CCI Collection

This article provides general information about collecting and coding a CCI Procedure.

They are entered in CCMDB.mdb in the Patient viewer tab CCI on the Patient viewer tab CCI.

There are some ICD10 Diagnoses and CCI Codes that need to be coded together.

Collection Instructions

Follow these steps, in this order:

1. if no procedures were performed, enter No Procedure Performed into the L CCI Picklist subform, the top of the tab.
2. for every procedure,
   1. check if an entry exists in the L CCI Picklist subform, the top of the tab, and enter there
   2. otherwise, construct an entry using the two fields in the L CCI Component subform at the bottom of the tab, and enter there
   3. Template:Discussion what if it can't be found? Is there an NOS? Ttenbergen 22:38, 2018 February 6 (CST)

Picklist Entries

...CCI Picklist...

Component Entries

To enter a CCI Component,

First pick the left column, the body system: Component 1.

If there are too many and you only want to see e.g. the therapeutic ones and not the imaging ones, use the L_CCI_Component_subform#CCI_Chooser (the "?" button). In the form it opens you can filter by the CCI Category.

Second, code what was done: Component 2.

Repeated procedures

If a procedure is done repeatedly on the same day, only enter it once but count it in Px_Count. Procedures done on a different day should be entered again with a different date. This should be really quick by using the "duplicate" button.

• Do we have to enter a CXR for each day it is done? Or can we enter CXR once and then keep using the times feature? For longer stay patients this could be 50 entries. Why do we need to know what day a CXR was done on? What is wrong with using the lab count feature we now use? The same for blood gases and scans.--LBilesky 14:05, 2018 January 19 (CST)
  • That is what is planned for now, but this might be worth talking about again to confirm it is worth it.
    • Does the pt travel out of the unit for this?

Related Imaging, Diagnostic and Therapeutic procedures performed at the same time

Some interventions consists of imaging and/or diagnostic and/or therapeutic procedures.

For these, only code the most invasive part that implies the other/s. Do not code the implied codes. For endoscopic inspection/explorations, code only the "furthest/deepest" area assessed.

Examples:

• for a Coronary angiogram (diagnostic cardiac catherization) where Coronary angioplasty with stenting happens in the same sitting, only code the Coronary angioplasty with stenting.
• if a tissue Biopsy is done as part of an invasive Inspection, Exploration code only the Biopsy.

We are not tracking all possible procedures

We are not tracking all possible procedures; see Reasoning around moving to CCI and our subset of it#Why do we not include the entire set of CCI codes for more info.

Template:Discuss@task Ttenbergen 14:12, 2018 March 5 (CST)

Date Integrity Checks

Template:CCMDB Data Integrity Checks - Must have at least one entry

Template:Discussion Will need to be implemented: to click complete:

• must have a other than No Procedure Performed
• code No Procedure Performed if there were no procedures

Template:CCMDB Data Integrity Checks - CCI Procedure vs Previous Location Cross Check

If from OR or PACU, must have at least 1 CCI