Missing vital signs causing file rejection

[Wetzold, Anne]

Hi Jay, I have the same problem. Sometimes a case has no temperature or blood pressure documented in the EHR – our files are getting rejected and I’m unable to complete testing. I opened a ticket and had to submit a partial test file for IPRO to look at (not sure how that will help), no answer yet.

 

Regarding Doppler, MAPs, etc., DOH does not want them submitted, only systolic and diastolic.

                                                                                                                                                                                                  

Anne

From: ny-sepsis-...@cloud.ipro.org <ny-sepsis-...@cloud.ipro.org> On Behalf Of Jay Goldstein
Sent: Tuesday, July 27, 2021 2:07 PM
To: ny-sepsis-ehr-discuss <ny-sepsis-...@cloud.ipro.org>
Subject: RE: [ny-sepsis-ehr] Re: Vasopressor

 

[EXTERNAL]

I have a couple of questions

 

I have cases with no patient temperatures.  The two I looked at the patient had coded in the ER.  How should we handle this type of case?

 

Also, I have a case where the only blood pressures are doppler BPs, which are not systolic or diastolic.  How should I handle this?

 

Thanks,

 

--Jay

 

Jay Goldstein

Quality Informatics BI Specialist

Management Information Systems (MIS)

Maimonides Medical Center

 

M: (201) 621-3102 

E: jgold...@maimonidesmed.org

W: www.maimonidesmed.org

                  

Top 10 in the U.S. for Clinical Excellence. Get the facts here.

 

         

 

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[Stacey Rybarczyk]

I have the exact same problem right now as well.  I hope someone can shed some light on what to do with those values that don't exist and what we need to do with those patients.  Do we eliminate those patients from the file as it won't go through with no BP, temp or RR, etc... 

-Stacey

[Salay, Gene]

On the IPRO call this morning we were instructed to exclude those encounters and submit a help desk ticket describing how many encounters were excluded and the circumstances surrounding the exclusion – what fields were missing and why if possible.

 

Gene Salay

Manager, ConnectCare Reporting

Information Services

 

Bon Secours Charity Health System

Member of the Westchester Medical Center Health Network

Mount Alverno Center | 20 Grand Street, Suite 308 | Warwick, NY  10990

(O) 845.987.5953 | (C) 201.832.7765 | (F) 845.988.0876

 

Gene_...@bshsi.org | bschs.bonsecours.com

ConnectCare Report Requests

         

 

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[Wetzold, Anne]

Yes, I was instructed to remove them from the file. See the response from IPRO I pasted below:

Your request (49113) has been solved. To reopen this request, reply to this email.

NMatthes (IPRO Helpdesk) Jul 27, 2021, 15:35 EDT Hi Anne, you cannot submit cases with missing mandatory data fields. If these variables have truly no values in the EHR, please back out this case, submit the rest through the portal and document via helpdesk ticket the number of cases you were unable to submit, the variables for which values were unobtainable and an explanation why these variables were unobtainable, e.g. patient expired on arrival. All the best, The Sepsis Team IPRO - Better Healthcare, Realized http://support.ipro.us

 

 

From: Stacey Rybarczyk <slryb...@gmail.com>

Sent: Wednesday, July 28, 2021 10:31 AM
To: ny-sepsis-ehr-discuss <ny-sepsis-...@cloud.ipro.org>
Cc: Wetzold, Anne <Anne.W...@nyulangone.org>; Jay Goldstein <JGold...@maimonidesmed.org>

Subject: Re: Missing vital signs causing file rejection

 

[EXTERNAL]

[Stacey Rybarczyk]

Thank you!!!!

[Jay Goldstein]

I missed the call this morning.  Was there any discussion about the Pediatric e-sepsis.  I believe the data dictionary was release late last week.

 

--Jay

 

From: Stacey Rybarczyk <slryb...@gmail.com>
Sent: Wednesday, July 28, 2021 10:55 AM
To: ny-sepsis-ehr-discuss <ny-sepsis-...@cloud.ipro.org>
Cc: Wetzold, Anne <Anne.W...@nyulangone.org>; Jay Goldstein <JGold...@maimonidesmed.org>; Stacey Rybarczyk <slryb...@gmail.com>
Subject: Re: Missing vital signs causing file rejection

 

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