ICU Interfacility Transfer: Difference between revisions

From CCMDB Wiki
Jump to navigation Jump to search
← Older edit
JMojica (talk | contribs)
CCMDB_legit, admin, approved, Administrators
2,553 edits
 
(17 intermediate revisions by 2 users not shown)
Line 44: Line 44:
A report to specify the  transfer "for medical reasons" vs. "for bed management" is added starting 2024.  In order to determine the reason for transfer, the diagnoses on the transferring ICU will be evaluated depending  on the facility the patient came from or the sending ICU and the admitting or receiving ICU.  Also there are two perspective to consider in reporting transfer  namely Transfer OUT and Transfer IN.   
A report to specify the  transfer "for medical reasons" vs. "for bed management" is added starting 2024.  In order to determine the reason for transfer, the diagnoses on the transferring ICU will be evaluated depending  on the facility the patient came from or the sending ICU and the admitting or receiving ICU.  Also there are two perspective to consider in reporting transfer  namely Transfer OUT and Transfer IN.   


=== Medical Reason ===
=== Medical Reasons ===
* From STB facility to HSC ICUs - medical reasons include Neurological dxs, all types of trauma dxs and Monitoring Intracranial Pressure (MICP) procedure
* From HSC facility to STB ICMS/ACCU/ICCS - medical reasons include Cath Lab procedures (#1), Cardiovascular Post-op dxs (#2), Aortic aneurysm,thoracic with rupture (#4), IABP (#8) and Peritoneal Dialysis (#9)
 
* From STB facility to HSC MICU/SICU/IICU - medical reasons include Neurological dxs (#5), all types of trauma dxs (#6) and Monitoring Intracranial Pressure (MICP) procedure (#7)
* From HSC facility to STB ICMS/ACCU/ICCS - medical reasons include Cath Lab procedures, Cardiovascular Post-op dxs, Aortic aneurysm, thoracic with rupture, IABP and Peritoneal Dialysis
* From Grace facility to HSC/STB ICUs - medical reasons include Cath Lab procedures (#1), Cardiovascular Post-op dxs (#2), Acute renal (#3), vascular aneurysm (#4), Neurological (#5), all trauma (#6), MICP (#7), IABP (#8), Peritoneal Dialysis (#9), Hemodialysis (#10), CRRT procedures (#11)
{{Discuss| We need links for these if we want to maintain the ability to quickly check on the wiki if a change to a collection component would affect reports. It also makes for more integrated documentation.
* Yes I agree. Emailed Tina 7March2024 to seek help how to insert table. --[[User:JMojica|JMojica]] 16:51, 2024 March 7 (CST)}}
* From Grace facility to HSC/STB ICUs - medical reasons include Cath Lab procedures, Cardiovascular Post-op dxs, Acute renal, vascular aneurysm, Neurological, all trauma, MICP, IABP, Peritoneal Dialysis, Hemodialysis, CRRT procedures
* From HSC/STB facility to Grace ICU - no medical reason
* From HSC/STB facility to Grace ICU - no medical reason


