Panelling or Discharge Planning: Difference between revisions

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{{~~DX tag~~ | ~~Other Medical | Medical Problem | Panelling~~ or ~~Discharge Planning | PANELLING OR DISCHARGE PLANNING | 90600 | | | '''Critical Care and Medicine''' | Currently Collected | May 12.2004 |~~ }}

{{PreICD10 dx | NewDxArticle = Awaiting/delayed transfer to long-term care/PCH inside or outside of Winnipeg}}

{{DX tag | Other Medical | | Paneling or Discharge Planning | |

*90601 - Paneling

*90602 - Discharge planning | | | '''Critical Care and Medicine''' | Currently Collected | May 12.2004 | }}

~~This code will be removed~~ as of [[~~CCMDB.mdb_Change_Log_2012#ver_2012-09-06~~]].

== Coding Instructions==

*CHANGE OF PLANS: We want to change 90600 code to the following:

=== When to use as primary admit diagnosis ===

**90601 - Panelling

If you use one of these diagnoses as [[Primary Admit Diagnosis]] then the [[Transfer Ready date and time]] has to be the same as the "Arrive DtTm".

**90602 - discharge planning. ***Thanks for you patience. This code will be further addressed when we actually go to ICU10 coding. For now the ~~above is what we will work with. Tina will reset this next week.~~ [[~~User:TOstryzniuk|Trish Ostryzniuk~~]] ~~12:55, 2012 September 28 (CDT)~~

==~~Legacy Data~~==

Don't put paneling as [[Primary Admit Diagnosis]] if a patient has acute problems and has been transferred to your ward for treatment of those problems. For example if a patient on a chronic unit has been paneled but gets HAP and transfers to your ward then the #1 diagnosis for your ward is HAP. This was discussed with Dr Garland at the [[Task Team]] meeting on March 1,2013.[[User:TOstryzniuk|Trish Ostryzniuk]] 18:49, 2013 March 8 (EST)

~~906 Code~~ was ~~removed~~ as of [[CCMDB.~~mdb_Change_Log_2012#ver_2012-09-06~~]]

===DX coded as Paneling but discharge home===

Patients with diagnosis Paneling can still be discharged home.

===Do not use Panelling for long term rehab (LTR)===

If patient goes to [[Deer Lodge (DLC)]] for '''LTR (Long term Rehab), do not use Panelling (90601) '''. You could use Discharge Planning (90602) if applicable.

=== Patient Panelling Cancelled ===

If panelling is initiated but then cancelled, '''remove Panelling (90601)'''. You could use Discharge Planning (90602) if applicable.

Keep any transfer ready date you may have entered since we are looking for "the first date during this ward stay that a patient was deemed medically ready to be discharged." as per [[Transfer Ready date and time]].

=== Discharge Planning cancelled due to Panelling ===

If a patient had code Discharge Planning (90602) but the planning is cancelled because the patient is panelled, add Panelling (90601) but you can keep the discharge planning dx also. (as confirmed with Julie)

== CCMDB Data Integrity Checks ==

==Who is using this administrative code?==

The [[Statistician]] for medicine reports as requested by [[p:Dr. Dan Roberts]].

Panelling (90601) is used in the [[Overstay]] project reports.

~~===Data Integrity Rule===~~

It was discussed at task meeting 2018-04-11 that [[Awaiting/delayed transfer to long-term care/PCH inside or outside of Winnipeg]] and related codes will give Julie the data she needs for reporting.

*'''If''' '''ADMIT 1''' Diagnosis code is '''906''' then:

** '''Transfer Ready Date and Time''' must '''= Admit Date and Time''' to your unit. (check implemented for ver 2012-01-~~05 by Tina)~~

*hum...admit DX 2 was 906, and I was allowed to send.

