Template:ICD10 Guideline AwaitingTransfer: Difference between revisions

From CCMDB Wiki
Jump to navigation Jump to search
m →‎awaiting ambiguous locations: nothing helpful there any more
 
(4 intermediate revisions by the same user not shown)
Line 7: Line 7:


[[Category:ICD10 wiki infrastructure]]
[[Category:ICD10 wiki infrastructure]]
[[Category:Awaiting/delayed transfer]]
----
----




</noinclude>=== Definition of when a delay has occurred ===
</noinclude>=== Guidelines for the use of "awaiting" codes ===
For the purpose of these diagnosis codes we define a [[Transfer Delay]] as having occurred if the [[Dispo DtTm]] is '''not on the same day''' as the [[Transfer Ready date and time]].  
==== How much of a delay is required before we code "awaiting"? ====
Code awaiting if [[Dispo DtTm]] is '''not on the same calendar day''' as the [[Transfer Ready date and time]].
We realize this is different from [[Transfer Delay]].
For example, if patient was transfer ready on Tuesday, but left on Wednesday or thereafter, use one of the codes in [[:Category:Awaiting/delayed transfer]].
For example, if patient was transfer ready on Tuesday, but left on Wednesday or thereafter, use one of the codes in [[:Category:Awaiting/delayed transfer]].


=== awaiting ambiguous locations ===
==== status changes and is no longer awaiting ====
See [[Care levels in the community]].
If the transfer is cancelled '''do NOT remove the "awaiting" code'''.
 
==== status changes and is awaiting different destination ====
If during the wait to leave, the location to which the planned transfer changes, then add the additional Awaiting code, thus can have >1 Awaiting code in this situation.
 
==== Patient arrives on unit already awaiting care ====
For patients who arrive "transfer ready" (usually to a low acuity ward), use one of the "awaiting" codes as primary if there are no active medical problems. If the patient is still actively being treated for something, make that diagnosis primary and the "awaiting" code a lower priority.


=== Possible reasons for delay that we can actually code ===
=== Possible reasons for delay that we can actually code ===
* [[Physical rehabilitation care]]
* [[Palliative care]]
* [[Palliative care]]
* [[Respite care]]
* [[Respite care]]
Line 24: Line 32:
* [[Problem related to unspecified psychosocial circumstances]]
* [[Problem related to unspecified psychosocial circumstances]]
* [[Medical Assistance In Dying]]
* [[Medical Assistance In Dying]]
{{DT|
*if the transfer ready DtTm is not the same as the Dispo DtTm, should the data collectors ALWAYS include one of these five ''awaiting delay/transfer reasons'' '''and/or''' any of the OTHER reasons listed here: [[#Possible_reasons_for_delay_that_we_can_actually_code]].  Don't think the collectors know this yet....-- Trish & [[User:JMojica|JMojica]] 17:01, 2018 December 24 (CST)
** As discussed w Allan: the pt could deteriorate. then we would keep the tr date but lose the awaiting code.
If the awaiting is rescinded, e.g. patient gets sicker and decision to send person elsewhere is stopped, then remove the waiting. Then this cross check doesn't make sense.
*AG REPLY --- this can become very complex and so we decided that:
**(a) if 1st transfer ready is 1 or more calendar days before dispoDtTM, then to not only record that transf ready DtTM but also record the appropriate Awaiting ICD10 code;
**(b) IF the transfer is cancelled do NOT remove either the orig transfer ready DtTM or the Awaiting code,
**(c) if during the wait to leave, the location to which the planned transfer changes, then add the additional Awaiting code, thus can have >1 Awaiting code in this situation,
**(d) have a check that whenever 1st transfer ready is 1 or more calendar days before dispoDtTM, that there should be at least 1 Awaiting code also.}}

Latest revision as of 12:04, 2022 December 29

This template contains details common to all pages in Category:Awaiting/delayed transfer.

To use:

{{ICD10 Guideline AwaitingTransfer}}


Guidelines for the use of "awaiting" codes

How much of a delay is required before we code "awaiting"?

Code awaiting if Dispo DtTm is not on the same calendar day as the Transfer Ready date and time. We realize this is different from Transfer Delay. For example, if patient was transfer ready on Tuesday, but left on Wednesday or thereafter, use one of the codes in Category:Awaiting/delayed transfer.

status changes and is no longer awaiting

If the transfer is cancelled do NOT remove the "awaiting" code.

status changes and is awaiting different destination

If during the wait to leave, the location to which the planned transfer changes, then add the additional Awaiting code, thus can have >1 Awaiting code in this situation.

Patient arrives on unit already awaiting care

For patients who arrive "transfer ready" (usually to a low acuity ward), use one of the "awaiting" codes as primary if there are no active medical problems. If the patient is still actively being treated for something, make that diagnosis primary and the "awaiting" code a lower priority.

Possible reasons for delay that we can actually code