==== Test ====
{| class="wikitable sortable"
{| class="wikitable sortable"
|+ ICD10 codes to derive medical reason for transport status
|+ ICD10 codes to derive medical reason for transport status
Line 59: Line 55:
! sort !! ICD10 code !! CCI code !! From site STB to HSC ICU !! From site HSC to STB ICU !! From site GRA to HSC/STB ICU
! sort !! ICD10 code !! CCI code !! From site STB to HSC ICU !! From site HSC to STB ICU !! From site GRA to HSC/STB ICU
|-
|-
| 1 || ||{{ CCIWithCode |Angioplasty, coronary (without stenting) }} ||  || YES || YES
| 1 || ||{{ CCIWithCode | Angioplasty, coronary (without stenting) }} ||  || YES || YES
|-
|-
| 1 || ||{{ CCIWithCode |Angiogram, coronary (diagnostic cardiac catheterization) }} ||  || YES || YES
| 1 || ||{{ CCIWithCode | Angiogram, coronary (diagnostic cardiac catheterization) }} ||  || YES || YES
|-
|-
| 1 || ||{{ CCIWithCode |Angioplasty, coronary (with stenting) }} ||  || YES || YES
| 1 || ||{{ CCIWithCode | Angioplasty, coronary (with stenting) }} ||  || YES || YES
|-
|-
| 1 || ||{{ CCIWithCode |ECMO, VA }} ||  || YES || YES
| 1 || ||{{ CCIWithCode | ECMO, VA }} ||  || YES || YES
|-
|-
| 1 || ||{{ CCIWithCode |ECMO, VV}} ||  || YES || YES
| 1 || ||{{ CCIWithCode | ECMO, VV}} ||  || YES || YES
|-
|-
| 2 || ||{{ CCIWithCode | (T) Pericardium}} - {{ CCIWithCode |Excision Resection partial }} ||  || YES || YES
| 2 || ||{{ CCIWithCode | (T) Pericardium}} - {{ CCIWithCode |Excision, Resection }} ||  || YES || YES
|-
|-
| 2 || ||{{ CCIWithCode | (T) Pericardium}} - {{ CCIWithCode |Debridement}} ||  || YES || YES
| 2 || ||{{ CCIWithCode | (T) Pericardium}} - {{ CCIWithCode |Debridement}} ||  || YES || YES
Line 81: Line 77:
| 2 || ||{{ CCIWithCode | (T) Cardiac Atrium}} - {{ CCIWithCode |Repair }} ||  || YES || YES
| 2 || ||{{ CCIWithCode | (T) Cardiac Atrium}} - {{ CCIWithCode |Repair }} ||  || YES || YES
|-
|-
| 2 || ||{{ CCIWithCode | (T) Cardiac Atrium}} - {{ CCIWithCode |Excision Resection partial }} ||  || YES || YES
| 2 || ||{{ CCIWithCode | (T) Cardiac Atrium}} - {{ CCIWithCode |Excision, Resection }} ||  || YES || YES
|-
|-
| 2 || ||{{ CCIWithCode | (T) Cardiac Atrium}} - {{ CCIWithCode |Excision, Resection, total }} ||  || YES || YES
| 2 || ||{{ CCIWithCode | (T) Cardiac Atrium}} - {{ CCIWithCode |Excision, Resection, total }} ||  || YES || YES
Line 89: Line 85:
| 2 || ||{{ CCIWithCode | (T) Interatrial Septum}} - {{ CCIWithCode |Occlusion }} ||  || YES || YES
| 2 || ||{{ CCIWithCode | (T) Interatrial Septum}} - {{ CCIWithCode |Occlusion }} ||  || YES || YES
|-
|-
| 2 || ||{{ CCIWithCode | (T) Interatrial Septum}} - {{ CCIWithCode |Release Decompression }} ||  || YES || YES
| 2 || ||{{ CCIWithCode | (T) Interatrial Septum}} - {{ CCIWithCode |Release, Decompression }} ||  || YES || YES
|-
|-
| 2 || ||{{ CCIWithCode | (T) Interatrial Septum}} - {{ CCIWithCode |Repair }} ||  || YES || YES
| 2 || ||{{ CCIWithCode | (T) Interatrial Septum}} - {{ CCIWithCode |Repair }} ||  || YES || YES
Line 101: Line 97:
| 2 || ||{{ CCIWithCode | (T) Interventricular Septum}} - {{ CCIWithCode |Repair }} ||  || YES || YES
| 2 || ||{{ CCIWithCode | (T) Interventricular Septum}} - {{ CCIWithCode |Repair }} ||  || YES || YES
|-
|-
| 2 || ||{{ CCIWithCode | (T) Tricuspid Valve Related Structures}} - {{ CCIWithCode |Ultrasound }} ||  || YES || YES
| 2 || ||{{ CCIWithCode | (T) Tricuspid Valve, Related Structures}} - {{ CCIWithCode |Ultrasound }} ||  || YES || YES
|-
|-
| 2 || ||{{ CCIWithCode | (T) Tricuspid Valve Related Structures}} - {{ CCIWithCode |Implantation of Internal Device }} ||  || YES || YES
| 2 || ||{{ CCIWithCode | (T) Tricuspid Valve, Related Structures}} - {{ CCIWithCode |Implantation of Internal Device }} ||  || YES || YES
|-
|-
| 2 || ||{{ CCIWithCode | (T) Tricuspid Valve Related Structures}} - {{ CCIWithCode |Repair}} ||  || YES || YES
| 2 || ||{{ CCIWithCode | (T) Tricuspid Valve, Related Structures}} - {{ CCIWithCode |Repair}} ||  || YES || YES
|-
|-
| 2 || ||{{ CCIWithCode | (T) Tricuspid Valve Related Structures - Excision with Reconstruction, Replacement }} ||  || YES || YES
| 2 || ||{{ CCIWithCode | (T) Tricuspid Valve, Related Structures}} - {{ CCIWithCode |Excision with Reconstruction, Replacement }} ||  || YES || YES
|-
|-
| 2 || ||{{ CCIWithCode | (T) Pulmonic Valve Related Structures}} - {{ CCIWithCode |Excision with Reconstruction, Replacement }} ||  || YES || YES
| 2 || ||{{ CCIWithCode | (T) Pulmonic Valve, Related Structures}} - {{ CCIWithCode |Excision with Reconstruction, Replacement }} ||  || YES || YES
|-
|-
| 2 || ||{{ CCIWithCode | (T) Mitral Valve Related Structures}} - {{ CCIWithCode |Ultrasound }} ||  || YES || YES
| 2 || ||{{ CCIWithCode | (T) Mitral Valve, Related Structures}} - {{ CCIWithCode |Ultrasound }} ||  || YES || YES
|-
|-
| 2 || ||{{ CCIWithCode | (T) Mitral Valve Related Structures}} - {{ CCIWithCode |Implantation of Internal Device }} ||  || YES || YES
