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Measurement for MedRec – Submitting Data June, 2007

Measurement for MedRec – Submitting Data June, 2007. Virginia Flintoft, RN MSc Project Manager, SHN! Central Measurement Team. Measurement for Med Rec. Objectives Who and what to measure Patient population for Med Rec Sample size for QI Finding your way around data recording

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Measurement for MedRec – Submitting Data June, 2007

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  1. Measurement for MedRec – Submitting DataJune, 2007 Virginia Flintoft, RN MSc Project Manager, SHN! Central Measurement Team

  2. Measurement for Med Rec Objectives • Who and what to measure • Patient population for Med Rec • Sample size for QI • Finding your way around data recording • SHN Med Rec Data Collection Worksheets • Now what do I do with it? • Submitting the Measurement Worksheets • Then what happens?

  3. Measurement for Med Rec Who and what to measure ●●● Patient population for Med Rec and sample size for QI

  4. Selecting Patient Population • Patient Population – • Start at Admission • Identify large volume target group based on your patient demographics – for example… • over 65 years old … or … paediatrics • 5 or more meds • nephrology … or … CHF • Plan ahead for spread • over 65 years old or paediatrics • Remember to capture the plan in your charter

  5. Recommended Sample Size • Baseline – • Acute Care - 10 – 20 patients per month • Large centres do 3 months of data collection • Long-term Care – based on admission volume • If average admission rate = >2/week – baseline sample same as Acute Care • If average admission rate = 1-2/week – do 2 months of admissions for baseline • If average admission rate = 2/month – do last 5-10 admissions for baseline

  6. Recommended Sample Size • Monthly – • Acute Care - 10 – 20 patients per month • Avoid over-burdening staff with measurement • Long-term Care – based on admission volume • If average admission rate = >2/week – up to 10 / month • If average admission rate = 1-2/week – up to 10 / month • If average admission rate = 2/month – do all admissions • If average admission rate = 1/month or less – do every patient – use SHN tools – but recognize the difficulty of maintaining expertise with small samples - report quarterly

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