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• SHN Med Rec Data Collection Worksheets

• Now what do I do with it? • Submitting the Measurement Worksheets

• Then what happens?

Measurement for Med Rec

Who and what to measure ●●●

Patient population for Med Rec

and sample size for QI

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

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

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