| 2 || ||{{ CCIWithCode | (T) Mitral Valve, Related Structures}} - {{ CCIWithCode |Implantation of Internal Device }} ||  || YES || YES
|-
|-
| 2 || ||{{ CCIWithCode | (T) Mitral Valve Related Structures}} - {{ CCIWithCode |Repair }} ||  || YES || YES
| 2 || ||{{ CCIWithCode | (T) Mitral Valve, Related Structures}} - {{ CCIWithCode |Repair }} ||  || YES || YES
|-
|-
| 2 || ||{{ CCIWithCode | (T) Mitral Valve Related Structures}} - {{ CCIWithCode |Construction Reconstruction }} ||  || YES || YES
| 2 || ||{{ CCIWithCode | (T) Mitral Valve, Related Structures}} - {{ CCIWithCode |Construction, Reconstruction }} ||  || YES || YES
|-
|-
| 2 || ||{{ CCIWithCode |(T) Mitral Valve Related Structures}} - {{ CCIWithCode |Excision with Reconstruction, Replacement }} ||  || YES || YES
| 2 || ||{{ CCIWithCode |(T) Mitral Valve, Related Structures}} - {{ CCIWithCode |Excision with Reconstruction, Replacement }} ||  || YES || YES
|-
|-
| 2 || ||{{ CCIWithCode | (T) Aortic Valve Related Structures}} - {{ CCIWithCode |Occlusion }} ||  || YES || YES
| 2 || ||{{ CCIWithCode | (T) Aortic Valve, Related Structures}} - {{ CCIWithCode |Occlusion }} ||  || YES || YES
|-
|-
| 2 || ||{{ CCIWithCode |(T) Aortic Valve Related Structures}} - {{ CCIWithCode |Implantation of Internal Device }} ||  || YES || YES
| 2 || ||{{ CCIWithCode |(T) Aortic Valve, Related Structures}} - {{ CCIWithCode |Implantation of Internal Device }} ||  || YES || YES
|-
|-
| 2 || ||{{ CCIWithCode |(T) Aortic Valve Related Structures}} - {{ CCIWithCode |Repair }} ||  || YES || YES
| 2 || ||{{ CCIWithCode |(T) Aortic Valve, Related Structures}} - {{ CCIWithCode |Repair }} ||  || YES || YES
|-
|-
| 2 || ||{{ CCIWithCode | (T) Aortic Valve Related Structures}} - {{ CCIWithCode |Construction Reconstruction }} ||  || YES || YES
| 2 || ||{{ CCIWithCode | (T) Aortic Valve, Related Structures}} - {{ CCIWithCode |Construction, Reconstruction }} ||  || YES || YES
|-
|-
| 2 || ||{{ CCIWithCode | (T) Aortic Valve Related Structures}} - {{ CCIWithCode |Excision with Reconstruction, Replacement }} ||  || YES || YES
| 2 || ||{{ CCIWithCode | (T) Aortic Valve, Related Structures}} - {{ CCIWithCode |Excision with Reconstruction, Replacement }} ||  || YES || YES
|-
|-
| 2 || ||{{ CCIWithCode |(T) Heart NOS}} - {{ CCIWithCode |Control of Bleeding }} ||  || YES || YES
| 2 || ||{{ CCIWithCode |(T) Heart, NOS}} - {{ CCIWithCode |Control of Bleeding }} ||  || YES || YES
|-
|-
| 2 || ||{{ CCIWithCode | (T) Heart NOS}} - {{ CCIWithCode |Installation of External Appliance }} ||  || YES || YES
| 2 || ||{{ CCIWithCode | (T) Heart, NOS}} - {{ CCIWithCode |Installation of External Appliance }} ||  || YES || YES
|-
|-
| 2 || ||{{ CCIWithCode |(T) Heart NOS}} - {{ CCIWithCode |Drainage Evacuation }} ||  || YES || YES
| 2 || ||{{ CCIWithCode |(T) Heart, NOS}} - {{ CCIWithCode |Drainage, Evacuation }} ||  || YES || YES
|-
|-
| 2 || ||{{ CCIWithCode |Pacemaker insertion permanent }} ||  || YES || YES
| 2 || ||{{ CCIWithCode |Pacemaker insertion, permanent }} ||  || YES || YES
|-
|-
| 2 || ||{{ CCIWithCode | (T) Heart NOS}} - {{ CCIWithCode |Bypass }} ||  || YES || YES
| 2 || ||{{ CCIWithCode | (T) Heart, NOS}} - {{ CCIWithCode |Bypass }} ||  || YES || YES
|-
|-
| 2 || ||{{ CCIWithCode | (T) Heart NOS}} - {{ CCIWithCode |Repair }} ||  || YES || YES
| 2 || ||{{ CCIWithCode | (T) Heart, NOS}} - {{ CCIWithCode |Repair }} ||  || YES || YES
|-
|-
| 2 || ||{{ CCIWithCode | (T) Heart NOS}} - {{ CCIWithCode |Excision, Resection, total }} ||  || YES || YES
| 2 || ||{{ CCIWithCode | (T) Heart, NOS}} - {{ CCIWithCode |Excision, Resection, total }} ||  || YES || YES
|-
|-
| 2 || ||{{ CCIWithCode | (T) Heart NOS}} - {{ CCIWithCode |Excision with Reconstruction, Replacement }} ||  || YES || YES
| 2 || ||{{ CCIWithCode | (T) Heart, NOS}} - {{ CCIWithCode |Excision with Reconstruction, Replacement }} ||  || YES || YES
|-
|-
| 2 || ||{{ CCIWithCode |    (T) Thoracic Aorta}} - {{ CCIWithCode |Control of Bleeding }} ||  || YES || YES
| 2 || ||{{ CCIWithCode |    (T) Thoracic Aorta}} - {{ CCIWithCode |Control of Bleeding }} ||  || YES || YES
Line 159: Line 155:
| 2 || ||{{ CCIWithCode |    (T) Thoracic Aorta}} - {{ CCIWithCode |Excision with Reconstruction, Replacement }} ||  || YES || YES
| 2 || ||{{ CCIWithCode |    (T) Thoracic Aorta}} - {{ CCIWithCode |Excision with Reconstruction, Replacement }} ||  || YES || YES
|-
|-
| 2 || ||{{ CCIWithCode |  (T) Aorta NOS}} - {{ CCIWithCode |Computerized Tomography (CT) }} ||  || YES || YES
| 2 || ||{{ CCIWithCode |  (T) Aorta, NOS}} - {{ CCIWithCode |Computerized Tomography (CT) }} ||  || YES || YES
|-
|-
| 2 || ||{{ CCIWithCode |    (T) Aorta NOS}} - {{ CCIWithCode |Repair }} ||  || YES || YES
| 2 || ||{{ CCIWithCode |    (T) Aorta, NOS}} - {{ CCIWithCode |Repair }} ||  || YES || YES
