Acute

1
Acute Ambulatory Care Data QualityOHIMA
Conference

• Information Management Unit
• Ministry of Health Long Term Care
• May 5th, 2006

2
The Overall Goal

• Good quality clinical data
• All facilities capturing the data in the same
  consistent manner.
• Improved communication between facilities and the
  Ministry.

3
Data Quality is a collaborative approach

• Data quality needs to be a the front end of the
  data collection process with good communication
  to the front line staff
• Involves multiple stakeholders, hospitals,
  Ministry, ICES.
• Reporting of problematic areas to facilities
• Ongoing education to provide better information
  to hospitals to ensure consistent data

4
CIHI Coding Standards

• The CIHI Coding Standards are the benchmarks
  which the Ministry monitors the Acute and
  Ambulatory Care data.
• Managers need to ensure coding staff have the
  time to review and be familiar with the Coding
  Standards.
• The CIHI Coding Standards and the Management
  Information Standards have been incorporated into
  the Hospital Annual Planning Submission.
  
  

5
Data Quality Indicators

• The data quality indicators developed by the
  Ministry the majority are based on the CIHI
  Coding Standards.
• Some are reviews in basic concepts for good
  quality data such as Patient age with Patient
  Service 54 cannot be greater than 1 day.
• Main Diagnosis of Arthritic Knee with a knee
  procedure
• Main Diagnosis of Arthritic Hip with a hip
  procedure.
• Principle procedures cannot be coded as
  Abandoned.
• Coding of Chronic Obstructive Lung Disease with
  Pneumonia
• Incorrect coding of Obstetrical interventions

6
Data Quality Indicators

• Previous Caesarean Sections incorrectly captured
• Incorrect coding of endoscopic converted to open
  procedures
• Coding of Gastroenteritis versus Non-Infectious
  gastroenteritis
• Coding of IV insertions

7
Mandatory Data Requirements

• CAT scans and MRI are mandatory on both DAD and
  Ambulatory Care Data - Project 260 or Project
  265
• Diabetes on Acute and Ambulatory Care (regardless
  of treatment)
• Anti-thrombotics which are administered need to
  be captured whether the condition is Myocardial
  Infarct or Deep Vein Thrombosis.
• When coding Z51 within Ambulatory Care data a
  Cancer diagnosis must be captured as the Other
  Problem. Interventions need to be captured to
  insure correct grouping assignment.

8
Mandatory Requirements

• Project 100 - Inpatient, Day Surgery and
  Emergency
• At the time of coding must indicate whether or
  not the chart was complete to code.
• If the chart is incomplete, then indicate the
  chart is incomplete
• Should the chart be reviewed after completion
  then the field for date of review must be
  completed.

9
Ongoing Initiatives

• The DQ indicators from 2004-05 and 2005-06 have
  been sent to the University of Waterloo to be
  incorporated in the WHIC Tool for 2006.
• There will be new indicators developed for
  2006-07 as CIHI incorporates some of the previous
  indicators into their edits.
• The five Data Management Coordinators will now be
  responsible for Data Quality for Acute and
  Ambulatory Care Data.

10
Routine things to check.quarterly.

• Ensure your Clinical Volumes for Inpatient and
  Ambulatory Care match the volumes CIHI is
  reporting to the Ministry for your facility.
• Verify your Clinical Volumes match your MIS
  volumes for Inpatients and Ambulatory Care.
• Inpatient
• Emergency
• Day Surgery
• Oncology
• Dialysis
• Cardiac

11
Reminder..

• 2005-06 Q4 - Year End Timeline
• May 31st, 2006
• Information submitted to CIHI following this date
  will not be forwarded to the Ministry.
• 2006-07 Timelines can be found posted on the FIMB
  website under Announcements 2005/06.

12
Ministry Website

• Facilities need to review as this website as all
  information is posted
• www.mohltcfim.com
• username healthcare
• password ontario

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Thank you for the opportunity to present.

• Brenda Antliff
• Information Management Unit
• Ministry of Health Long Term Care