipeg, Canada due to Occupational Disease: A Pilot Study	I see Pat's name... did this actually use the DB or just a collector? how did we support this publication?	14 November 2019 00:34:52
Discharge Register	The following needs clarification, I don't have a report in front of me, how would a new collector read which of these are EMIPs and which not? Emailed Laura Ttenbergen 16:53, 2019 January 3 (CST) is this just available for STB or is this how GRACE and HSC can find in EPR?Trish Ostryzniuk 18:01, 2019 January 3 (CST) I would think that all the hospitals have this because it is just a demographic issue and I believe that everyone has access to this, just get them to test it in other centers to make sure.--LKolesar 07:56, 2019 January 4 (CST)	21 January 2019 21:45:50
High dose chemotherapy as primary admit	This page is listed as an exception in Definition of a Medicine Service admission so I wanted to make sure we include that instruction with the new codes. However, what _is_ the new code for this? Found nothing suitable in CCI Picklist, CCI component 2 codes - what was done, and ICD10 Diagnosis List only has Antineoplastic/chemotherapy or immunosuppressive drugs, adverse effect which doesn't seem a real match either. In general we would only code the cancer now, right, but this is a bit of a special case, so do we want to treat it separately? AG REPLY -- we don't need this at all and there's no way to code it specifically in ICD10 -- except that such an admission would have the Dx code of the cancer being treated, and the CCI code for the chemotherapy emailed Julie and Trish to make sure they are comfortable with this. Trish, if you are fine with how this is or isn't addressed in ICD10 going fwd, pls remove the tag	31 December 2018 20:27:10
PHIA policy	Trish will put link.	7 November 2019 23:01:01
Collection Location Service Type	What is CTE? I am adding it for now because not having it is breaking SMW, but we really should not have it here if it isn't defined.	14 November 2019 00:02:01
H1N1	seems odd that we would have done a flu study only for 1 month in a summer...	3 January 2019 05:14:23
Chest Physio (TISS Item)	sounds to me like this is still done differently by different people. Ttenbergen 12:58, 2017 July 27 (CDT)	3 January 2019 22:35:58

Legacy

• Autopsy & follow up - update guide- Done.
  • Start date 2000 stop 2004.
  • Reminder to collectors Dec 2008 of stop date.

• Transfer ready date and time - Perry Gray working on operational definition & is investigating and planning to set up a process for requesting a bed at HSC. Once this is sorted out, Garland can work with Gray for the other 6 sites to map out admit/transfer/discharge process at each site. STATUS Update: Jan 29.09 - As of March 1.09, HSC ICU must call admitting who will keep a paper record of all bed requests. Tina to connect with Perry and explore the option to set up and EXCEL spreadsheet so that information can be maintained electronically. ICU (BLR & BL) do not want to stop the collection of ICU transfer ready dates/times at this time. Plan is to accumulate and analyze (Julie) these admitting tranfer records for a period of X?months, if they prove to be more accurate, then data collectors will stop collecting from charts. Tina will have to discuss with database programmer (ED), a plan to electronically upload the electronic information into Master ICU database.
  • May 8.09. Reviewed by Julie. Alot of missing information. Reviewed at Task meeting.
    • Nov 9.09 forms still being sent to JJ387. No decision. No changes.
      • May 3.10 - Stop transf/dischg transfer log at HSC. Agreed by Database Steering Committee. Dr. Perry Gray notified and will stop the process. Betty Lou Rock has asked Linda Hathout to attend the Critical Care Coordinating team meeting and explore with this team further ideas that ICU would like to pursue to gather this information. The ICU data collectors will continue collecting transfer/disch ready information from the ICU charts until we hear further from Betty Lou Rock and the CC Coordinating team for an alternative plan.--TOstryzniuk 15:17, 4 May 2010 (CDT)
        • Transfer Ready Access database

• - definition of Emergency for APACHE - retain original Apache one include E1's. Turf the 30 min rule. WIKI updated--TOstryzniuk 19:00, 2 February 2009 (CST)

• collectors to access the ADT for patient admissions - start at HSC, then CON, then Oaks. Gra, Vic, Stb later. OAK started March 3.09. CON -Mar 3.09- having problems with MR. Will not let collector look at list only ICU patients. STOPPED. Date?