|-
|-
| 2 || ||{{ CCIWithCode |    (T) Aorta NOS}} - {{ CCIWithCode |Excision with Reconstruction, Replacement }} ||  || YES || YES
| 2 || ||{{ CCIWithCode |    (T) Aorta, NOS}} - {{ CCIWithCode |Excision with Reconstruction, Replacement }} ||  || YES || YES
|-
|-
| 2 || ||{{ CCIWithCode |    (T) Coronary Arteries}} - {{ CCIWithCode |MRI }} ||  || YES || YES
| 2 || ||{{ CCIWithCode |    (T) Coronary Arteries}} - {{ CCIWithCode |MRI }} ||  || YES || YES
|-
|-
| 2 || ||{{ CCIWithCode |    (T) Coronary Arteries}} - {{ CCIWithCode |Drainage Evacuation }} ||  || YES || YES
| 2 || ||{{ CCIWithCode |    (T) Coronary Arteries}} - {{ CCIWithCode |Drainage, Evacuation }} ||  || YES || YES
|-
|-
| 2 || ||{{ CCIWithCode |    (T) Coronary Arteries}} - {{ CCIWithCode |Removal of Foreign Body }} ||  || YES || YES
| 2 || ||{{ CCIWithCode |    (T) Coronary Arteries}} - {{ CCIWithCode |Removal of Foreign Body }} ||  || YES || YES
Line 175: Line 171:
| 2 || ||{{ CCIWithCode |    (T) Coronary Arteries}} - {{ CCIWithCode |Bypass }} ||  || YES || YES
| 2 || ||{{ CCIWithCode |    (T) Coronary Arteries}} - {{ CCIWithCode |Bypass }} ||  || YES || YES
|-
|-
| 2 || ||{{ CCIWithCode |   (T)  Coronary Arteries}} - {{ CCIWithCode |Debridement }} ||  || YES || YES
| 2 || ||{{ CCIWithCode | (T)  Coronary Arteries}} - {{ CCIWithCode |Debridement }} ||  || YES || YES
|-
| 2 || ||{{ CCIWithCode | (T) Coronary Vessels, NOS}} - {{ CCIWithCode |Repair }} ||  || YES || YES
|-
| 2 || ||{{ CCIWithCode | (T) Pulmonary Artery}} - {{ CCIWithCode |Repair }} ||  || YES || YES
|-
| 2 || ||{{ CCIWithCode | (T) Pulmonary Artery}} - {{ CCIWithCode |Excision with Reconstruction, Replacement }} ||  || YES || YES
|-
| 2 || ||{{ CCIWithCode | (T) Vena Cava}} - {{ CCIWithCode |Control of Bleeding }} ||  || YES || YES
|-
|-
| 2 || ||{{ CCIWithCode |   (T) Coronary Vessels NOS}} - {{ CCIWithCode |Repair }} ||  || YES || YES
| 2 || ||{{ CCIWithCode | (T) Vena Cava}} - {{ CCIWithCode |Repair }} ||  || YES || YES
|-
|-
| 2 || ||{{ CCIWithCode |   (T) Pulmonary Artery}} - {{ CCIWithCode |Repair }} ||  || YES || YES
| 2 || ||{{ CCIWithCode | (T) Carotid Artery}} - {{ CCIWithCode |Bypass}} ||  || || YES
|-
|-
| 2 || ||{{ CCIWithCode |   (T) Pulmonary Artery}} - {{ CCIWithCode |Excision with Reconstruction, Replacement }} ||  || YES || YES
| 2 || ||{{ CCIWithCode | (T) Carotid Artery}} - {{ CCIWithCode |Excision with Reconstruction, Replacement}} ||  || || YES
|-
|-
| 2 || ||{{ CCIWithCode |     (T) Vena Cava}} - {{ CCIWithCode |Control of Bleeding }} ||  || YES || YES
| 2 || ||{{ CCIWithCode | (T) Abdominal Aorta}} - {{ CCIWithCode |Excision with Reconstruction, Replacement}} ||  || || YES
|-
|-
| 2 || ||{{ CCIWithCode |   (T) Vena Cava}} - {{ CCIWithCode |Repair }} ||  || YES || YES
| 2 || ||{{ CCIWithCode | (T) Abdominal Aorta}} - {{ CCIWithCode |Repair}} ||  || || YES
|-
|-
| 2 || ||{{ CCIWithCode |   (T) Carotid Artery}} - {{ CCIWithCode |Bypass  - remove for transfer from HSC to STB 5Dec2023}} ||  ||  || YES
| 3 ||{{ ICD10ByCode | N17.0  }} || ||  ||  || YES
|-
|-
| 2 || ||{{ CCIWithCode |   (T) Carotid Artery}} - {{ CCIWithCode |Excision with Reconstruction, Replacement    - remove for transfer from HSC to STB 5Dec2023}} ||  ||  || YES
| 3 ||{{ ICD10ByCode | N17.9  }} || ||  ||  || YES
|-
|-
| 2 || ||{{ CCIWithCode |   (T) Abdominal Aorta}} - {{ CCIWithCode |Excision with Reconstruction, Replacement  - remove for transfer from HSC to STB 5Dec2023}} ||  ||  || YES
| 3 ||{{ ICD10ByCode | N99.0  }} || ||  ||  || YES
|-
|-
| 2 || ||{{ CCIWithCode | (T) Abdominal Aorta}} - {{ CCIWithCode |remove for transfer from HSC to STB 5Dec2023}} ||  ||  || YES
| 4 ||{{ ICD10ByCode | I71.1}} || ||  ||  || YES
|-
|-
| 3 ||{{ ICD10ByCode | N17.0  }} ||FALSE ||  ||  || YES
| 4 ||{{ ICD10ByCode | I71.2}} || ||  ||  || YES
|-
|-
| 3 ||{{ ICD10ByCode | N17.9  }} ||FALSE ||  || || YES
| 4 ||{{ ICD10ByCode | I71.3}} || ||  || YES || YES
|-
|-
| 3 ||{{ ICD10ByCode | N99.0  }} ||FALSE ||  ||  || YES
| 4 ||{{ ICD10ByCode | I71.4}} || ||  ||  || YES
|-
|-
| 4 ||{{ ICD10ByCode | I71.1}} ||FALSE ||  ||  || YES
| 4 ||{{ ICD10ByCode | I71.8}} || ||  ||  || YES
|-
|-
| 4 ||{{ ICD10ByCode | I71.2}} ||FALSE ||  ||  || YES
| 4 ||{{ ICD10ByCode | I71.9}} || ||  ||  || YES
|-
|-
| 4 ||{{ ICD10ByCode | I71.3}} ||FALSE ||  || add to STB || YES
| 4 ||{{ ICD10ByCode | I72}} || ||  || || YES
|-
|-
| 4 ||{{ ICD10ByCode | I71.4}} ||FALSE || ||  || YES
| 5 ||{{ ICD10ByCode | G40}} || || YES ||  || YES
|-
|-
| 4 ||{{ ICD10ByCode | I71.8}} ||FALSE || ||  || YES
| 5 ||{{ ICD10ByCode | G41}} || || YES ||  || YES
|-
|-
| 4 ||{{ ICD10ByCode | I71.9}} ||FALSE || ||  || YES
| 5 ||{{ ICD10ByCode | R56.88}} || || YES ||  || YES
|-
|-
| 4 ||{{ ICD10ByCode | I72}} ||FALSE || ||  || YES
| 5 ||{{ ICD10ByCode | O15}} || || YES ||  || YES
|-
|-
| || ||FALSE || ||  ||  
