Transfer for bed management: Difference between revisions
Jump to navigation
Jump to search
Ttenbergen (talk | contribs) Created page with "{{ICD10 dx | ICD10 Code=Z75.3 | StartDate=2025-11-28 }} {{ICD10 category|Misc}} {{ICD10 category|Healthcare contact}} == Additional Info == * This is to distinguish transfers for bed management reasons (e.g. to clear a bed from the sending unit so it can admit a patient), as opposed to transfers for medical reasons (e.g. patient transferred from Grace ICU to MICU because she needs dialysis) * It should be coded as: ** An Acquired Diagnosis from a collection unit th..." |
No edit summary |
||
| (6 intermediate revisions by 2 users not shown) | |||
| Line 5: | Line 5: | ||
{{ICD10 category|Misc}} | {{ICD10 category|Misc}} | ||
{{ICD10 category|Healthcare contact}} | {{ICD10 category|Healthcare contact}} | ||
'''Excludes:''' | |||
* '''not for repatriation''' - We will not use this code for repatriations of patients back to their local hospitals as that is standard practice | |||
== Additional Info == | == Additional Info == | ||
| Line 10: | Line 13: | ||
* It should be coded as: | * It should be coded as: | ||
** An [[Acquired Diagnosis]] from a collection unit that is transferring a patient out | ** An [[Acquired Diagnosis]] from a collection unit that is transferring a patient out | ||
*** [[Dx Date]] - if available, use the date the decision to transfer for medical reasons was documented, otherwise use the [[Dispo DtTm]] | |||
*** All transfers to Low Acuity Units (LAU), and well as similar location types, should have this code included from the sending unit | |||
** An [[Admit Diagnosis]] from a collection unit that is accepting the patient in transfer | ** An [[Admit Diagnosis]] from a collection unit that is accepting the patient in transfer | ||
*** The [[Admit Diagnosis]] should not be linked with primary [[Admit Diagnosis]] but prioritized lowest. | |||
** For any transfer, it is possible that only the sending or only the receiving unit is one where we collect, so a counterpart may or may not exist | ** For any transfer, it is possible that only the sending or only the receiving unit is one where we collect, so a counterpart may or may not exist | ||
* | * This code will often mean that a patient would have a [[Transfer Ready DtTm tmp entry]] before this code's [[Dx Date]] for [[Medicine records]], but not necessarily for [[Critical Care records]] since the GRA ICU has the same [[Level of care]] as the HSC and STB ICUs, only with fewer attached services. | ||
== Alternate ICD10s to consider coding instead or in addition == | == Alternate ICD10s to consider coding instead or in addition == | ||
| Line 23: | Line 26: | ||
== Candidate [[Combined ICD10 codes]] == | == Candidate [[Combined ICD10 codes]] == | ||
{{discuss | | {{discuss | | ||
* In | * In [[Medicine records]] this will sometimes be related to [[Awaiting/delayed transfer to long-term care/PCH inside or outside of Winnipeg]] in the context of [[Paneling]] and [[Alternate Level of Care (ALC)]]. Do we want to combine these as relevant? Do we anticipate wanting to report this data, and what do we need to consider to collect it to be able to do that? [[User:Ttenbergen|Ttenbergen]] 17:37, 27 November 2025 (CST) | ||
}} | }} | ||
| Line 31: | Line 34: | ||
{{DJ | | {{DJ | | ||
* which of the [[reports]]/[[indicators]] is affected by this? You were working with Bojan to get a metric.... [[User:Ttenbergen|Ttenbergen]] 17:37, 27 November 2025 (CST) | * which of the [[reports]]/[[indicators]] is affected by this? You were working with Bojan to get a metric.... [[User:Ttenbergen|Ttenbergen]] 17:37, 27 November 2025 (CST) | ||
** likely [[ICU Interfacility Report]] / [[ICU Interfacility Transfer]] | |||
}} | }} | ||
Latest revision as of 09:00, 28 November 2025
| ICD10 Diagnosis | |
| Dx: | Transfer for bed management |
| ICD10 code: | Z75.3 |
| Pre-ICD10 counterpart: | none assigned |
| Charlson/ALERT Scale: | none |
| APACHE Como Component: | none |
| APACHE Acute Component: | none |
| Start Date: | 2025-11-28 |
| Stop Date: | |
| Data Dependencies(Reports/Indicators/Data Elements): | No results |
| External ICD10 Documentation | |
This diagnosis is a part of ICD10 collection.
Excludes:
- not for repatriation - We will not use this code for repatriations of patients back to their local hospitals as that is standard practice
Additional Info
- This is to distinguish transfers for bed management reasons (e.g. to clear a bed from the sending unit so it can admit a patient), as opposed to transfers for medical reasons (e.g. patient transferred from Grace ICU to MICU because she needs dialysis)
- It should be coded as:
- An Acquired Diagnosis from a collection unit that is transferring a patient out
- Dx Date - if available, use the date the decision to transfer for medical reasons was documented, otherwise use the Dispo DtTm
- All transfers to Low Acuity Units (LAU), and well as similar location types, should have this code included from the sending unit
- An Admit Diagnosis from a collection unit that is accepting the patient in transfer
- The Admit Diagnosis should not be linked with primary Admit Diagnosis but prioritized lowest.
- For any transfer, it is possible that only the sending or only the receiving unit is one where we collect, so a counterpart may or may not exist
- An Acquired Diagnosis from a collection unit that is transferring a patient out
- This code will often mean that a patient would have a Transfer Ready DtTm tmp entry before this code's Dx Date for Medicine records, but not necessarily for Critical Care records since the GRA ICU has the same Level of care as the HSC and STB ICUs, only with fewer attached services.
Alternate ICD10s to consider coding instead or in addition
Candidate Combined ICD10 codes
|
|
Data use
- The absence of this code will mean that a transfer was "for medical reasons".
- We decided that instead of doing a consistency check to ensure that the sending and receiving units both have this diagnosis coded, that in doing reporting Julie will consider the transfer to be for bed management if it was coded in either the sending or receiving unit
|
|
Data Integrity Checks (automatic list)
none found
- review #Data use before considering cross checks
Related Articles
Show all ICD10 Subcategories