CCI Collection: Difference between revisions

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

They are entered in [[CCMDB.~~mdb~~]] in the [[~~L CCI subform~~]] on the [[Patient ~~viewer tab ICD10~~]].~~~~

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

~~There are some~~ [[~~ICD10 Diagnoses~~ and CCI ~~Codes that need to be coded together~~]].

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

== Collection ~~Instructions~~ ==

== Collection instructions ==

~~[[CCI Procedure]]s are encoded as three components~~, corresponding to the three dropdown boxes in [[L CCI subform]]. Fill in the first one (which will constrain the others to related ones in the future, Tina needs to implement still {{discussion}}) then the second and the third.

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

=== ~~No procedures were done~~ ===

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

~~If no procedures or~~ imaging ~~were performed during~~ the ~~stay~~, enter [[No procedure ~~performed~~]].

Follow these steps, in this order:

# 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.

## whether CCI picklist or CCI component,

### enter a [[Px_Type]] - "admit" ([[Admit Procedure]]) or "acquired" ([[Acquired Procedure]])

### 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

===={{~~CCMDB Data Integrity Checks~~|~~ready to implement~~|~~ready to implement~~}} ~~- Must have~~ at least one entry ====

==== productivity features ====

~~{{discussion}}~~

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

~~Will need~~ to be ~~implemented~~: do ~~click complete~~, ~~must have a~~ other ~~than~~ [[~~No procedure entered~~]]; code [[~~No procedure performed~~]] if ~~there were no~~ procedures.

* "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''':

=== List of CCI Elements and their collection modes ===

{{Collapsable

| always= picklist

| full=

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

|?Has CCI Collection Mode

|format=broadtable

|link=all

|limit=1000

|class=sortable wikitable smwtable

}} }}

{{Collapsable

| always= component 2 list

| full=

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

|?Has CCI Collection Mode

|format=broadtable

|link=all

|limit=1000

|class=sortable wikitable smwtable

}} }}

== Special Cases ==

=== No Procedures Performed ===

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.

=== Moved patients ===

*There are important issues/rules for admit procedure coding when a patient is being transferred from one unit/ward to another unit/ward -- and this is even more complicated if in between leaving one unit/ward and arriving on another unit/ward, the patient stops in a procedure area and gets one or more procedures.

*Here are the guidelines for these situations:

**(i) Transfer from collecting location A to collecting location B without any stop in between where procedures might occur -- all procedures done before leaving location A will be collected by location A only.

**(ii) Transfer from collecting location A to collecting location B WITH a stop in between where procedures occur -- all procedures done before leaving location A will be collected by location A only, while procedures done at the stop in between will be coded by location B only.

**(iii) Transfer from noncollecting location A (which includes ED) to collecting location B without any stop in between where procedures might occur -- any qualifying admit procedures done before leaving location A will be collected by location B

**(iv) Transfer from noncollecting location A (which included ED) to collecting location B WITH a stop in between where procedures occur -- all procedures done before leaving location A or during the stop in between will be coded by location B only.

=== 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.

=== Don't code sub-procedures that are part of a larger procedure ===

*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]]).

=== Related Imaging, Diagnostic and Therapeutic procedures performed at the same time ===

*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

=== Repeated procedures ===

If a procedure is done repeatedly '''on the same day''', only enter it once but count it in [[Px_Count]].

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

==Data Integrity Checks ==

{{Collapsable

| always= List of cross-checks

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

|?DICSummary = summary

|?DICStatus = implementation status

|sort=DICStatus, DICSummary

|default=No corresponding old article found

|format=broadtable

|limit=100

|link=all

|headers=show}} }}

== Related Articles ==

== related literature ==

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

[[category: ICD10/CCI Conversion]]

[[Category: CCI]]

[[Category:CCI| *]]

