CCI Collection: Difference between revisions

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

They are entered in [[CCMDB.mdb]] in the [[Patient viewer tab CCI]] on the [[Patient viewer tab CCI]].

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

== Collection Instructions ==

=== Which procedures to collect/include ===

=== Collecting a procedure ===

# for every procedure, check if the procedure is listed in the [[L_CCI_Picklist subform]], the top of the tab, and enter the procedure there, else enter it in the [[L_CCI_Component subform]] at the bottom of the tab

# in whichever form you used,  

## enter the [[Px Type]] - "admit" or "acquired"  

## enter the [[Px_Date]] - Date of procedure

## enter the [[Px_Count]] - the number of '''separate''' times it was done''' '''''on a given day

=== Picklist Entries ===

...[[CCI Picklist]]...

=== Component Entries ===

To enter a [[CCI Component]],

First pick the left column, the body system: [[CCI Component#Component 1|Component 1]].

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]].

Second, code what was done: [[CCI Component#Component 2|Component 2]].

=== 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.

{{Discuss@task | repeated CXRs - if we do collect them it will be a nuisance; if we don't they won't compare to the [[Labs count x-ray]] we are doing now, that this is supposed to replace. How should we proceed? }}

*Do we have to enter a CXR for each day it is done? Or can we enter CXR once and then keep using the times feature? For longer stay patients this could be 50 entries. Why do we need to know what day a CXR was done on? What is wrong with using the lab count feature we now use? The same for blood gases and scans.--[[User:LBilesky|LBilesky]] 14:05, 2018 January 19 (CST)

** That is what is planned for now, but this might be worth talking about again to confirm it is worth it.

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

Some interventions consists of imaging and/or diagnostic and/or therapeutic procedures.  

For these, '''only code the most invasive part''' that implies the other/s. Do '''not''' code the implied codes. For endoscopic inspection/explorations, code only the '''"furthest/deepest"''' area assessed.

* for a [[Coronary angiogram (diagnostic cardiac catherization)]] where [[Coronary angioplasty with stenting]] happens in the same sitting, only code the [[Coronary angioplasty with stenting]].

* if a tissue [[Biopsy]] is done as part of an invasive [[Inspection, Exploration]] code only the [[Biopsy]].

=== We are not tracking all possible procedures ===

We are not tracking all possible procedures; see [[Reasoning around moving to CCI and our subset of it#Why do we not include the entire set of CCI codes]] for more info.

{{Discuss@task | how to code things o not on the list... should we keep [[Therapeutic Intervention, NOS]]? What would be the coding instructions so it is not used for the small and common ones we don't want to collect? }}

=== No Procedures Performed ===

If no procedures were performed you still need to enter something so we can test that procedures were not just forgotten. Enter [[No Procedure Performed]] as an Admit procedure into the [[L CCI Picklist subform]], the top of the tab.

=== General CCI questions ===

** [[L_CCI_Picklist_subform#Any_questions_or_suggestions_about_this_form_in_CCMDB.mdb]]

** [[L_CCI_Component_subform]]

** [[CCI_Chooser_form]]

* for criteria or specific comments about a specific CCI code, please comment in the page for that article; see [[CCI Picklist]] and [[CCI Component]] for complete list.

==== Questions? ====

== Reporting ==

{{Discuss@task | Different procedures would be listed with the same CCI code; will Julie easily interpret and utilize CCI codes for reporting?}}

[[Category: CCI| *]]