Template:ICD10 Guideline AwaitingTransfer: Difference between revisions

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m Possible reasons for delay that we can actually code: hopefully if someone can think of others they will still put them in here
 
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To use:  
To use:  
<pre>{{ICD10 AwaitingTransfer}}</pre>
<pre>{{ICD10 Guideline AwaitingTransfer}}</pre>




[[Category:ICD10 wiki infrastructure]]
[[Category:ICD10 wiki infrastructure]]
[[Category:Awaiting/delayed transfer]]
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</noinclude>=== awaiting ambiguous locations ===
</noinclude>=== Guidelines for the use of "awaiting" code ===
See [[Care levels in the community]].
==== 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.


=== Definition of when a delay has occurred ===
==== Status changes and is no longer awaiting ====
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]].
If the transfer is cancelled '''do NOT remove the "awaiting" code'''.
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]].


=== Old rules and ICD10 ===
==== Status changes and is awaiting different destination ====
{{ICD10|needs review}}
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]].


{{DiscussAllan|
If the destination is not to a long-term bed/PCH then follow the [[Transfer Ready DtTm]] criteria
* [[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)}}


{{Discussion}}
==== Patient arrives on unit already awaiting care ====
* Do those cross checks seem reasonable with these new codes?
*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.
*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]]


=== 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]]
* [[Homelessness]]
* [[Problem related to unspecified psychosocial circumstances]]
* [[Problem related to unspecified psychosocial circumstances]]
* [[Medical Assistance In Dying]]
* [[Medical Assistance In Dying]]
=== {{CCMDB Data Integrity Checks|ready to implement}} - If this code is present, [[Transfer Ready DtTm]] must be filled in and vice versa===
* Any patient who has this code has to have a [[Transfer Ready DtTm]].
* Any patient with a with [[Transfer Ready DtTm]] and [[Dispo DtTm]] on different days has to have one of the "awaiting" codes
==={{CCMDB Data Integrity Checks|ready to implement}} - If this code is primary dx transfer data must equal arrive date ===
* Panelling_admit_transfer_same(Pat_ID): a record is an error if both
** [[Primary Admit Diagnosis]] = any awaiting code
** ([[Transfer Ready DtTm]]) <> ([[Arrive DtTm]])

Latest revision as of 08:12, 23 June 2025

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

To use:

{{ICD10 Guideline AwaitingTransfer}}


Guidelines for the use of "awaiting" code

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

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.

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, 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.

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

Patient arrives on unit already awaiting care

  • 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.
  • 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

Possible reasons for delay that we can actually code