2011 Revisions to the MIS Standards

Transcription

1 March 17, Revisions to the MIS Standards The following list highlights the major revisions made to the MIS Standards for implementation April 1, A more detailed summary of these revisions can be found under the 2011 Revisions to the MIS Standards heading on the MIS Standards CD main menu. From there, one can link to the various MIS Standards sections that were revised. Overview This is the first release of the MIS Standards since To be consistent with current terminology, the name diagnostic imaging has been changed to medical imaging throughout the MIS Standards. The names of the functional centres within medical imaging have been changed to reflect current practice. A new picture archiving communication system (PACS) functional centre has been added as a level five functional centre under the medical imaging administration clearing account in order to track these expenses separately. A new multi-functional medical imaging functional centre has been added for reporting by small medical imaging facilities. Functional centres related to medical imaging nursing have been expanded at level five and are now a minimum reporting requirement to the CMDB. This will allow the nursing functions with medical imaging to be segregated in the same way as the medical imaging functions. Page 1

2 In order to obtain more detailed information, the secondary financial accounts for drugs have been expanded. Some of the secondary financial accounts related to medical imaging supplies have been revised to reflect current practice. Changes have been made to the wording for Goods and Services Sales Tax (GST) and Harmonized Sales Tax (HST) in Chapter 3, Accounting Principles and Procedures. To ensure that the workload measurement systems remain relevant to the changing technologies: The clinical laboratory schedule of unit values has been updated. A number of changes have been made to help clarify the activity list and some unit values have been updated based on the work of 12 external discipline- specific working groups. The medical imaging schedule of unit values has been updated based on the work of a Diagnostic Imaging Advisory Working Group. This has resulted in a full revision to some sections of the schedule of unit values (e.g. new exam list and unit values for interventional angiography) and updates to unit values only in other sections. The addendum for specialty pediatric facilities has been removed and the exams have been integrated into the general schedule of unit values. The service activity statistic visits-non face-to-face replaces visits - telephone so as to include telephone communication, and other forms of electronic communication that take the place of a visit face-to-face. The service activity statistic attendance days-non face-to-face replaces attendance days- of electronic telephone so as to include telephone communication, and other forms communication that take the place of an attendance day face-to-face. The definition for the service activity statistic surgical visit has been enhanced to clarify that a surgical visit should be recorded in any functional centre when a provincially/territorially defined abstracted day surgery is performed. Changes have been made to the Canadian MIS Database minimum reporting requirements in keeping with the revisions discussed above. The Canadian Emergency Department Triage and Acuity Scale has been deleted. Page 2

3 Revisions by Chapter Glossary of Terms The definitions in support of all chart of accounts changes have been added, deleted or updated. Chapter 2 Chart of Accounts Functional Centres Diagnostic imaging nursing has been changed to medical imaging nursing and more detailed functional centres have been added. Diagnostic imaging has been changed to medical imaging. The functional centres have been revised. The definitions for the following functional centres within medical imaging have been enhanced to reflect current terminology and practice. Nuclear medicine Positron emission tomography/computed tomography (PET/CT) Secondary Financial Accounts Changes have been made to the secondary financial accounts for supplies medical imaging: The enhanced The two accounts, developer and fixer have been deleted. A new financial account has been added for processing chemicals. names and definitions for the following secondary financial accounts have been Cassettes Medical imaging supplies not elsewhere classified The secondary financial accounts for supplies drugs have been revised. The secondary financial accounts for traceable supplies drugs have been revised. Page 3

4 Secondary Statistical Accounts The following secondary statistical accounts have been deleted: Visits telephone Attendance days telephone The following secondary statistical accounts have been added: Visits non face-to-face Attendance days non face-to-face The definition for surgical visit has been enhanced. Chapter 3 Accounting Principles and Procedures Sections in Chapter 3, Accounting Principles and Procedures, specifically the sections on Goods and Services Sales Tax (GST) and Harmonized Sales Tax (HST) have been rewritten to include only general pertinent information for these taxes in Canada, as they relate to the Health Care Sector. It is suggested that if specific provincial or territorial considerations are required, guidelines for that particular province or territory, or the Canadian Revenue Agency should be consulted. Chapter 4 - Statistical Data Collection Procedures Workload Measurement Systems Clinical Laboratory The schedule of unit values for the clinical laboratory WMS has been updated as part of an ongoing maintenance process. Users of the WMS should read the entire WMS before implementing the changes. Schedules that were not published in the MIS Standards 2009 have been included and previously published schedules have been enhanced. The enhancements included: adding activities that were previously not defined; enhancing the wording of some of the activities to clarify what was included in the unit values; adjusting some unit values according to new information. Users should review and read the entire WMS before implementing changes. Definitions for laboratory interventions that were previously unavailable in the MIS Standards 2009 are now available. Page 4

5 Instructions are provided about when to record quality control as a non-service recipient workload and when to record quality control as service recipient workload. More detailed examples are provided on how to collect workload for activities that are performed on an occasional basis. Instructions are provided about what to do if an activity is not listed it the schedule of unit values. Workload Measurement Systems Medical Imaging The medical imaging WMS has undergone significant revisions. This is a major revision since the last revisions were published in Users of the WMS should read the entire WMS before implementing the changes. The changes include: The WMS conceptual model has been enhanced. The schedules of unit values have been significantly changed. The exam lists and unit values for general radiology, mammography, computed tomography, ultrasound and magnetic resonance imaging have been updated. The exam lists and unit values for interventional radiology, nuclear medicine, positron emission tomography and cardiac catheterization have undergone significant changes. The addendum for specialty pediatric facilities has been removed and the exams have been integrated into the general schedule of unit values. Appendix 3 - Canadian MIS Database Reporting The Canadian MIS database minimum reporting requirements have been updated and are for implementation effective April 1, Page 5