• Apache II - Active Tx field-stop. Tina need to allow ACCESS to have a blank here or default all to YES.
  • Active Treatment was eliminated from collection, history on article says 29 feb 2012 but I think it was actually earlier... Ttenbergen 10:36, 2012 September 5 (CDT)

• Neuro assessment pt's on in H4H (A,B,D,H) if on this unit for less than an hour, don't include on as per Roberts, Jan 21.09
  • see HSC_Medicine_Collection_Guide about that... it may not jell with this.

• Temp for APACHE score when patient is placed on cardiac arrest cooling protocol (BRR):
  1. use the most recent temp PRIOR TO start of cooling
  2. or if cooling starts right at admission then use first temp which is >=4 hrs after cooling has stopped. WIKI updated--TOstryzniuk 19:00, 2 February 2009 (CST)

• - APACHE II - elective surgery YES or NO field - Tentative; ask ED to change label of current repository to EMERGENCY. Needs to be thought through more carefully.
• suggestion to remap all as follows:
  • 1. All ELECTIVE surg if = No change to YES
    2. If ADMIT FROM = OR or RR and current ELECTIVE surg = NO, convert to YES.
    3. If ADMIT FROM = any other code and current ELECTIVE surg = YES, leave as NO.
  • #Investigate definition and documentation practices of care status E1-4 for each site.TOstryzniuk 16:31, 23 January 2009 (CST).
    • email sent to sites.TOstryzniuk 19:01, 2 February 2009 (CST)

• APACHE II admit type: only use surgical if directly from the OR or RR otherwise medical. WIKI updated--TOstryzniuk 19:00, 2 February 2009 (CST)

• Brain dead Organ donor discharge from unit date and time : no change. Time patient leave ICU to go to OR is the discharge time not time patient declared braindead.

• - Palliative care - April 3.09 discussed at Database meeting. Resolve once again 2013. See Palliative Service-Trish Ostryzniuk 13:20, 2014 November 24 (CST)

• New data repository. Tina working with Dept of Computer Sciences (Dean Jin) will run in tandem with CCMS. No target start date. Start of migration of data approved by Dan Roberts as reported to ICU Task group on Oct 16.09.
  • project with CS is dead, but we may yet do this one day. When it happens, will be discussed in article "New data repository"". Ttenbergen 10:36, 2012 September 5 (CDT)
    • I just deleted that article because it's no longer used or relevant, just cleaning up links to it. Ttenbergen 14:51, 2014 April 30 (CDT)

• drop/change pharmacy items: Top 100 drugs used. All Marenese, Kendiss Olafson, Nick Honcharik decide class of drugs to collect. Some type of list colored coded was show at task group. Oct 16.09
• PLAN:
• have same list for all ICU
• move to pt days and elimnate dose amounts.
• reduce number of drug by at least 1/3.

• drop/change lab test items: Garland reviewed list. Some type of streamlined list given to Tina by Garland Sept 11.09. Meeting mins stated that this is ready for implementation? By whom?
  • list sent to trish late Nov.09. Mapped Nov 30th.09 to main database, Access. (HSC & other sites have 2 different list).
  • 136 test from main reduce to total of 24. (5 items not review yet).
  • 33 test on HSC on other sites list reduced to 24 items.
  • leaves 13 items for HSC because or 11 of the items can be downloaded. (needs final check).
  • 24 items for manual collection at other sites.
    • think this was all done, no? let me know if there is some action left for me... Ttenbergen 10:36, 2012 September 5 (CDT)

• Dx Green sheet "accounting: on PDA stopped August.09. Reminder Oct.2009. (Medicine wards and STB ICU). Tina removed Tab from Access ccmdb version?
  • Tab removedTtenbergen 10:36, 2012 September 5 (CDT)

• drop DX green sheet forms. Medicine stop Dec 7.09. ICU to continue.

• Brain Dead discharge date: discussed. No change to original collection guide.

• For new data repository: Eliminate index (not used), encounter (not used), calculated fields (LOS and Age).
• Eliminate for new data repository and data collection: autopsy yes or no(done)

• - examine and decide if to change to TISS-28--TOstryzniuk 13:47, 30 April 2010 (CDT)