@@ Line 1: / Line 1: @@
 This article provides general information about collecting and coding a [[CCI Procedure]].
-They are entered in [[CCMDB.mdb]] in the [[L CCI subform]] on the [[Patient viewer tab ICD10]].<!-- yes, not ...CCI -->
+They are entered in [[CCMDB.accdb]] in the [[Patient Viewer Tab CCI_Pick]] and [[Patient Viewer Tab CCI_Comp]] on the [[Patient Viewer]].
-There are some [[ICD10 Diagnoses and CCI Codes that need to be coded together]].
+For background information, see [[CCI]] and [[Reasoning around moving to CCI and our subset of it]].
-== Collection Instructions ==
+== Collection instructions ==
-[[CCI Procedure]]s are encoded as three components, corresponding to the three dropdown boxes in [[L CCI subform]]. Fill in the first one (which will constrain the others to related ones in the future, Tina needs to implement still {{discussion}}) then the second and the third.
+===Start Date: Jan 1, 2019 ===
-=== No procedures were done ===
+=== Selecting and entering [[CCI]] procedure in [[CCMDB]] ===
-If no procedures or imaging were performed during the stay, enter [[No procedure performed]].
+Follow these steps, in this order:
+# 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.
+## whether CCI picklist or CCI component,
+### enter a [[Px_Type]] - "admit" ([[Admit Procedure]]) or "acquired" ([[Acquired Procedure]])
+### 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
-===={{CCMDB Data Integrity Checks|ready to implement|ready to implement}} - Must have at least one entry ====
+==== productivity features ====
-{{discussion}}
+To reduce clicks to enter same Picklist entries for additional days, there are some extra buttons:
-Will need to be implemented: do click complete, must have a other than [[No procedure entered]]; code [[No procedure performed]] if there were no procedures.
+* "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 ==
+<!--As discussed [[Task_Team_Meeting_-_Rolling_Agenda_and_Minutes#ICU_Database_Task_Group_Meeting_.E2.80.93_October_31.2C_2018]] -->
+*We code CCI procedures in 5 different [[CCI Collection Mode]]s''':
+{{:CCI collect each}}
+{{:CCI collect count each}}
+{{:CCI collect count days}}
+{{:CCI collect count units}}
+{{:CCI collect first}}
+=== List of CCI Elements and their collection modes ===
+{{Collapsable
+| always= picklist
+| full=
+{{#ask: [[Has CCI Picklist Code::+]][[Has StopDate::>{{CURRENTDAY}} {{CURRENTMONTHNAME}} {{CURRENTYEAR}}]]
+ |?Has CCI Collection Mode
+ |format=broadtable
+ |link=all
+ |limit=1000
+ |class=sortable wikitable smwtable
+}} }}
+{{Collapsable
+| always= component 2 list
+| full=
+{{#ask: [[Has CCI 2 Code::+]][[Has StopDate::>{{CURRENTDAY}} {{CURRENTMONTHNAME}} {{CURRENTYEAR}}]]
+ |?Has CCI Collection Mode
+ |format=broadtable
+ |link=all
+ |limit=1000
+ |class=sortable wikitable smwtable
+}} }}
+== Special Cases ==
+=== No Procedures Performed ===
+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.
+=== Moved patients ===
+*There are important issues/rules for admit procedure coding when a patient is being transferred from one unit/ward to another unit/ward -- and this is even more complicated if in between leaving one unit/ward and arriving on another unit/ward, the patient stops in a procedure area and gets one or more procedures.
+*Here are the guidelines for these situations:
+**(i) Transfer from collecting location A to collecting location B without any stop in between where procedures might occur -- all procedures done before leaving location A will be collected by location A only.
+**(ii) Transfer from collecting location A to collecting location B WITH a stop in between where procedures occur -- all procedures done before leaving location A will be collected by location A only, while procedures done at the stop in between will be coded by location B only.
+**(iii) Transfer from noncollecting location A (which includes ED) to collecting location B without any stop in between where procedures might occur -- any qualifying admit procedures done before leaving location A will be collected by location B
+**(iv) Transfer from noncollecting location A (which included ED) to collecting location B WITH a stop in between where procedures occur -- all procedures done before leaving location A or during the stop in between will be coded by location B only.
+=== 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.
+=== Don't code sub-procedures that are part of a larger procedure ===
+*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]]).
+=== Related Imaging, Diagnostic and Therapeutic procedures performed at the same time ===
+*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
+=== Repeated procedures ===
+If a procedure is done repeatedly '''on the same day''', only enter it once but count it in [[Px_Count]].
+Procedures done on a '''different''' day should be entered again with a different date. This should be really quick by using the "duplicate" button.
+==Data Integrity Checks ==
+{{Collapsable
+| always= List of cross-checks
+| full= {{#ask: [[DICSummary::+]] [[Category:CCI Px check]]
+|?DICSummary = summary
+|?DICStatus = implementation status
+|sort=DICStatus, DICSummary
+|default=No corresponding old article found
+|format=broadtable
+|limit=100
+|link=all
+|headers=show}} }}
 == Related Articles ==
 {{Related Articles}}
+== related literature ==
+[https://secure.cihi.ca/free_products/CodingStandards_v2018_EN.pdf CIHI.ca coding standard CCI]
 [[category: ICD10/CCI Conversion]]
-[[Category: CCI]]
+[[Category:CCI| *]]