Targeted Temperature Management (TTM) - Revision history

TOstryzniuk: /* Additional Info */ Stop BRR - any patient still in unit after Dec 31.18 should use TTM for cardiac arrest, if applied during patients admission

2018-12-24T19:59:31Z

Additional Info: Stop BRR - any patient still in unit after Dec 31.18 should use TTM for cardiac arrest, if applied during patients admission

← Older revision		Revision as of 14:59, 24 December 2018
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	{{CCI category\|Therapeutic Px}}		{{CCI category\|Therapeutic Px}}
	==Additional Info==		==Additional Info==
	*This could include any combination of whole body warming or whole body cooling. We are not coding those except as part of TTM, which we are only tracking in the setting of post-[[Cardiac arrest]].		*This could include any combination of whole body warming or whole body cooling. We are not coding those except as part of TTM, which '''we are only tracking in the setting of post-[[Cardiac arrest]]'''.
	*If a patient receives post-arrest cooling or warming (targeted temperature management, TTM), code it. It doesn't matter for how long the cooling was applied or whether the [[Cardiac Arrest Cooling Protocol]] was followed. Usual maintenance temp is 36 degrees.		*If a patient receives post-arrest cooling or warming (targeted temperature management, TTM), code it. It doesn't matter for how long the cooling was applied or whether the [[Cardiac Arrest Cooling Protocol]] was followed. Usual maintenance temp is 36 degrees.

	{{CCI Collection Mode}}		{{CCI Collection Mode}}

	{{CCI_Therapeutic}}		{{CCI_Therapeutic}}

Ttenbergen: Text replacement - "}}==" to "}} =="

2018-12-20T19:37:58Z

Text replacement - "}}==" to "}} =="

← Older revision		Revision as of 14:37, 20 December 2018
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	{{CCI Collection Mode}}		{{CCI Collection Mode}}

	{{CCI_Therapeutic}}==Alternate CCIs to consider coding instead or in addition==		{{CCI_Therapeutic}}

			==Alternate CCIs to consider coding instead or in addition==
	{{ListCCICategory \| categoryName = Therapeutic Procedure}}		{{ListCCICategory \| categoryName = Therapeutic Procedure}}

Ttenbergen: Text replacement - "{{CCI_Therapeutic}} " to "{{CCI Collection Mode}} {{CCI_Therapeutic}}"

2018-12-19T03:38:54Z

Text replacement - "{{CCI_Therapeutic}} " to "{{CCI Collection Mode}} {{CCI_Therapeutic}}"

← Older revision		Revision as of 22:38, 18 December 2018
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	*If a patient receives post-arrest cooling or warming (targeted temperature management, TTM), code it. It doesn't matter for how long the cooling was applied or whether the [[Cardiac Arrest Cooling Protocol]] was followed. Usual maintenance temp is 36 degrees.		*If a patient receives post-arrest cooling or warming (targeted temperature management, TTM), code it. It doesn't matter for how long the cooling was applied or whether the [[Cardiac Arrest Cooling Protocol]] was followed. Usual maintenance temp is 36 degrees.

	{{~~CCI_Therapeutic~~}}		{{CCI Collection Mode}}

	==Alternate CCIs to consider coding instead or in addition==		{{CCI_Therapeutic}}==Alternate CCIs to consider coding instead or in addition==
	{{ListCCICategory \| categoryName = Therapeutic Procedure}}		{{ListCCICategory \| categoryName = Therapeutic Procedure}}

Ttenbergen: Text replacement - "{{CCI one entry only code}} " to ""

2018-12-19T03:38:45Z

Text replacement - "{{CCI one entry only code}} " to ""

← Older revision		Revision as of 22:38, 18 December 2018
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	*If a patient receives post-arrest cooling or warming (targeted temperature management, TTM), code it. It doesn't matter for how long the cooling was applied or whether the [[Cardiac Arrest Cooling Protocol]] was followed. Usual maintenance temp is 36 degrees.		*If a patient receives post-arrest cooling or warming (targeted temperature management, TTM), code it. It doesn't matter for how long the cooling was applied or whether the [[Cardiac Arrest Cooling Protocol]] was followed. Usual maintenance temp is 36 degrees.

