Check Renal Tasks: Difference between revisions
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|explanation=Collection of [[Tasks Elements]] was discontinued as part of move to [[ICD10]]/[[CCI]]. | |||
|content= | |||
== Review for ICD10/CCI == | |||
Allan-Have you heard back from Nick about whether tasks and special [[cross check]]s will still be required in ICD10? | |||
== dx implies task == | == dx implies task == | ||
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*** diagnosis [[ARF (Diagnosis)|ARF]] | *** diagnosis [[ARF (Diagnosis)|ARF]] | ||
** [[Renal Transplant]] (80504 or 80505) is '''not''' present | ** [[Renal Transplant]] (80504 or 80505) is '''not''' present | ||
***you can have a renal transplant in comorbid and HD or PD task can still be checked as a patient with a failed renal transplant can require dialysis again [[User:Lkaita|Lisa Kaita]] 12:04, 2017 April 26 (CDT) | |||
=== which dxs?=== | === which dxs?=== | ||
* 350 [[ARF (Diagnosis)]] | * 350 [[ARF (Diagnosis)]] | ||
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* comorbid [[CRF - Chronic Renal Failure|CRF]] | * comorbid [[CRF - Chronic Renal Failure|CRF]] | ||
* diagnosis [[ARF (Diagnosis)|ARF]] | * diagnosis [[ARF (Diagnosis)|ARF]] | ||
=== which dxs?=== | === which dxs?=== | ||
* 350 [[ARF (Diagnosis)]] | * 350 [[ARF (Diagnosis)]] | ||
* 351 [[CRF - Chronic Renal Failure]] | * 351 [[CRF - Chronic Renal Failure]] | ||
==Questions prior to implementing == | ==Questions prior to implementing == | ||
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** GRA N3/N5/W3 | ** GRA N3/N5/W3 | ||
** VIC N5/S3/S4/S5 | ** VIC N5/S3/S4/S5 | ||
* Since we only check patients with LOS>3, do we need to consider this? If a pt with CRF/ARF is in hospital longer than 3 days would dialysis not need to be accommodated? IE, would the patient then not need to be sent to a different hospital that can dialyze? Ttenbergen 21:02, 2014 April 30 (CDT) | * Since we only check patients with LOS>3, do we need to consider this? If a pt with CRF/ARF is in hospital longer than 3 days would dialysis not need to be accommodated? IE, would the patient then not need to be sent to a different hospital that can dialyze? Ttenbergen 21:02, 2014 April 30 (CDT) | ||
**there are exceptions: If Grace and VIC Med send patient for dialysis to HSC or STB, then they return back to medicine bed, TASK will be marked with dialysis for their site. (As per Trish, I think) | **there are exceptions: If Grace and VIC Med send patient for dialysis to HSC or STB, then they return back to medicine bed, TASK will be marked with dialysis for their site. (As per Trish, I think) | ||
*** Except those, community sites should not have dialysis task, right? [[User:Ttenbergen|Ttenbergen]] 17:14, 27 October 2008 (CDT) | *** Except those, community sites should not have dialysis task, right? [[User:Ttenbergen|Ttenbergen]] 17:14, 27 October 2008 (CDT) | ||
** So these locations would not admit patients who are, say, on home peritoneal dialysis? | ** So these locations would not admit patients who are, say, on home peritoneal dialysis? | ||
*** DC never encounter such case | *** DC never encounter such case | ||
****at the Grace those patients with CRF ie on HD or PD are not admitted here, we have had one case where a patient was transferred to HSC for acute HD and then transferred back to the Grace, this was many years ago, not sure about the VGH[[User:Lkaita|Lisa Kaita]] 12:20, 2017 April 26 (CDT) | |||
Would this be a proper summary for the above: | |||
* HD and PD are not done at community hospitals | |||
* task might still be coded if pt is sent to other site for it | |||
* the check would apply for GRA/VIC just like other sites: | |||
** if pt needs PD/HD, they need it, so they won't be kept for >3 days without | |||
=== palliation? === | === palliation? === | ||
* Could any of (e) or (f) be OK if the patient is palliative? (Tina) | * Could any of (e) or (f) be OK if the patient is palliative? (Tina) | ||
** Yes. Found cases of palliative with dialysis. (Julie) | ** Yes. Found cases of palliative with dialysis. (Julie) | ||
*** Yes, but could a palliative patient not also arrive and not get dialysis even if they are CRF? (Tina) | *** Yes, but could a palliative patient not also arrive and not get dialysis even if they are CRF? (Tina) | ||
**** yes we have cases where this has occurred, ie CRF in comorbid but no dialysis task entered if not dialyzed during the admission secondary to palliation[[User:Lkaita|Lisa Kaita]] 12:25, 2017 April 26 (CDT) | |||
***** Would all the pts like this have either Palliation or Comfort Care marked? That would mean I could exclude them from the check "if you have dx you must have task"... | |||
=== [[Renal Transplant]] not present === | === [[Renal Transplant]] not present === | ||
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== Implementation == | == Implementation == | ||
Hardcoded in query Check_Renal_Tasks in [[CCMDB. | Hardcoded in query Check_Renal_Tasks in [[CCMDB.accdb]]. | ||
'''This will need to be changed!''' | '''This will need to be changed!''' | ||
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being implemented once discussion is resolved | being implemented once discussion is resolved | ||
== | == See also == | ||
* [[Renal Coding Considerations]] | * [[Renal Coding Considerations (old)]] | ||
* [[Dialysis Tasks]] | * [[Dialysis Tasks]] | ||
== Related articles == | |||
{{Related Articles}} | |||
[[Category: | [[Category:ICD10 Dx check]] | ||
[[Category: | [[Category:Data Collection Guide]] | ||
[[Category: | [[Category:Task Elements]] | ||
}} | |||