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