	~~{{CCI one entry only code}}~~
	{{CCI_Therapeutic}}		{{CCI_Therapeutic}}

Ttenbergen: collection method

2018-12-18T01:50:30Z

collection method

← Older revision		Revision as of 20:50, 17 December 2018
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	{{CCI PickList Procedure		{{CCI PickList Procedure
	\| CCI_Picklist_Code = 1.ZX.06		\|CCI_Picklist_Code=1.ZX.06
	\| CCI_Category = Therapeutic Procedure		\|CCI_Collection_Mode=CCI collect first
	~~\| StartDate =~~		\|CCI_Category=Therapeutic Procedure
	~~\| StopDate =~~
	}}		}}
			{{CCI category\|Cardiovascular Px}}
	{{CCI category\|Cardiovascular Px}}{{CCI category\|Therapeutic Px}}		{{CCI category\|Therapeutic Px}}
			==Additional Info==
	== Additional Info ==
	*This could include any combination of whole body warming or whole body cooling. We are not coding those except as part of TTM, which we are only tracking in the setting of post-[[Cardiac arrest]].		*This could include any combination of whole body warming or whole body cooling. We are not coding those except as part of TTM, which we are only tracking in the setting of post-[[Cardiac arrest]].
	*If a patient receives post-arrest cooling or warming (targeted temperature management, TTM), code it. It doesn't matter for how long the cooling was applied or whether the [[Cardiac Arrest Cooling Protocol]] was followed. Usual maintenance temp is 36 degrees.		*If a patient receives post-arrest cooling or warming (targeted temperature management, TTM), code it. It doesn't matter for how long the cooling was applied or whether the [[Cardiac Arrest Cooling Protocol]] was followed. Usual maintenance temp is 36 degrees.
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	{{CCI_Therapeutic}}		{{CCI_Therapeutic}}

	== Alternate CCIs to consider coding instead or in addition ==		==Alternate CCIs to consider coding instead or in addition==
	{{ListCCICategory \| categoryName = Therapeutic Procedure}}		{{ListCCICategory \| categoryName = Therapeutic Procedure}}

	== Related ICD10 Codes ==		==Related ICD10 Codes==

	~~== Data Integrity Checks~~ ==
	{{Data Integrity Check List\|}}		{{Data Integrity Check List\|}}

Agarland: /* Additional Info */

2018-12-06T23:00:58Z

Additional Info

← Older revision		Revision as of 18:00, 6 December 2018
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	== Additional Info ==		== Additional Info ==
	~~'''Only track~~ whole body cooling ~~or warming done for~~ post-[[Cardiac arrest]].~~'''~~		*This could include any combination of whole body warming or whole body cooling. We are not coding those except as part of TTM, which we are only tracking in the setting of post-[[Cardiac arrest]].
			*If a patient receives post-arrest cooling or warming (targeted temperature management, TTM), code it. It doesn't matter for how long the cooling was applied or whether the [[Cardiac Arrest Cooling Protocol]] was followed. Usual maintenance temp is 36 degrees.
	If a patient receives post-arrest cooling or warming (targeted temperature management, TTM), code it. It doesn't matter for how long the cooling was applied or whether the [[Cardiac Arrest Cooling Protocol]] was followed~~. Hypothermia is not always needed. The idea is to keep the patient's temperature from going high~~. Usual maintenance temp is 36 degrees.

	{{CCI one entry only code}}		{{CCI one entry only code}}

Ttenbergen: Ttenbergen moved page Whole body cooling to Targeted Temperature Management (TTM) without leaving a redirect: we have changed how we use this code some time ago to very specific collection instructiosn only, changing name to reflect this

2018-12-01T06:27:27Z

Ttenbergen moved page Whole body cooling to Targeted Temperature Management (TTM) without leaving a redirect: we have changed how we use this code some time ago to very specific collection instructiosn only, changing name to reflect this

← Older revision	Revision as of 01:27, 1 December 2018
(No difference)

Ttenbergen at 03:45, 18 November 2018

2018-11-18T03:45:21Z

← Older revision		Revision as of 22:45, 17 November 2018
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	If a patient receives post-arrest cooling or warming (targeted temperature management, TTM), code it. It doesn't matter for how long the cooling was applied or whether the [[Cardiac Arrest Cooling Protocol]] was followed. Hypothermia is not always needed. The idea is to keep the patient's temperature from going high. Usual maintenance temp is 36 degrees.		If a patient receives post-arrest cooling or warming (targeted temperature management, TTM), code it. It doesn't matter for how long the cooling was applied or whether the [[Cardiac Arrest Cooling Protocol]] was followed. Hypothermia is not always needed. The idea is to keep the patient's temperature from going high. Usual maintenance temp is 36 degrees.

