Admit Procedure: Difference between revisions

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== Collection Instructions ==

*Code a procedure as [[Px_Type]] '''admit''' if it was:

**(a) Performed '''within 24 hrs''' BEFORE the [[Arrive DtTm]] '''AND'''

**(a) Performed '''within 48 hrs''' BEFORE the [[Arrive DtTm]] '''AND'''

**(b) Was '''causally''' related to the admission (this is a judgement call, see below [[#Causally related]]) OR was directly related to an '''[[Admit Diagnosis]]''' (see below [[#Directly related to the Admit Diagnosis]])

**(b) Was '''directly, causally''' related to the admission (this is a judgement call, see below [[#Causally related]]) OR was directly related to an '''[[Admit Diagnosis]]''' (see below [[#Directly related to the Admit Diagnosis]])

* If an admit procedure that qualifies is done more than once on two different calendar days, enter it once and set the count to the appropriate number

=== Causally related ===

*It won't always be so clear if a procedure is related to the admission, and you may have to use your judgement.

*Regarding a '''string''' of causal events: A causes B causes C causes the reason for admission. We will take account of C, but '''''NOT''''' A or B. The rationale is that using a string of events may never end.

**Thus if a patient had a surgery 2 months ago and due to pain got addicted to narcotics, and due to the narcotics aspirated --- then the primary diagnosis for THIS admission is the aspiration, and the narcotic addiction would be a comorbid, but the surgical procedure that led to all of this is not '''directly, causally''', related to the aspiration, and so would not be included as an [[Admit Diagnosis]].

*VERY IMPORANT DISTICTION: A procedure that simply '''identified''' the presence of a problem should not be considered to have ''caused'' the problem, and so should not be put into this category.

*While causally-related procedures will ''usually'' be invasive procedures, they do not NEED to be -- e.g. if a person is admitted for expressly '''[[Isolation, infectious]]''', this could be in this bin.

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== Why within 24 hrs? ==

== Why within 48 hrs? ==

This was an arbitrary decision because we needed a cut-off.

~~{{DA| 1~~

* If a patient has surgery for example 3 days ago and develops a respiratory arrest secondary to narcotics given for pain wouldn't the surgery be a causal relationship? Wouldn't you code the surgery even if it was more than 24 hours ago?

** We discussed this at the Task meeting again, but I can't remember the outcome, so flagging for Allan. }}

== Related Articles ==

@@ Line 3: / Line 3: @@
 == Collection Instructions ==
 *Code a procedure as [[Px_Type]] '''admit''' if it was:
-**(a) Performed '''within 24 hrs''' BEFORE the [[Arrive DtTm]] '''AND'''
+**(a) Performed '''within 48 hrs''' BEFORE the [[Arrive DtTm]] '''AND'''
-**(b) Was '''causally''' related to the admission (this is a judgement call, see below [[#Causally related]]) OR was directly related to an '''[[Admit Diagnosis]]''' (see below [[#Directly related to the Admit Diagnosis]])
+**(b) Was '''directly, causally''' related to the admission (this is a judgement call, see below [[#Causally related]]) OR was directly related to an '''[[Admit Diagnosis]]''' (see below [[#Directly related to the Admit Diagnosis]])
 * If an admit procedure that qualifies is done more than once on two different calendar days, enter it once and set the count to the appropriate number
 === Causally related ===
 *It won't always be so clear if a procedure is related to the admission, and you may have to use your judgement.
+*Regarding a '''string''' of causal events:  A causes B causes C causes the reason for admission.  We will take account of C, but '''''NOT''''' A or B.  The rationale is that using a string of events may never end.
+**Thus if a patient had a surgery 2 months ago and due to pain got addicted to narcotics, and due to the narcotics aspirated --- then the primary diagnosis for THIS admission is the aspiration, and the narcotic addiction would be a comorbid, but the surgical procedure that led to all of this is not '''directly, causally''', related to the aspiration, and so would not be included as an [[Admit Diagnosis]].
 *VERY IMPORANT DISTICTION:  A procedure that simply '''identified''' the presence of a problem should not be considered to have ''caused'' the problem, and so should not be put into this category.
 *While causally-related procedures will ''usually'' be invasive procedures, they do not NEED to be -- e.g. if a person is admitted for expressly '''[[Isolation, infectious]]''', this could be in this bin.
@@ Line 39: / Line 41: @@
 {{ICD10 Guideline follow up Care only}}
-== Why within 24 hrs? ==
+== Why within 48 hrs? ==
 This was an arbitrary decision because we needed a cut-off.
-{{DA| 1
-* If a patient has surgery for example 3 days ago and develops a respiratory arrest secondary to narcotics given for pain wouldn't the surgery be a causal relationship? Wouldn't you code the surgery even if it was more than 24 hours ago?
-** We discussed this at the Task meeting again, but I can't remember the outcome, so flagging for Allan. }}
 == Related Articles ==