| 5 ||{{ ICD10ByCode | G06.0}} || || YES ||  || YES
|-
|-
| 5 ||{{ ICD10ByCode | G40}} ||FALSE || ||  ||  
| 5 ||{{ ICD10ByCode | G08}} || || YES ||  || YES
|-
|-
| 5 ||{{ ICD10ByCode | G41}} ||FALSE || ||  ||  
| 5 ||{{ ICD10ByCode | I60}} || || YES ||  || YES
|-
|-
| 5 ||{{ ICD10ByCode | R56.8}} ||FALSE || ||  ||  
| 5 ||{{ ICD10ByCode | I61}} || || YES ||  || YES
|-
|-
| 5 ||{{ ICD10ByCode | O15}} ||FALSE || YES ||  || YES
| 5 ||{{ ICD10ByCode | I62}} || || YES ||  || YES
|-
|-
| 5 ||{{ ICD10ByCode | G06.0}} ||FALSE || YES ||  || YES
| 5 ||{{ ICD10ByCode | I63.4}} || || YES ||  || YES
|-
|-
| 5 ||{{ ICD10ByCode | G08}} ||FALSE || YES ||  || YES
| 5 ||{{ ICD10ByCode | I63.9}} || || YES ||  || YES
|-
|-
| 5 ||{{ ICD10ByCode | I60}} ||FALSE || YES ||  || YES
| 5 ||{{ ICD10ByCode | I64}} || || YES ||  || YES
|-
|-
| 5 ||{{ ICD10ByCode | I61}} ||FALSE || YES ||  || YES
| 5 ||{{ ICD10ByCode | I65}} || || YES ||  || YES
|-
|-
| 5 ||{{ ICD10ByCode | I62}} ||FALSE || YES ||  || YES
| 5 ||{{ ICD10ByCode | I67.1}} || || YES ||  || YES
|-
|-
| 5 ||{{ ICD10ByCode | I63.4}} ||FALSE || YES ||  || YES
| 5 ||{{ ICD10ByCode | I67.84}} || || YES ||  || YES
|-
|-
| 5 ||{{ ICD10ByCode | I63.9}} ||FALSE || YES ||  || YES
| 5 ||{{ ICD10ByCode | I67.9}} || || YES ||  || YES
|-
|-
| 5 ||{{ ICD10ByCode | I64}} ||FALSE || YES ||  || YES
| 5 ||{{ ICD10ByCode | G91.2}} || || YES ||  || YES
|-
|-
| 5 ||{{ ICD10ByCode | I65}} ||FALSE || YES ||  || YES
| 5 ||{{ ICD10ByCode | G91.9}} || || YES ||  || YES
|-
|-
| 5 ||{{ ICD10ByCode | I67.1}} ||FALSE || YES ||  || YES
| 5 ||{{ ICD10ByCode | G93.5}} || || YES ||  || YES
|-
|-
| 5 ||{{ ICD10ByCode | I67.84}} ||FALSE || YES ||  || YES
| 5 ||{{ ICD10ByCode | G93.6}} || || YES ||  || YES
|-
|-
| 5 ||{{ ICD10ByCode | I67.9}} ||FALSE || YES ||  || YES
| 5 ||{{ ICD10ByCode | Q28.2}} || || YES ||  || YES
|-
|-
| 5 ||{{ ICD10ByCode | G91.2}} ||FALSE || YES ||  || YES
| 5 ||{{ ICD10ByCode | G93.81}} || || ||  || YES
|-
|-
| 5 ||{{ ICD10ByCode | G91.9}} ||FALSE || YES ||  || YES
| 6 || [[Category:Trauma|Trauma]] (S00 to S99) || || YES ||  || YES
|-
|-
| 5 ||{{ ICD10ByCode | G93.5}} ||FALSE || YES ||  || YES
| 6 ||{{ ICD10ByCode | T07}} || || YES ||  || YES
|-
|-
| 5 ||{{ ICD10ByCode | G93.6}} ||FALSE || YES ||  || YES
| 6 ||{{ ICD10ByCode | T08}} || || YES ||  || YES
|-
|-
| 5 ||{{ ICD10ByCode | Q28.2}} ||FALSE || YES ||  || YES
| 6 ||{{ ICD10ByCode | T10}} || || YES ||  || YES
|-
|-
| 5 ||{{ ICD10ByCode | G93.81}} ||FALSE || ||  || YES
| 6 ||{{ ICD10ByCode | T11.1}} || || YES ||  || YES
|-
|-
| 5 ||{{ ICD10ByCode | I67.4}} ||FALSE || ||  ||  
| 6 ||{{ ICD10ByCode | T11.2}} || || YES ||  || YES
|-
|-
| 5 ||{{ ICD10ByCode | I67.83}} ||FALSE || ||  ||  
| 6 ||{{ ICD10ByCode | T11.3}} || || YES ||  || YES
|-
|-
| 5 ||{{ ICD10ByCode | G92}} ||FALSE || ||  ||  
| 6 ||{{ ICD10ByCode | T11.4}} || || YES ||  || YES
|-
|-
| 5 ||{{ ICD10ByCode | G93.4}} ||FALSE || ||  ||  
| 6 ||{{ ICD10ByCode | T11.5}} || || YES ||  || YES
|-
|-
| 5 ||{{ ICD10ByCode | G93.80}} ||FALSE || ||  ||  
| 6 ||{{ ICD10ByCode | T11.6}} || || YES ||  || YES
|-
|-
| 5 ||{{ ICD10ByCode | G93.9}} ||FALSE || ||  ||  
| 6 ||{{ ICD10ByCode | T11.9}} || || YES ||  || YES
|-
|-
| 5 ||{{ ICD10ByCode | G45}} ||FALSE || ||  ||  
| 6 ||{{ ICD10ByCode | T12}} || || YES ||  || YES
|-
|-
| || ||FALSE || ||  ||  
| 6 ||{{ ICD10ByCode | T13.0}} || || YES ||  || YES
|-
|-
| || ||FALSE || ||  ||  
| 6 ||{{ ICD10ByCode | T13.1}} || || YES ||  || YES
|-
|-
| 6 ||{{ ICD10ByCode | S00 to S99}} ||FALSE || YES ||  || YES
| 6 ||{{ ICD10ByCode | T13.2}} || || YES ||  || YES
|-
|-
| 6 ||{{ ICD10ByCode | T07 to T14}} ||FALSE || YES ||  || YES
| 6 ||{{ ICD10ByCode | T13.3}} || || YES ||  || YES
|-
|-
| || ||FALSE || ||  ||  
| 6 ||{{ ICD10ByCode | T13.4}} || || YES ||  || YES
|-
|-
| 7 || ||{{ CCIWithCode |Monitoring Intracranial pressure }} || YES ||  || YES
| 6 ||{{ ICD10ByCode | T13.5}} || || YES ||  || YES
|-
|-
| || ||FALSE || ||  ||  
| 6 ||{{ ICD10ByCode | T13.6}} || || YES ||  || YES
|-
|-
| 8 || ||{{ CCIWithCode |Intraaortic balloon pump}} || || YES || YES
| 6 ||{{ ICD10ByCode | T13.9}} || || YES ||  || YES
|-
|-
| || ||FALSE || ||  ||  
| 6 ||{{ ICD10ByCode | T14.9}} || || YES ||  || YES
|-
|-
| 9 || ||{{ CCIWithCode |Peritoneal Dialysis}} || || YES || YES
| 7 || ||{{ CCIWithCode |ICP monitor (Placement of implanted, invasive intracranial pressure monitoring device) }} || YES || || YES
|-
|-
| || ||FALSE ||  || ||  
| 8 || ||{{ CCIWithCode |IABP}} ||  || YES || YES
|-
|-
| 10 || ||{{ CCIWithCode |Hemodialysis }} ||  || || YES
| 9 || ||{{ CCIWithCode |PD (Peritoneal dialysis)}} ||  || YES || YES
|-
|-
| || ||FALSE ||  ||  ||  
| 10 || ||{{ CCIWithCode |HD (Hemodialysis) }} ||  ||  || YES
|-
|-
| 11 || ||{{ CCIWithCode |CRRT }} ||  ||  || YES
| 11 || ||{{ CCIWithCode |CRRT (incl volume removal via PRISMA device)}} ||  ||  || YES
 
