Targeted Temperature Management (TTM): Difference between revisions

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→‎Additional Info: Stop BRR - any patient still in unit after Dec 31.18 should use TTM for cardiac arrest, if applied during patients admission
 
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{{CCI PickList Procedure
{{CCI PickList Procedure
| CCI_Picklist_Code = 1.ZX.06
|CCI_Picklist_Code=1.ZX.06
| CCI_Category = Therapeutic Procedure
|CCI_Collection_Mode=CCI collect first
| StartDate =
|CCI_Category=Therapeutic Procedure
| StopDate =
}}
}}
{{CCI category|Cardiovascular Px}}
{{CCI category|Therapeutic Px}}
==Additional Info==
*This could include any combination of whole body warming or whole body cooling.  We are not coding those except as part of TTM, which '''we are only tracking in the setting of post-[[Cardiac arrest]]'''.
*If a patient receives post-arrest cooling or warming (targeted temperature management, TTM), code it. It doesn't matter for how long the cooling was applied or whether the [[Cardiac Arrest Cooling Protocol]] was followed. Usual maintenance temp is 36 degrees.


{{CCI category|Cardiovascular Px}}{{CCI category|Therapeutic Px}}
{{CCI Collection Mode}}
 
== Additional Info ==
'''Only track whole body cooling done for post-[[Cardiac arrest]].'''
 
If a patient receives post-arrest cooling (targeted temperature management, TTM), code it. It doesn't matter for how long the cooling was applied or whether the [[Cardiac Arrest Cooling Protocol]] was followed. Hypothermia is not always needed. The idea is to keep the patient's temperature from going high. Usual maintenance temp is 36 degrees.
 
{{DA | Occasionally the patient on TTM is not cooled at all because their temperature remains low, they may even be warmed to keep the temperature at 36 degrees.  Do we still use the whole body cooling in CCI or should we use warming in these cases?--[[User:LKolesar|LKolesar]] 14:31, 2018 October 29 (CDT)
*AG REPLY:  CCI does not have a code for TTM after cardiac arrest.  THUS, I think we should ADAPT the code currently called '''[[Whole body cooling]]''' to solely represent TTM after cardiac arrest, even changing its name, perhaps to "Targeted temperature management after cardiac arrest (TTM)".  This plan fits well since we had already decided that we'd only use this code for cooling after cardiac arrest.
*If we do that, then the "Additional Info" stuff should be changed to read something like "Use this code only for manipulation of body temperature after cardiac arrest.  The procedure may involve body cooling OR body warming.  It doesn't matter for how long TTM was applied."
* 11 As per [[Task_Team_Meeting_-_Rolling_Agenda_and_Minutes#ICU_Database_Task_Group_Meeting_.E2.80.93_November_8.2C_2018]] we are thinking of combining the cooling and warming to a TTM code to only be used post cardiac arrest. There is a further question there relating to this.
}}
 
=== coding with [[BRR]] ===
For patients with this, also code [[BRR]].
 
{{Discuss | who = Tina | question =
* Allan confirmed that Bojan doesn't require special treatment for this one, so '''once we fully move to CCI only collection''' we will be able to stop collecting the [[BRR]] entry and its cross check altogether.  }}
 
{{CCI one entry only code}}
{{CCI_Therapeutic}}
{{CCI_Therapeutic}}


== Alternate CCIs to consider coding instead or in addition ==
==Alternate CCIs to consider coding instead or in addition==
{{ListCCICategory | categoryName = Therapeutic Procedure}}
{{ListCCICategory | categoryName = Therapeutic Procedure}}


== Related ICD10 Codes ==
==Related ICD10 Codes==
 
{{Data Integrity Check List|}}
== Data Integrity Checks ==
* [[Query check cooling vs arrest]]


== Related Articles ==
== Related Articles ==

Latest revision as of 13:59, 2018 December 24

CCI Picklist
Procedure: Targeted Temperature Management (TTM)
CCI Picklist code: 1.ZX.06
CCI Collection Mode: CCI collect first
Start Date:
Stop Date:

This procedure is a part of CCI Collection via CCI Picklist.

Additional Info

  • This could include any combination of whole body warming or whole body cooling. We are not coding those except as part of TTM, which we are only tracking in the setting of post-Cardiac arrest.
  • If a patient receives post-arrest cooling or warming (targeted temperature management, TTM), code it. It doesn't matter for how long the cooling was applied or whether the Cardiac Arrest Cooling Protocol was followed. Usual maintenance temp is 36 degrees.

Collecting "CCI collect first" items

Px Date for patients who move

See Px Date#Moves

Alternate CCIs to consider coding instead or in addition

Other procedure in Therapeutic Procedure:

Related ICD10 Codes

Data Integrity Checks (automatic list)

 AppStatus
Query check cooling vs arrestCCMDB.accdbimplemented

Related Articles

Related articles:


CCI_Picklist CCI component 1 codes - what organ was something done to CCI component 2 codes - what was done