CCI Collection: Difference between revisions

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

*Here are the rules for what we will code and what we won't code:

*# Include all codable therapeutic procedures done '''outside the patient’s unit'''.

*# Include ''all codable therapeutic procedures'' done '''outside the patient’s unit'''.

*# Include all codable therapeutic procedures done '''using an endoscope''' (in or out of the patient's unit) - whether inserted through an orifice, incision or wound.

*# Include ''all codable therapeutic procedures'' done '''using an endoscope''' (in or out of the patient's unit) - whether inserted through an orifice, incision or wound.

*# In addition to (1) and (2) code the following (and '''only''' the following) therapeutic procedures done in the patient’s unit - but '''only the FIRST DAY it was done''' during the patient’s stay on that unit:

**arterial catheter placement

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**tracheostomy placement (i.e. done bedside)

*'''Important note regarding the meaning of "ALL CODABLE therapeutic procedures" as used above. As we're not including all 18,000 CCI procedures, there are many procedures we are not seeking to capture -- ~~examples~~ are dressings, oxygenation, and many others. ~~The way this limitation shows itself is~~

*'''Important note regarding the meaning of "ALL CODABLE therapeutic procedures" as used above. As we're not including all 18,000 CCI procedures, there are many procedures we are not seeking to capture. The way this limitation shows itself is that the 2nd level of coding of therapeutic procedures (2nd level identifies "what was done" to the body part chosen in the 1st level) does not include all available options -- some that are not included in our CCI subset are dressings, oxygenation, and many others.'''

*{{discussAllan|that code includes lists I can't find pages/links for, so what codes would we enter? }}

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**AG REPLY --- of course this can be coded in Chap 1 of CCI. Again could include in a picklist. And it'd be coded the 1st time it's used in the patient's unit regardless of who owns the machine.

* {{Discussion}} I suggest that VAC dressing changes be put in this category because they are usually done in the OR and done numerous times in a patient's stay. --[[User:LKolesar|LKolesar]] 14:02, 2018 March 15 (CDT)

**AG reply: Two things here. First, VAC dressings are just a special type of dressing. So we're not particularly interested in it. But you might then notice that would give us a problem with rule#1, to code all procedures done outside of the patient's unit. ~~But there~~'s

**AG reply: Two things here. First, VAC dressings are just a special type of dressing. So we're not particularly interested in it. But you might then notice that would give us a problem with rule#1, to code all procedures done outside of the patient's unit. In this regard, see the "Important note" above that's in '''ALL BOLD'''.

=== Collecting a procedure ===

@@ Line 29: / Line 29: @@
 === Which therapeutic procedures to collect/include ===
 *Here are the rules for what we will code and what we won't code:
-*# Include all codable therapeutic procedures done '''outside the patient’s unit'''.
+*# Include ''all codable therapeutic procedures'' done '''outside the patient’s unit'''.
-*# Include all codable therapeutic procedures done '''using an endoscope''' (in or out of the patient's unit) - whether inserted through an orifice, incision or wound.
+*# Include ''all codable therapeutic procedures'' done '''using an endoscope''' (in or out of the patient's unit) - whether inserted through an orifice, incision or wound.
 *# In addition to (1) and (2) code the following (and '''only''' the following) therapeutic procedures done in the patient’s unit - but '''only the FIRST DAY it was done''' during the patient’s stay on that unit:
 **arterial catheter placement
@@ Line 41: / Line 41: @@
 **tracheostomy placement (i.e. done bedside)
-*'''Important note regarding the meaning of "ALL CODABLE therapeutic procedures" as used above.  As we're not including all 18,000 CCI procedures, there are many procedures we are not seeking to capture -- examples are dressings, oxygenation, and many others.  The way this limitation shows itself is
+*'''Important note regarding the meaning of "ALL CODABLE therapeutic procedures" as used above.  As we're not including all 18,000 CCI procedures, there are many procedures we are not seeking to capture.  The way this limitation shows itself is that the 2nd level of coding of therapeutic procedures (2nd level identifies "what was done" to the body part chosen in the 1st level) does not include all available options -- some that are not included in our CCI subset are dressings, oxygenation, and many others.'''
 *{{discussAllan|that code includes lists I can't find pages/links for, so what codes would we enter? }}
@@ Line 49: / Line 49: @@
 **AG REPLY --- of course this can be coded in Chap 1 of CCI.  Again could include in a picklist.  And it'd be coded the 1st time it's used in the patient's unit regardless of who owns the machine.
 * {{Discussion}} I suggest that VAC dressing changes be put in this category because they are usually done in the OR and done numerous times in a patient's stay. --[[User:LKolesar|LKolesar]] 14:02, 2018 March 15 (CDT)
-**AG reply:  Two things here.  First, VAC dressings are just a special type of dressing.  So we're not particularly interested in it.  But you might then notice that would give us a problem with rule#1, to code all procedures done outside of the patient's unit.  But there's
+**AG reply:  Two things here.  First, VAC dressings are just a special type of dressing.  So we're not particularly interested in it.  But you might then notice that would give us a problem with rule#1, to code all procedures done outside of the patient's unit.  In this regard, see the "Important note" above that's in '''ALL BOLD'''.
 === Collecting a procedure ===