Template:ICD10 Guideline AwaitingTransfer: Difference between revisions

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To use:

<pre>{{ICD10 AwaitingTransfer}}</pre>

<pre>{{ICD10 Guideline AwaitingTransfer}}</pre>

[[Category:ICD10 wiki infrastructure]]

[[Category:Awaiting/delayed transfer]]

----

</noinclude>=== ~~Definition~~ of ~~when~~ a delay ~~has occurred~~ ===

</noinclude>=== Guidelines for the use of "awaiting" code ===

~~We define a 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]].

*There will be documentation in the notes that a panel meeting has taken place and that the pt is officially on the panel waitlist.

=== ~~Old rules~~ and ~~ICD10~~ ===

==== Status changes and is no longer awaiting ====

~~{{ICD10|needs review}}~~

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

~~{{DiscussAllan|~~

==== Status changes and is awaiting different destination ====

* [[~~Panelling~~ or ~~Discharge Planning~~]] ~~- There are a lot of details in there~~. ~~Which need to come over? Will the cross checks still be relevant? Ttenbergen 14:30, 2017 December 4 (CST)}}~~

If during the wait to leave, the location to which the planned transfer changes, leave the first awaiting code, thus can have >1 Awaiting code in this situation. If/when the patient becomes stable again and is waiting for a long-term bed/PCH inside or outside Winnipeg then enter a second [[Awaiting/delayed transfer to long-term care/PCH inside or outside of Winnipeg]].

~~{{Discussion}}~~

If the destination is not to a long-term bed/PCH then follow the [[Transfer Ready DtTm]] criteria

* Do those cross checks seem reasonable with these new codes?

=== ~~{{CCMDB Data Integrity Checks|~~ready to ~~implement}} -~~ If ~~this code~~ is ~~present~~, ~~[[Transfer Ready DtTm]] must be filled in~~ and ~~vice versa===~~

==== Patient arrives on unit already awaiting care ====

* ~~Any patient who has~~ this code ~~has to have~~ a [[~~Transfer Ready DtTm~~]].

*For patients who arrive "transfer ready" (usually to a low acuity ward), use the "awaiting" code 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.

* Any patient with a with [[~~Transfer Ready DtTm~~]] ~~and [[Dispo DtTm]] on different days has to have one of the "awaiting" codes~~

*For patients that have been paneled for a PCH in the community, use this code as a [[Comorbid Diagnosis]]. This process will often be put on hold or re-evaluated once admitted, so it can also be used again as an [[Acquired Diagnoses]]

===~~{{CCMDB Data Integrity Checks|ready to implement}} - If this~~ code ~~is primary dx transfer data must equal arrive date~~ ===

=== Possible reasons for delay that we can actually code ===

* Panelling_admit_transfer_same(Pat_ID): a record is an error if both

* [[Palliative care]]

** [[~~Primary Admit Diagnosis~~]] = [[~~Awaiting/delayed transfer to long-term~~ care~~/PCH~~]]

* [[Respite care]]

** ([[~~Transfer Ready DtTm~~]]~~) <> (~~[[~~Arrive DtTm~~]])

* [[Problem related to unspecified psychosocial circumstances]]

* [[Medical Assistance In Dying]]

@@ Line 3: / Line 3: @@
 To use:
-<pre>{{ICD10 AwaitingTransfer}}</pre>
+<pre>{{ICD10 Guideline AwaitingTransfer}}</pre>
 [[Category:ICD10 wiki infrastructure]]
+[[Category:Awaiting/delayed transfer]]
 ----
-</noinclude>=== Definition of when a delay has occurred ===
+</noinclude>=== Guidelines for the use of "awaiting" code ===
-We define a 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]].
+*There will be documentation in the notes that a panel meeting has taken place and that the pt is officially on the panel waitlist.
-=== Old rules and ICD10 ===
+==== Status changes and is no longer awaiting ====
-{{ICD10|needs review}}
+If the transfer is cancelled '''do NOT remove the "awaiting" code'''.
-{{DiscussAllan|
+==== Status changes and is awaiting different destination ====
-* [[Panelling or Discharge Planning]] - There are a lot of details in there. Which need to come over? Will the cross checks still be relevant? Ttenbergen 14:30, 2017 December 4 (CST)}}
+If during the wait to leave, the location to which the planned transfer changes, leave the first awaiting code, thus can have >1 Awaiting code in this situation. If/when the patient becomes stable again and is waiting for a long-term bed/PCH inside or outside Winnipeg then enter a second [[Awaiting/delayed transfer to long-term care/PCH inside or outside of Winnipeg]].
-{{Discussion}}
+If the destination is not to a long-term bed/PCH then follow the [[Transfer Ready DtTm]] criteria
-* Do those cross checks seem reasonable with these new codes?
-=== {{CCMDB Data Integrity Checks|ready to implement}} - If this code is present, [[Transfer Ready DtTm]] must be filled in and vice versa===
+==== Patient arrives on unit already awaiting care ====
-* Any patient who has this code has to have a [[Transfer Ready DtTm]].
+*For patients who arrive "transfer ready" (usually to a low acuity ward), use the "awaiting" code 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.
-* Any patient with a with [[Transfer Ready DtTm]] and [[Dispo DtTm]] on different days has to have one of the "awaiting" codes
+*For patients that have been paneled for a PCH in the community, use this code as a [[Comorbid Diagnosis]].  This process will often be put on hold or re-evaluated once admitted, so it can also be used again as an [[Acquired Diagnoses]]
-==={{CCMDB Data Integrity Checks|ready to implement}} - If this code is primary dx transfer data must equal arrive date ===
+=== Possible reasons for delay that we can actually code ===
-* Panelling_admit_transfer_same(Pat_ID): a record is an error if both
+* [[Palliative care]]
-** [[Primary Admit Diagnosis]] = [[Awaiting/delayed transfer to long-term care/PCH]]
+* [[Respite care]]
-** ([[Transfer Ready DtTm]]) <> ([[Arrive DtTm]])
+* [[Problem related to unspecified psychosocial circumstances]]
+* [[Medical Assistance In Dying]]