** the time constraint is only for admit1[[~~User:Ttenbergen|Ttenbergen~~]] ~~09:37, 2012 March 16 (CDT)~~

==~~= discussion leading up to elimination of code =~~==

==Legacy Data==

~~We want to change~~ 90600 ~~code to the following:~~

90600 Code was removed as of [[CCMDB.mdb_Change_Log_2012#ver_2012-09-06]]

*90601 - Panelling

*90602 -discharge planning

*We currently have Panelling/discharge planning in on code which is a problem. Not easy to sort out which are clearly for Panelling in the group. Tina can you make the changes in S_alldiagnosis so we can start this begining of July. You have Master copy of ccmdb that you are working on so I dont want to change. This is not a DX but has been used as ~~a tagged really to mark patient that where held up/delayed with discharge because~~ of processes involved with panelling and process involved with discharge planning. You can follow up with Julie since I have discussed with her. She is trying to abstract some data for Dan, but challenging when grouped like this.[[~~User:TOstryzniuk|Trish Ostryzniuk]] 14:55, 2012 June 22 (CDT)~~

**Discussed at Database Task meeting and the challenge to separate out those patient that are just panelled. ~~Dr. Garland will talk to Dr. Roberts and then decide how to change this code.[[User:TOstryzniuk|Trish Ostryzniuk]] 15:21, 2012 July 6 (CDT)~~

*** Dr Roberts decided to stop coding at yesterday's steering committee meeting. [[User:Ttenbergen|Ttenbergen]] ~~15:45, 2012 September 11 (CDT)~~

[[~~Category: Data Integrity Rules~~]]

Initially we were going to remove it, so code 90600 was deleted in version rolled out 2012-09-25. Changed to using 90601 and 90602 in [[CCMDB.mdb_Change_Log_2012#ver_2012-10-01]].

*** I understand that we are no longer be using the panelling/discharge code. Some of my patients are admitted for failure to cope in the community and are admitted to hospital for discharge planning. Some of these individuals are physically not able to cope due to muscle deconditioning or mental decline. I just want to clarify that I will continue to use the code muscle deconditioning and dementia codes to capture this population with out adding the panelling/discharge code. As well I just want to clarify that we are no longer tracking persons who are being panelled for a PCH from hospital. Thanks Judy Sept 18th.

