|
|
| (112 intermediate revisions by 8 users not shown) |
| Line 1: |
Line 1: |
| {{DX tag | Other Medical | | Palliative Care | PALLIATIVE CARE | 904-00 | | |'''Critical Care and/or Medicine''' | Currently Collected | |}}
| | See [[Palliative care]]. |
|
| |
|
| '''''Category/Organ System update pending'''''
| | {{PreICD10 dx | NewDxArticle = Palliative care}} |
| ==When to code as an Admit or Complication DX== | |
| Palliative Care DX should be coded as follows: | |
|
| |
|
| *admit diagnosis: Palliative care: should only be coded for patients that have been previously enrolled in and are currently being cared for by the Palliative Care Service
| | {{DX tag | Other Medical | Medical Problem | Palliative Service | | 90400 | | |'''Critical Care and/or Medicine''' | Currently Collected | |}} |
| *complication diagnosis: Palliative care: should only be coded if there is an actual consultation by the Palliative Care Service
| |
|
| |
|
| | A [[palliative patient]] will have a "diagnosis" of Palliative Service if the patient is either under the care of Palliative Service Team or that this Service has been consulted. We code '''Palliative Service''' as a diagnosis because we did not have a reasonable alternative way to code it when we started to collect it. |
|
| |
|
| ==Coming to a laptop near you soon: TMP STUDY for primary admit DX of: comfort/end of life care==
| | See [[Comfort Care]] for collection instructions on that care goal. |
| {{Discussion}}
| |
| needs a project & item name in Tmp. Also need a tmp study article.
| |
| *This section will be move to another article. Tina? thanks.
| |
| **Collectors any suggestion for Project name in TMP that would be intuitive to all?
| |
|
| |
|
| | == Coding Instruction for Palliative Care Service== |
| | Palliative Service code should only be used as follows: |
|
| |
|
| | *ADMIT slots: |
| | **only if the patient is either under the care of Palliative Service Team or that this Service has been consulted, ''even if the patient was not accepted to that service'' |
|
| |
|
| | *COMPLICATION slots: |
| | **only if there is an actual '''consultation''' for Palliative Services '''''after''''' ward admission ''even if the patient was not accepted to that service'' |
|
| |
|
| *Make a new temp study article, ask people to enter “Admit for: comfort/end of life care” if and only if:
| | == Related data == |
| | The diagnosis code Palliative Service is related to, '''but not the same as''' a patient having [[ACP-C]] or [[Comfort Care]] orders, but you might be able to code [[Comfort Care]] in that circumstance. |
|
| |
|
| The initial ward admission note written by the ward resident or attending physician documents explicitly that the patient’s primary reason for admission to that ward is for the purpose of providing, comfort care or end-of-life or clearly similar concepts.
| | ==See also== |
| Do not enter this into TMP if the decision is made by the physician later on during the ward admission.
| | [[:Category:End-of-life related data]] |
| *The purpose of adding this to TMP is allow '''medicine program''' to identify those patients whom the primary plan upon ward admission is comfort/end of life care only
| |
|
| |
|
| | == Legacy info == |
| | see [[palliative patient]] |
| | |
|
| |
|
| Thank you [[Tina Tenbergen | Tina ]] & [[Dr. Allan Garland | Allan]] and [[:Category:Critical Care Review Group | Critical Care Review Group]] & staff all feedback for this one. [[User:TOstryzniuk|Trish Ostryzniuk]] 19:36, 2013 October 23 (CDT)
| |
|
| |
|
| | | [[Category:End-of-life related data]] |
| [[Category:Diagnosis Coding]] | |
| | |
| == DC Treatment vs. Palliative Care ==
| |
| see [[DC_Treatment#DC_Treatment_vs._Palliative_Care]]
| |