Panelling or Discharge Planning: Difference between revisions

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m Text replacement - "paneling" to "paneling"
 
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{{PreICD10 dx | NewDxArticle = Awaiting/delayed transfer to long-term care/PCH inside or outside of Winnipeg}}
{{DX tag | Other Medical |  | Paneling or Discharge Planning |  |  
{{DX tag | Other Medical |  | Paneling or Discharge Planning |  |  
*90601 - Paneling
*90601 - Paneling
*90602 - Discharge planning | | | '''Critical Care and Medicine''' | Currently Collected | May 12.2004 | }}
*90602 - Discharge planning | | | '''Critical Care and Medicine''' | Currently Collected | May 12.2004 | }}
Don't put paneling as the first 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 group meeting on March 1,2013.[[User:TOstryzniuk|Trish Ostryzniuk]] 18:49, 2013 March 8 (EST)


=={{CCMDB Data Integrity Checks}}==
== Coding Instructions==
*'''If Admit Diagnosis 1''' Diagnosis code is '''9060*''' then:
=== When to use as primary admit diagnosis ===
** '''Transfer Ready Date and Time''' must '''= Admit Date and Time''' to your unit.
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".
*** Tina to implement new check since the old one was deleted with the original code. Ttenbergen 10:49, 2012 October 1 (CDT)
**** Putting this on hold for now, since this Dx will likely go away. [[Category: CCMDB Data Integrity Checks Questions]]


==DX coded as Paneling but discharge home==
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)
Note: there are cases that ARE newly paneled while in hospital, however, the pt is discharged home. This is because the family decided they could manage with home care, or they will take pt home and continue to wait for nursing home placement. (as per feedback from collection staff. [[User:TOstryzniuk|Trish Ostryzniuk]] 12:11, 2013 April 15 (EDT)
 
*STB has a new Medicine Program Paneling Approval Process. Using the DPST and the regression program, a high risk  patient is identified early and paneling can be initiated early. There is also a subset of patients where high risk is not as obvious, and where the ability to go home is uncertain. It is these patients in which a decision is made to panel from the hospital, but do not necessarily need to be paneled as an inpatient. Once all assessments are made and staff feels that the patient should be paneled, the decision is presented to the Panel Approval Committee, who decides whether paneling could be done from home or as an inpatient. If decision made is to panel from home, this is the only option presented to the Patient/Family So, yes, it is correct that I have admit dxs. Or complications of panel and then the patient is discharged to home. ''Elaine'' April 15.13
===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 [[[[paneling]]]] 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?==
==Who is using this administrative code?==
The [[Statistician]] for medicine reports as requested by [[Dr. Dan Roberts]].
The [[Statistician]] for medicine reports as requested by [[p:Dr. Dan Roberts]].
 
Panelling (90601) is used in the [[Overstay]] project reports.
 
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.


==Legacy Data==
==Legacy Data==
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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]].
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]].


== Related articles ==
{{Related Articles}}


[[Category: Dx Code requiring review for ICD10 conversion]]
[[Category:Paneling]]
[[Category:ICD10 conversion outlier]]

Latest revision as of 08:55, 29 October 2025


Legacy Content

This page is about the pre-ICD10 diagnosis coding schema. See the ICD10 Diagnosis List, or the following for similar diagnoses in ICD10:Awaiting/delayed transfer to long-term care/PCH inside or outside of Winnipeg

Click Expand to show legacy content.

Coding Instructions

When to use as primary admit diagnosis

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".

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.Trish Ostryzniuk 18:49, 2013 March 8 (EST)

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 [[paneling]] 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 Checks (automatic list)

 AppStatus
Check Function Panelling admit transfer sameCCMDB.accdbretired

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.

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.

Legacy Data

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

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.

Related articles

Related articles: