VAP - Ventilator Associated Pneumonia: Difference between revisions

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=== VAP Attribution Transfer Rule ===

If a patient transferred from another unit first meets all criteria for VAP within the '''first 48 hrs''' on your unit, code VAP as an '~~''admit''' diagnosis~~, ''not as a ~~complication~~''

If a patient transferred from another unit first meets all criteria for VAP within the '''first 48 hrs''' on your unit, code VAP as an '[[Admit Diagnosis]], ''not as a [[Acquired Diagnosis / Complication]]''

'''Don't''' enter a [[QA_Infection#A._VAP]] for these patients.

*The ICU sending the pt would then need to code the VAP in their complications and enter the temp information.

If you code VAP as an ~~"admit diagnosis"~~ the [[statistician]] will track back to previous units until the one where the VAP was an ~~"acquired diagnosis"~~ is found.

If you code VAP as an [[Admit Diagnosis]] the [[statistician]] will track back to previous units until the one where the VAP was an [[Acquired Diagnosis / Complication]] is found.

If no unit has the VAP as an acquired the [[data processor]] will contact you to clarify whether this is correct.

==== VAP acquired in ICU then transferred to Ward====

If a patient has a '''VAP''' in the '''ICU''' that is not yet resolved when the patient is transferred to a '''ward''', the ward should code the VAP in the ~~admit diagnosis~~. If VAP was '''resolved''' in the ICU before the patient was sent to the ward, then don't code it.

If a patient has a '''VAP''' in the '''ICU''' that is not yet resolved when the patient is transferred to a '''ward''', the ward should code the VAP in the [[Admit Diagnosis]]. If VAP was '''resolved''' in the ICU before the patient was sent to the ward, then don't code it.

====VAP can't be Medicine complication====

VAP cannot be coded as a [[Acquired Diagnosis / Complication]] on a Medicine ward but can be used as an [[Admit Diagnosis]] if patient came from an ICU and requires ongoing treatment for this problem. If resolved in the ICU, don't code as an ~~admitting DX~~ to you ward.

VAP cannot be coded as a [[Acquired Diagnosis / Complication]] on a Medicine ward but can be used as an [[Admit Diagnosis]] if patient came from an ICU and requires ongoing treatment for this problem. If resolved in the ICU, don't code as an [[Admit Diagnosis]] to you ward.

=== Pathogen exclusion list ===

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=== Reporting of complication when patients move units ===

When the [[statistician]] links admissions in the database between ICU'a & medicine wards in the city, those patient that have VAP in ~~admitting diagnosis~~ are excluded from complication statistics. The patient encounter that had the VAP coded in the ~~'''acquired diagnosis'''~~ slot is the unit that is given credit for the '''complication''' occurring in that unit.

When the [[statistician]] links admissions in the database between ICU'a & medicine wards in the city, those patient that have VAP in [[Admit Diagnosis]] are excluded from complication statistics. The patient encounter that had the VAP coded in the [[Admit Diagnosis]] slot is the unit that is given credit for the '''complication''' occurring in that unit.

When coding VAP's they are coded as "complication" when they occur at a specific center. However, when these patients are transferred to other centers and the VAP is still being treated, then the VAP should be coded as part of the ~~admitting diagnosis~~.

When coding VAP's they are coded as "complication" when they occur at a specific center. However, when these patients are transferred to other centers and the VAP is still being treated, then the VAP should be coded as part of the [[Admit Diagnosis]].

When Julie looks at VAP rates in ICU's she only looks for the VAP code in the complication slots. The site where the patient had the VAP occur in complication codes is the site that is given the credit. A unit where a patient has a VAP in the ~~admitting diagnosis~~ is not included in stats for VAP rates.

When Julie looks at VAP rates in ICU's she only looks for the VAP code in the complication slots. The site where the patient had the VAP occur in complication codes is the site that is given the credit. A unit where a patient has a VAP in the [[Admit Diagnosis]] is not included in stats for VAP rates.

When a VAP appears in the admission code slots, Julie tracks back to where patient came from and makes sure that the ICU prior to the transfer, coded the VAP in their complications, if not, you will get a query to audit the diagnosis.

*Collectors should remember to check the transfer tracker to see if the sending unit coded a VAP. If it is not on the transfer tracker you may need to contact the data collector from the unit sending the patient to make sure it really is VAP.

@@ Line 48: / Line 48: @@
 === VAP Attribution Transfer Rule ===
-If a patient transferred from another unit first meets all criteria for VAP within the '''first 48 hrs''' on your unit, code VAP as an '''admit''' diagnosis, ''not as a complication''
+If a patient transferred from another unit first meets all criteria for VAP within the '''first 48 hrs''' on your unit, code VAP as an '[[Admit Diagnosis]], ''not as a [[Acquired Diagnosis / Complication]]''
 '''Don't''' enter a [[QA_Infection#A._VAP]] for these patients.
 *The ICU sending the pt would then need to code the VAP in their complications and enter the temp information.
-If you code VAP as an "admit diagnosis" the [[statistician]] will track back to previous units until the one where the VAP was an "acquired diagnosis" is found.
+If you code VAP as an [[Admit Diagnosis]] the [[statistician]] will track back to previous units until the one where the VAP was an [[Acquired Diagnosis / Complication]] is found.
 If no unit has the VAP as an acquired the [[data processor]] will contact you to clarify whether this is correct.
 ==== VAP acquired in ICU then transferred to Ward====
-If a patient has a '''VAP''' in the '''ICU''' that is not yet resolved  when the patient is transferred to a '''ward''', the ward should code the VAP in the admit diagnosis. If VAP was '''resolved''' in the ICU before the patient was sent to the ward, then don't code it.
+If a patient has a '''VAP''' in the '''ICU''' that is not yet resolved  when the patient is transferred to a '''ward''', the ward should code the VAP in the [[Admit Diagnosis]]. If VAP was '''resolved''' in the ICU before the patient was sent to the ward, then don't code it.
 ====VAP can't be Medicine complication====
-VAP cannot be coded as a [[Acquired Diagnosis / Complication]] on a Medicine ward but can be used as an [[Admit Diagnosis]] if patient came from an ICU and requires ongoing treatment for this problem.  If resolved in the ICU, don't code as an admitting DX to you ward.
+VAP cannot be coded as a [[Acquired Diagnosis / Complication]] on a Medicine ward but can be used as an [[Admit Diagnosis]] if patient came from an ICU and requires ongoing treatment for this problem.  If resolved in the ICU, don't code as an [[Admit Diagnosis]] to you ward.
 === Pathogen exclusion list ===
@@ Line 97: / Line 97: @@
 === Reporting of complication when patients move units ===
-When the [[statistician]] links admissions in the database between ICU'a & medicine wards in the city, those patient that have VAP in admitting diagnosis are excluded from complication statistics. The patient encounter that had the VAP coded in the '''acquired diagnosis''' slot is the unit that is given credit for the '''complication''' occurring in that unit.
+When the [[statistician]] links admissions in the database between ICU'a & medicine wards in the city, those patient that have VAP in [[Admit Diagnosis]] are excluded from complication statistics. The patient encounter that had the VAP coded in the [[Admit Diagnosis]] slot is the unit that is given credit for the '''complication''' occurring in that unit.
-When coding VAP's they are coded as "complication" when they occur at a specific center.  However, when these patients are transferred to other centers and the VAP is still being treated, then the VAP should be coded as part of the admitting diagnosis.
+When coding VAP's they are coded as "complication" when they occur at a specific center.  However, when these patients are transferred to other centers and the VAP is still being treated, then the VAP should be coded as part of the [[Admit Diagnosis]].
-When Julie looks at VAP rates in ICU's she only looks for the VAP code in the complication slots.  The site where the patient had the VAP occur in complication codes is the site that is given the credit.  A unit where a patient has a VAP in the admitting diagnosis is not included in stats for VAP rates.
+When Julie looks at VAP rates in ICU's she only looks for the VAP code in the complication slots.  The site where the patient had the VAP occur in complication codes is the site that is given the credit.  A unit where a patient has a VAP in the [[Admit Diagnosis]] is not included in stats for VAP rates.
 When a VAP appears in the admission code slots, Julie tracks back to where patient came from and makes sure that the ICU prior to the transfer, coded the VAP in their complications, if not, you will get a query to audit the diagnosis.
 *Collectors should remember to check the transfer tracker to see if the sending unit coded a VAP. If it is not on the transfer tracker you may need to contact the data collector from the unit sending the patient to make sure it really is VAP.