1. Measurement for MedRec – Submitting Data June, 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
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