|}


|}
==== Change log for medical reason encoding ====
* 2023-12-05
** remove for transfer from HSC to STB
*** [[(T) Carotid Artery]] - [[Bypass]]
*** [[(T) Carotid Artery]] - [[Excision with Reconstruction, Replacement]]
*** [[(T) Abdominal Aorta]] - [[Excision with Reconstruction, Replacement]]
*** [[(T) Abdominal Aorta]] - [[Repair]]
** add to transfer from HSC to STB
***  [[Aortic aneurysm, thoracic with rupture]]
** remove for  STB to  HSC transfer but include from GRA to HSC/STB transfer
*** [[Brain death]]
** remove from  the list
*** [[Encephalopathy, hypertensive]]
*** [[Posterior reversible encephalopathy syndrome (PRES)]]
*** [[Encephalopathy, toxic]]
*** [[Encephalopathy, NOS]]
*** [[Encephalopathy, septic or metabolic]]
*** [[Brain disorder, NOS]]
*** [[Transient ischemic attack (TIA), all types]]


=== Bed Management Reason ===
=== Bed Management Reason ===
Line 329: Line 351:
* [[Previous Location]]
* [[Previous Location]]
* [[Pre-admit Inpatient Institution]]
* [[Pre-admit Inpatient Institution]]
* [[Service Location]]
* [[Service tmp entry]]


==SAS Program==
==SAS Program==

Latest revision as of 12:44, 2024 March 12

Percent of live ICU discharges that are transferred to an ICU located at a different hospital.

Indicators
Indicator: ICU Interfacility Transfer
Created/Raw: Created
Program: Critical Care
Start Date: Oct 2016
End Date:
Reports: Critical Care Program Quality Indicator Report


  • Cargo


  • SMW:
  • Categories
  • Default form:

Usually used in aggregate form as "per location" and/or "per timeframe", e.g. by day/month/quarter/year x Ward/Unit x Hospital.

See more details on the definition of interfacility transfer in ICU Interfacility Report .

QI domain

  • Efficient

Significance

Reasons for transfer may be either to manage ICU beds or access to a required medical service. Bed management transfers can increase the efficiency of ICU bed numbers within a region. Patient transfers may increase the time to appropriate management and may place patients at risk.

Sampling Plan / Procedure

Inclusion Criteria

100% patients who survived and left ICU

Exclusion Criteria

  1. Patients transferred to a home hospital (i.e. not for medical or bed access reasons);
  2. patients not formally evaluated by the ICU team;
  3. patients admitted to a critical care unit within the same geographic site.

Frequency

  • Month, quarter or year based on ICU discharge dates for Live ICU discharges
  • Month, quarter or year based on ICU admission dates for the counts of transfers due to medical or bed access reasons

Definition and Derivation For Rate

Percent of live ICU discharges that are transferred to an ICU located at a different hospital.

Numerator

Num = Number of live ICU discharges that are transferred to an ICU located at a different hospital or the Transfer OUT (see below definition)

Denominator

Denom = Number of Live ICU discharges

Formula

Percent of live ICU discharges that are transferred to an ICU located at a different hospital = Num / Denom

Transfer for Medical Reason or Bed management

A report to specify the transfer "for medical reasons" vs. "for bed management" is added starting 2024. In order to determine the reason for transfer, the diagnoses on the transferring ICU will be evaluated depending on the facility the patient came from or the sending ICU and the admitting or receiving ICU. Also there are two perspective to consider in reporting transfer namely Transfer OUT and Transfer IN.

