CCI Collection: Difference between revisions

This article provides general information about collecting and coding a [[CCI Procedure]].

They are entered in [[CCMDB.accdb]] in the [[Patient Viewer Tab CCI_Pick]] and [[Patient Viewer Tab CCI_Comp]] on the [[Patient Viewer]].

For background information, see [[CCI]] and [[Reasoning around moving to CCI and our subset of it]].

== Collection instructions ==

===Start Date: Jan 1, 2019 ===

=== Selecting and entering [[CCI]] procedure in [[CCMDB]] ===

# for every procedure:

## check if the procedure is listed in the [[CCI Picklist]] in the [[L_CCI_Picklist subform]] which is the top half of the CCI screen. Select from drop down list.

## if '''not''' available in CCI picklist, enter it in the [[CCI Component]] in the [[L_CCI_Component subform]] which is the bottom half of the CCI screen.  

##* pick the left column, [[CCI component 1 codes - what organ was something done to]].

##** if there are too many and you only want to see e.g. the therapeutic ones and not the imaging ones, use the [[L_CCI_Component_subform#CCI_Chooser (the "?" button)]]. In the form it opens you can filter by the [[CCI Category]].

##* in the column on the right, pick the [[CCI component 2 codes - what was done]]; the component on the right has to be of the same ''diagnostic / therapeutic / imaging'' kind as the component 1 - if you try to mix types you will get an error.  

### enter a [[Px_Date]] - Date of procedure '''for acquired px only'''

### enter a [[Px_Count]] - the number of '''separate''' times it was done''' '''''on a given day

To reduce clicks to enter same Picklist entries for additional days, there are some extra buttons:

* "x2" will duplicate this line with the next date

** "+" and "-" will up or down the date by one day, to make the copy more useful

* [[Blue button in CCI Picklist]] will fill a range of dates

== Collection modes ==

*We code CCI procedures in 5 different [[CCI Collection Mode]]s''':

{{#ask: [[Has CCI Picklist Code::+]][[Has StopDate::>{{CURRENTDAY}} {{CURRENTMONTHNAME}} {{CURRENTYEAR}}]]

|format=broadtable

|link=all

|limit=1000

|class=sortable wikitable smwtable

| full=  

{{#ask: [[Has CCI 2 Code::+]][[Has StopDate::>{{CURRENTDAY}} {{CURRENTMONTHNAME}} {{CURRENTYEAR}}]]

|?Has CCI Collection Mode

}} }}

If no procedures were performed '''enter [[No procedure performed]] as an [[Admit Procedure]] with a [[Px Count]] of 1 into the [[CCI Picklist]]''', the top of the tab. Do not enter any procedrues into the CCI Component section, ie leave it as "[[No procedure entered]]". Entering this will mean at least one CCI entry is present when [[Query check CCI must have entry]] checks that entering procedures was not just forgotten.

=== Procedures we don't code ===

We are not tracking all possible procedures. If a procedure can not be coded using the picklist or combined method, then we likely are not interested in coding it.  

See [[List of CCI procedures we don't code]] for procedures we explicitly don't collect. If you come across a procedure you were not able to code, but think we probably should be coding, please note it [[List of CCI procedures we don't code|there]].

See [[Reasoning around moving to CCI and our subset of it#Why do we not include the entire set of CCI codes]] and [[List of CCI procedures we don't code]] for more info.

*Do not code a procedure that is part of a "Bigger" procedure already coded.

'''Example:''' In the course of many or most CABG surgeries, there is placement (or replacement) of chest tubes, pacer wires, arterial lines, central lines, and vein harvest, but do NOT code those procedures separately, since they are "included" in the CABG code.

*On the other hand, things done in OR that are NOT part of the standard procedure (e.g. for someone coming out from OR after CABG who now has ECMO, Swan-Ganz, IABP), you SHOULD code these as [[Admit Procedure]]).

*When at the same sitting both diagnostic and therapeutic procedures are done, then CODE THEM BOTH

{{ex|* a cardiac cath is done and then a stent is placed -- code the diagnostic cath and the therapeutic stenting.

* for an [[Angiogram, coronary (diagnostic cardiac catheterization)]] where [[Angioplasty, coronary (with stenting)]] happens in the same sitting, code both}}

* if a tissue [[Biopsy (non-endoscopic)]]/[[Biopsy (endoscopic)]] is done as part of an invasive [[Inspection, Exploration (non-endoscopic)]]/[[Inspection, Exploration (endoscopic)]] code both

*When multiple procedures are done at one sitting, code them all

{{Ex|if a CT of chest, abdomen and pelvis is done, code them all}}

*For endoscopic inspection/explorations, code only the '''"furthest/deepest"''' area assessed.

=== [[Aborted Procedure]] ===

*See [[Aborted Procedure]] for how to code

Procedures done on a '''different''' day should be entered again with a different date. This should be really quick by using the "duplicate" button.

| full= {{#ask: [[DICSummary::+]] [[Category: CCI Px check]]

[https://secure.cihi.ca/free_products/CodingStandards_v2018_EN.pdf CIHI.ca coding standard CCI]