== Related articles ==

@@ Line 1: / Line 1: @@
-{{DX tag | Other Medical | Medical Problem | Panelling or Discharge Planning | PANELLING OR DISCHARGE PLANNING | 90600 | | | '''Critical Care and Medicine''' | Currently Collected | May 12.2004 | }}
+{{PreICD10 dx | NewDxArticle = Awaiting/delayed transfer to long-term care/PCH inside or outside of Winnipeg}}
+{{DX tag | Other Medical |  | Paneling or Discharge Planning |  |
+*90601 - Paneling
+*90602 - Discharge planning | | | '''Critical Care and Medicine''' | Currently Collected | May 12.2004 | }}
-This code will be removed as of [[CCMDB.mdb_Change_Log_2012#ver_2012-09-06]].
+== Coding Instructions==
-*CHANGE OF PLANS:  We want to change 90600 code to the following:
+=== When to use as primary admit diagnosis ===
-**90601 - Panelling
+If you use one of these diagnoses as [[Primary Admit Diagnosis]] then the [[Transfer Ready date and time]] has to be the same as the "Arrive DtTm".
-**90602 - discharge planning. ***Thanks for you patience. This code will be further addressed when we actually go to ICU10 coding.  For now the above is what we will work with. Tina will reset this next week. [[User:TOstryzniuk|Trish Ostryzniuk]] 12:55, 2012 September 28 (CDT)
-==Legacy Data==
+Don't put paneling as [[Primary Admit Diagnosis]] if a patient has acute problems and has been transferred to your ward for treatment of those problems. For example if a patient on a chronic unit has been paneled but gets HAP and transfers to your ward then the #1 diagnosis for your ward is HAP. This was discussed with Dr Garland at the [[Task Team]] meeting on March 1,2013.[[User:TOstryzniuk|Trish Ostryzniuk]] 18:49, 2013 March 8 (EST)
-Code was removed as of [[CCMDB.mdb_Change_Log_2012#ver_2012-09-06]]
+===DX coded as Paneling but discharge home===
+Patients with diagnosis Paneling can still be discharged home.
+===Do not use Panelling for long term rehab (LTR)===
+If patient goes to [[Deer Lodge (DLC)]] for '''LTR (Long term Rehab), do not use Panelling (90601) '''. You could use Discharge Planning (90602) if applicable.
+=== Patient Panelling Cancelled ===
+If panelling is initiated but then cancelled, '''remove Panelling (90601)'''. You could use Discharge Planning (90602) if applicable.
+Keep any transfer ready date you may have entered since we are looking for "the first date during this ward stay that a patient was deemed medically ready to be discharged." as per [[Transfer Ready date and time]].
+=== Discharge Planning cancelled due to Panelling ===
+If a patient had code Discharge Planning (90602) but the planning is cancelled because the patient is panelled, add Panelling (90601) but you can keep the discharge planning dx also. (as confirmed with Julie)
+== CCMDB Data Integrity Checks ==
+{{Data Integrity Check List|}}
+==Who is using this administrative code?==
+The [[Statistician]] for medicine reports as requested by [[p:Dr. Dan Roberts]].
+Panelling (90601) is used in the [[Overstay]] project reports.
-===Data Integrity Rule===
+It was discussed at task meeting 2018-04-11 that [[Awaiting/delayed transfer to long-term care/PCH inside or outside of Winnipeg]] and related codes will give Julie the data she needs for reporting.
-*'''If''' '''ADMIT 1''' Diagnosis code is '''906''' then:
-** '''Transfer Ready Date and Time''' must '''= Admit Date and Time''' to your unit. (check implemented for ver 2012-01-05 by Tina)
-*hum...admit DX 2 was 906, and I was allowed to send.
-** the time constraint is only for admit1[[User:Ttenbergen|Ttenbergen]] 09:37, 2012 March 16 (CDT)
-=== discussion leading up to elimination of code ===
+==Legacy Data==
-We want to change 90600 code to the following:
+Code was removed as of [[CCMDB.mdb_Change_Log_2012#ver_2012-09-06]]
-*90601 - Panelling
-*90602 -discharge planning
-*We currently have Panelling/discharge planning in on code which is a problem.  Not easy to sort out which are clearly for Panelling in the group.  Tina can you make the changes in S_alldiagnosis so we can start this begining of July.  You have Master copy of ccmdb that you are working on so I dont want to change. This is not a DX but has been used as a tagged really to mark patient that where held up/delayed with discharge because of processes involved with panelling and process involved with discharge planning.  You can follow up with Julie since I have discussed with her.  She is trying to abstract some data for Dan, but challenging when grouped like this.[[User:TOstryzniuk|Trish Ostryzniuk]] 14:55, 2012 June 22 (CDT)
-**Discussed at Database Task meeting and the challenge to separate out those patient that are just panelled.  Dr. Garland will talk to Dr. Roberts and then decide how to change this code.[[User:TOstryzniuk|Trish Ostryzniuk]] 15:21, 2012 July 6 (CDT)
-*** Dr Roberts decided to stop coding at yesterday's steering committee meeting. [[User:Ttenbergen|Ttenbergen]] 15:45, 2012 September 11 (CDT)
-[[Category: Data Integrity Rules]]
+Initially we were going to remove it, so code 90600 was deleted in version rolled out 2012-09-25. Changed to using 90601 and 90602 in [[CCMDB.mdb_Change_Log_2012#ver_2012-10-01]].
-*** I understand that we are no longer be using the panelling/discharge code. Some of my patients are admitted for failure to cope in the community and are admitted to hospital for discharge planning.  Some of these individuals are physically not able to cope due to muscle deconditioning or mental decline.  I just want to clarify that I will continue to use the code muscle deconditioning and dementia codes to capture this population with out adding the panelling/discharge code.  As well I just want to clarify that we are no longer tracking persons who are being panelled for a PCH from hospital. Thanks Judy Sept 18th.
+== Related articles ==
+{{Related Articles}}