	~~=== coding with [[BRR]] ===~~
	~~For patients with this, also code [[BRR]].~~

	~~{{Discuss \| who = Tina \| question =~~
	* Allan confirmed that Bojan doesn't require special treatment for this one, so '''once we fully move to CCI only collection''' we will be able to stop collecting the [[BRR]] entry and its cross check altogether. }}

	{{CCI one entry only code}}		{{CCI one entry only code}}
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	== Data Integrity Checks ==		== Data Integrity Checks ==
	* [[Query check cooling vs arrest]]		{{Data Integrity Check List\|}}

	== Related Articles ==		== Related Articles ==

Ttenbergen at 03:40, 18 November 2018

2018-11-18T03:40:10Z

← Older revision		Revision as of 22:40, 17 November 2018
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	== Additional Info ==		== Additional Info ==
	'''Only track whole body cooling done for post-[[Cardiac arrest]].'''		'''Only track whole body cooling or warming done for post-[[Cardiac arrest]].'''

	If a patient receives post-arrest cooling (targeted temperature management, TTM), code it. It doesn't matter for how long the cooling was applied or whether the [[Cardiac Arrest Cooling Protocol]] was followed. Hypothermia is not always needed. The idea is to keep the patient's temperature from going high. Usual maintenance temp is 36 degrees.		If a patient receives post-arrest cooling or warming (targeted temperature management, TTM), code it. It doesn't matter for how long the cooling was applied or whether the [[Cardiac Arrest Cooling Protocol]] was followed. Hypothermia is not always needed. The idea is to keep the patient's temperature from going high. Usual maintenance temp is 36 degrees.

	{{DA \| Occasionally the patient on TTM is not cooled at all because their temperature remains low, they may even be warmed to keep the temperature at 36 degrees. Do we still use the whole body cooling in CCI or should we use warming in these cases?--[[User:LKolesar\|LKolesar]] 14:31, 2018 October 29 (CDT)
	*AG REPLY: CCI does not have a code for TTM after cardiac arrest. THUS, I think we should ADAPT the code currently called '''[[Whole body cooling]]''' to solely represent TTM after cardiac arrest, even changing its name, perhaps to "Targeted temperature management after cardiac arrest (TTM)". This plan fits well since we had already decided that we'd only use this code for cooling after cardiac arrest.
	*If we do that, then the "Additional Info" stuff should be changed to read something like "Use this code only for manipulation of body temperature after cardiac arrest. The procedure may involve body cooling OR body warming. It doesn't matter for how long TTM was applied."
	* 11 As per [[Task_Team_Meeting_-_Rolling_Agenda_and_Minutes#ICU_Database_Task_Group_Meeting_.E2.80.93_November_8.2C_2018]] we are thinking of combining the cooling and warming to a TTM code to only be used post cardiac arrest. There is a further question there relating to this.
	}}

	=== coding with [[BRR]] ===		=== coding with [[BRR]] ===

Ttenbergen at 15:57, 14 November 2018

2018-11-14T15:57:03Z

← Older revision		Revision as of 10:57, 14 November 2018
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	*AG REPLY: CCI does not have a code for TTM after cardiac arrest. THUS, I think we should ADAPT the code currently called '''[[Whole body cooling]]''' to solely represent TTM after cardiac arrest, even changing its name, perhaps to "Targeted temperature management after cardiac arrest (TTM)". This plan fits well since we had already decided that we'd only use this code for cooling after cardiac arrest.		*AG REPLY: CCI does not have a code for TTM after cardiac arrest. THUS, I think we should ADAPT the code currently called '''[[Whole body cooling]]''' to solely represent TTM after cardiac arrest, even changing its name, perhaps to "Targeted temperature management after cardiac arrest (TTM)". This plan fits well since we had already decided that we'd only use this code for cooling after cardiac arrest.
	*If we do that, then the "Additional Info" stuff should be changed to read something like "Use this code only for manipulation of body temperature after cardiac arrest. The procedure may involve body cooling OR body warming. It doesn't matter for how long TTM was applied."		*If we do that, then the "Additional Info" stuff should be changed to read something like "Use this code only for manipulation of body temperature after cardiac arrest. The procedure may involve body cooling OR body warming. It doesn't matter for how long TTM was applied."
			* 11 As per [[Task_Team_Meeting_-_Rolling_Agenda_and_Minutes#ICU_Database_Task_Group_Meeting_.E2.80.93_November_8.2C_2018]] we are thinking of combining the cooling and warming to a TTM code to only be used post cardiac arrest. There is a further question there relating to this.
	}}		}}