Medical Reasons

  • From HSC facility to STB ICMS/ACCU/ICCS - medical reasons include Cath Lab procedures (#1), Cardiovascular Post-op dxs (#2), Aortic aneurysm,thoracic with rupture (#4), IABP (#8) and Peritoneal Dialysis (#9)
  • From STB facility to HSC MICU/SICU/IICU - medical reasons include Neurological dxs (#5), all types of trauma dxs (#6) and Monitoring Intracranial Pressure (MICP) procedure (#7)
  • From Grace facility to HSC/STB ICUs - medical reasons include Cath Lab procedures (#1), Cardiovascular Post-op dxs (#2), Acute renal (#3), vascular aneurysm (#4), Neurological (#5), all trauma (#6), MICP (#7), IABP (#8), Peritoneal Dialysis (#9), Hemodialysis (#10), CRRT procedures (#11)
  • From HSC/STB facility to Grace ICU - no medical reason
ICD10 codes to derive medical reason for transport status
sort ICD10 code CCI code From site STB to HSC ICU From site HSC to STB ICU From site GRA to HSC/STB ICU
1 Angioplasty, coronary (without stenting) (1.IJ.50.GQ-BD) YES YES
1 Angiogram, coronary (diagnostic cardiac catheterization) (3.IP.10.V^) YES YES
1 Angioplasty, coronary (with stenting) (1.IJ.50.GQ-OA) YES YES
1 ECMO, VA (1.LZ.37.GP-QM.va) YES YES
1 ECMO, VV (1.LZ.37.GP-QM.vv) YES YES
2 (T) Pericardium (1.HA) - Excision, Resection (87) YES YES
2 (T) Pericardium (1.HA) - Debridement (87d) YES YES
2 (T) Cardiac Conduction System (1.HH) - Destruction (59) YES YES
2 (T) Cardiac Conduction System (1.HH) - Repair (80) YES YES
2 (T) Cardiac Atrium (1.HM) - Removal of Foreign Body (56) YES YES
2 (T) Cardiac Atrium (1.HM) - Repair (80) YES YES
2 (T) Cardiac Atrium (1.HM) - Excision, Resection (87) YES YES
2 (T) Cardiac Atrium (1.HM) - Excision, Resection, total (89) YES YES
2 (T) Cardiac Atrium (1.HM) - Excision with Reconstruction, Replacement (90) YES YES
2 (T) Interatrial Septum (1.HN) - Occlusion (51) YES YES
2 (T) Interatrial Septum (1.HN) - Release, Decompression (72) YES YES
2 (T) Interatrial Septum (1.HN) - Repair (80) YES YES
2 (T) Cardiac ventricle (1.HP) - Implantation of Internal Device (53) YES YES
2 (T) Cardiac ventricle (1.HP) - Removal of Foreign Body (56) YES YES
2 (T) Cardiac ventricle (1.HP) - Repair (80) YES YES
2 (T) Interventricular Septum (1.HR) - Repair (80) YES YES
2 (T) Tricuspid Valve, Related Structures (1.HS) - Ultrasound (30) YES YES
2 (T) Tricuspid Valve, Related Structures (1.HS) - Implantation of Internal Device (53) YES YES
2 (T) Tricuspid Valve, Related Structures (1.HS) - Repair (80) YES YES
2 (T) Tricuspid Valve, Related Structures (1.HS) - Excision with Reconstruction, Replacement (90) YES YES
2 (T) Pulmonic Valve, Related Structures (1.HT) - Excision with Reconstruction, Replacement (90) YES YES
2 (T) Mitral Valve, Related Structures (1.HU) - Ultrasound (30) YES YES
2 (T) Mitral Valve, Related Structures (1.HU) - Implantation of Internal Device (53) YES YES
2 (T) Mitral Valve, Related Structures (1.HU) - Repair (80) YES YES
2 (T) Mitral Valve, Related Structures (1.HU) - Construction, Reconstruction (84) YES YES
2 (T) Mitral Valve, Related Structures (1.HU) - Excision with Reconstruction, Replacement (90) YES YES
2 (T) Aortic Valve, Related Structures (1.HV) - Occlusion (51) YES YES
2 (T) Aortic Valve, Related Structures (1.HV) - Implantation of Internal Device (53) YES YES
2 (T) Aortic Valve, Related Structures (1.HV) - Repair (80) YES YES
2 (T) Aortic Valve, Related Structures (1.HV) - Construction, Reconstruction (84) YES YES
2 (T) Aortic Valve, Related Structures (1.HV) - Excision with Reconstruction, Replacement (90) YES YES
2 (T) Heart, NOS (1.HZ) - Control of Bleeding (13) YES YES
2 (T) Heart, NOS (1.HZ) - Installation of External Appliance (37) YES YES
2 (T) Heart, NOS (1.HZ) - Drainage, Evacuation (52) YES YES
2 Pacemaker insertion, permanent (1.HZ.53.GR-NK) YES YES
2 (T) Heart, NOS (1.HZ) - Bypass (76) YES YES
2 (T) Heart, NOS (1.HZ) - Repair (80) YES YES
2 (T) Heart, NOS (1.HZ) - Excision, Resection, total (89) YES YES
2 (T) Heart, NOS (1.HZ) - Excision with Reconstruction, Replacement (90) YES YES
2 (T) Thoracic Aorta (1.IC) - Control of Bleeding (13) YES YES
2 (T) Thoracic Aorta (1.IC) - Implantation of Internal Device (53) YES YES
2 IABP (1.IC.53.GQ-QL) YES YES
2 (T) Thoracic Aorta (1.IC) - Bypass (76) YES YES
2 (T) Thoracic Aorta (1.IC) - Repair (80) YES YES
2 (T) Thoracic Aorta (1.IC) - Excision with Reconstruction, Replacement (90) YES YES
2 (T) Aorta, NOS (1.ID) - Computerized Tomography (CT) (20) YES YES
2 (T) Aorta, NOS (1.ID) - Repair (80) YES YES
2 (T) Aorta, NOS (1.ID) - Excision with Reconstruction, Replacement (90) YES YES
2 (T) Coronary Arteries (1.IJ) - MRI (40) YES YES
2 (T) Coronary Arteries (1.IJ) - Drainage, Evacuation (52) YES YES
2 (T) Coronary Arteries (1.IJ) - Removal of Foreign Body (56) YES YES
2 (T) Coronary Arteries (1.IJ) - Extraction (57) YES YES
2 (T) Coronary Arteries (1.IJ) - Bypass (76) YES YES
2 (T) Coronary Arteries (1.IJ) - Debridement (87d) YES YES
2 (T) Coronary Vessels, NOS (1.IL) - Repair (80) YES YES
2 (T) Pulmonary Artery (1.IM) - Repair (80) YES YES
2 (T) Pulmonary Artery (1.IM) - Excision with Reconstruction, Replacement (90) YES YES
2 (T) Vena Cava (1.IS) - Control of Bleeding (13) YES YES
2 (T) Vena Cava (1.IS) - Repair (80) YES YES
2 (T) Carotid Artery (1.JE) - Bypass (76) YES
2 (T) Carotid Artery (1.JE) - Excision with Reconstruction, Replacement (90) YES
2 (T) Abdominal Aorta (1.KA) - Excision with Reconstruction, Replacement (90) YES
2 (T) Abdominal Aorta (1.KA) - Repair (80) YES
3 Kidney, acute tubular necrosis (ATN) ( N17.0 ) YES
3 Kidney, acute renal failure NOS ( N17.9 ) YES
3 Kidney, acute renal failure, postprocedural ( N99.0 ) YES
4 Aortic aneurysm, abdominal with rupture ( I71.1) YES
4 Aortic aneurysm, thoracic without mention of rupture ( I71.2) YES
4 Aortic aneurysm, thoracic with rupture ( I71.3) YES YES
4 Aortic aneurysm, abdominal without mention of rupture ( I71.4) YES
4 Aortic aneurysm, NOS with rupture ( I71.8) YES
4 Aortic aneurysm, NOS without mention of rupture ( I71.9) YES
4 Arterial aneurysm or dissection, NOS ( I72) YES
5 Epilepsy, or seizure in patient with known epilepsy, any type incl myoclonic ( G40) YES YES
5 Status epilepticus (any seizure type) ( G41) YES YES
5 Seizure, NOS ( R56.88) YES YES
5 Eclampsia (seizures must occur) ( O15) YES YES
5 Intracranial abscess ( G06.0) YES YES
5 Intracranial or intraspinous veins or venous sinuses, septic thromboembolism ( G08) YES YES
5 Hemorrhage, subarachnoid or ruptured cerebral aneurysm ( I60) YES YES
5 Hemorrhage, intracerebral/intracranial, nontraumatic (ICH, hemorrhagic stroke) ( I61) YES YES
5 Subdural or epidural hematoma/hemorrhage, nontraumatic ( I62) YES YES
5 Cerebral infarction/stroke due to embolism ( I63.4) YES YES
5 Cerebral infarction/stroke, NOS ( I63.9) YES YES
5 Stroke, NOS ( I64) YES YES
5 Stenosis, narrowing or occlusion of precerebral arteries ( I65) YES YES
5 Cerebral aneurysm, nonruptured ( I67.1) YES YES
5 Cerebral vasospasm ( I67.84) YES YES
5 Cerebrovascular disease, NOS ( I67.9) YES YES
5 Normal pressure hydrocephalus ( G91.2) YES YES
5 Hydrocephalus, NOS ( G91.9) YES YES
5 Brain compression, including herniation ( G93.5) YES YES
5 Cerebral edema ( G93.6) YES YES
5 Arteriovenous malformation (AVM) of cerebral vessels ( Q28.2) YES YES
5 Brain death ( G93.81) YES
6 (S00 to S99) YES YES
6 Multiple trauma ( T07) YES YES
6 Vertebra or spinal cord, level not specified/NOS, fracture, injury/trauma ( T08) YES YES
6 Upper limb (arm) bones, level not specified/NOS, fracture, injury/trauma ( T10) YES YES
6 Upper limb (arm), level not specified/NOS, open wound, injury trauma ( T11.1) YES YES
6 Upper limb (arm), level not specified/NOS, joints or ligaments, dislocation/sprain/strain, injury/trauma ( T11.2) YES YES
6 Upper limb (arm), level not specified/NOS, nerves, wound/injury/trauma ( T11.3) YES YES
6 Upper limb (arm), level not specified/NOS, blood vessels, wound/injury/trauma ( T11.4) YES YES
6 Upper limb (arm), level not specified/NOS, muscles/tendons, wound/injury/trauma ( T11.5) YES YES
6 Upper limb (arm), level not specified/NOS, amputation, injury/trauma ( T11.6) YES YES
6 Upper limb (arm), level not specified/NOS, wound/injury/trauma, NOS ( T11.9) YES YES
6 Lower limb (leg) bones, level not specified/NOS, fracture, injury/trauma ( T12) YES YES
6 Lower limb (leg), level not specified/NOS, superficial injury/trauma (minor, contusion) ( T13.0) YES YES
6 Lower limb (leg), level not specified/NOS, open wound, injury trauma ( T13.1) YES YES
6 Lower limb (leg), level not specified/NOS, joints or ligaments, dislocation/sprain/strain, injury/trauma ( T13.2) YES YES
6 Lower limb (leg), level not specified/NOS, nerves, wound/injury/trauma ( T13.3) YES YES
6 Lower limb (leg), level not specified/NOS, blood vessels, wound/injury/trauma ( T13.4) YES YES
6 Lower limb (leg), level not specified/NOS, muscles/tendons, wound/injury/trauma ( T13.5) YES YES
6 Lower limb (leg), level not specified/NOS, amputation, injury/trauma ( T13.6) YES YES
6 Lower limb (leg), level not specified/NOS, wound/injury/trauma, NOS ( T13.9) YES YES
6 Wound/injury/trauma, body region NOS ( T14.9) YES YES
7 ICP monitor (Placement of implanted, invasive intracranial pressure monitoring device) (2.AN.28.JA-PL) YES YES
8 IABP (1.IC.53.GQ-QL) YES YES
9 PD (Peritoneal dialysis) (1.PZ.21.HP-D4) YES YES
10 HD (Hemodialysis) (1.PZ.21.HQ-BR) YES
11 CRRT (incl volume removal via PRISMA device) (1.PZ.21.HQ-BS) YES

