Guideline for coding organ donation after death: Difference between revisions
Ttenbergen (talk | contribs) |
Ttenbergen (talk | contribs) |
||
| Line 4: | Line 4: | ||
== Instructions for coding these patients == | == Instructions for coding these patients == | ||
[[Organ donor (organ/tissue donation by the donor)]] | {{DA | If I understand all this right we will not actually be coding [[Organ donor (organ/tissue donation by the donor)]] for these, since that will always happen elsewhere, and pt won't come back to us after, so not our dx. If I understand that right we should probably put a one-liner here to make that clear since it's a bit counter-intuitive. And likely at that page as well. }} | ||
* [[Dispo DtTm]]: '''sent from ICU to the operating room or to another ICU''' (consistent with other [[Operating room visits]] | * [[Dispo DtTm]]: '''sent from ICU to the operating room or to another ICU''' (consistent with other [[Operating room visits]] | ||
| Line 11: | Line 11: | ||
=== Harvesting at same hospital (discharge to OR) === | === Harvesting at same hospital (discharge to OR) === | ||
* [[Acquired Diagnosis]]: [[Brain death]] | * [[Acquired Diagnosis]]: [[Brain death]] | ||
** [[Dx Date]]: | ** [[Dx Date]]: Date brain death declared | ||
* [[Dispo]]: | * [[Dispo]]: '''Death - to OR''' | ||
* [[Dispo DtTm]]: | * [[Dispo DtTm]]: DtTm pt leaves to OR | ||
=== Discharge to another site for harvesting === | === Discharge to another site for harvesting === | ||
| Line 31: | Line 27: | ||
* [[Dispo]]: Hopefully the OR, or "Death - to morgue" if transplant doesn't work out | * [[Dispo]]: Hopefully the OR, or "Death - to morgue" if transplant doesn't work out | ||
* [[Dispo DtTm]]: | * [[Dispo DtTm]]: | ||
*For a patient who develops [[Brain death]] in location A, and then transfers to location B for further evaluation for organ donation | |||
**In location A the patient will have an acquired diagnosis of [[Brain death]], and their dispo will be '''Death with transfer to another ICU'''. The [[LOS]] in location A will be time from admit to [[Brain death]]. Any time spent in location A after [[Brain death]] will be counted towards occupancy but not [[LOS]]. | |||
**In location B the patient will have admit diagnosis of [[Brain death]], and their dispo will be '''Death with transfer to OR for organ donation''' IF they go for donation and '''Death with transfer to morgue''' if not. While all of this time will be included in occupancy, none of it will be included in [[LOS]] (since the person was not alive). | |||
**In the unusual situation where the patient goes directly from location A (an ICU) to the OR of another/different hospital for organ harvesting, the dispo for location A will be '''Death with transfer to OR for organ donation''' | |||
**Regarding death rates in these records | |||
***It’s necessary to avoid double counting the death in location A and location B. | |||
{{DA | | {{DA | | ||
* What date in the [[Acquired Diagnosis]] do you put for this code? Do you use the date that they decide the pt will be an organ donor? Or would you prefer the date the patient goes to the OR (which would be the same as the discharge date? | * What date in the [[Acquired Diagnosis]] do you put for this code? Do you use the date that they decide the pt will be an organ donor? Or would you prefer the date the patient goes to the OR (which would be the same as the discharge date? | ||