Change log for medical reason encoding

Bed Management Reason

  • If none in the above Medical reason, then it is bed management reason.

Transfer OUT

  • Transfer OUT includes the transfers from a discharging or sending ICU to another site’s ICU for medical necessity or bed management reasons.
    • The number of transfers is attributed to the discharging or sending or originating ICUs.
    • To another site's ICU can be any ICU at different facility.
  • For example, patients admitted at Grace ICU who are transferred to HSC MICU or STB ICMS are Transfer OUT.
    • Patients who are admitted at Grace ICU, had a procedure in other facility and then admitted to an ICU service in that or another facility are Transfer OUT.
    • Patients who are admitted at Grace ICU, had a procedure in other facility and then came back to Grace ICU are not Transfer OUT.

Transfer IN

  • Transfer IN includes the transfers to a receiving or admitting ICU from another site for medical necessity or bed management reason.
    • The number of transfers is attributed to the receiving or admitting ICUs.
    • From another site can be another site’s ICU, ER, ICU, Ward, OR, RR, etc. Can be broken down from another site's ICU or Non-ICU service.
    • Example 1 - patients admitted to HSC MICU can be inpatients from STB ICMS or STB Ward or Grace ICU or Grace Ward or non-inpatients from STB ER or Grace ER. All these transfers are counted and attributed to HSC MICU. If need to separate from another site ICU, include only those from STB ICMS and Grace ICU. If from another site non-ICU service, include those from STB ER, STB Ward, Grace ER, Grace Ward. The reasons for transfer can either be medical or bed management reason.
    • Example 2- patients admitted to Grace ICU can inpatients from STB/HSC ICU/Ward or non-inpatient from STB/HSC ER/OR/etc. All transfers can be attributed to Grace ICU and broken from ICU or Non-ICU service. However, the reason for transfer will only be due to bed management.

Data Sources

SAS Program

  • S:\MED\MED_CCMED\Julie\SAS_CFE\CFE_macros\InterfacilityReasonMed.sas - list the diagnosis (old coding and ICD10 codes) that defines a medical reason for transfer
  • S:\MED\MED_CCMED\Julie\SAS_CFE\CFE_macros\InterfacilityInOut.sas

Related articles

Related articles:
Retrieved from "https://ccmdb.kuality.ca/index.php?title=ICU_Interfacility_Transfer&oldid=161013"