VAP - Ventilator Associated Pneumonia: Difference between revisions

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*''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''' occuring in that unit.'' [[User:TOstryzniuk|TOstryzniuk]] 14:10, 16 June 2008 (CDT)

== Discussion - Coding VAP in Medicine ==

Only ICU collects [[VAP]] complication date. Is that because Med should never code [[VAP]] complication? If so, that check needs to be done elsewhere... [[User:Ttenbergen|Ttenbergen]] 17:40, 19 August 2009 (CDT)

**Correct - no [[VAP]]'s in Medicine complications. CCMDB.mdb should have the this check programmed into it. If VAP is coded in complication (medicine) then this should be flagged in yellow as an error. Can you do it there? The other option is the data cleaner Pagasa uses, however this is checking data after it is already appended to master database and creates more work for Pagasa. [[User:TOstryzniuk|TOstryzniuk]] 14:43, 20 August 2009 (CDT)

*** How about if VAP is coded as admit? I should be able to code it; I'd like to make it a hard "no", though, rather than just yellowing it. OK? [[User:Ttenbergen|Ttenbergen]] 16:09, 20 August 2009 (CDT)

***VAP can be coded as an admit DX when patient moves between ICU. For example: [[VAP]] acquired as a complication at VIC_MICU - patient then transferred to HSC-MICU, [[VAP]] is still an active problem being tx'd therefore [[VAP]] is an admitting DX for HSC_MICU but no start date for [[VAP]] is required if transferred from another ICU.[[User:TOstryzniuk|TOstryzniuk]] 11:17, 21 August 2009 (CDT)

[[Category:Diagnosis Coding]]

[[Category: Pneumonia]]

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 *''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''' occuring in that unit.''  [[User:TOstryzniuk|TOstryzniuk]] 14:10, 16 June 2008 (CDT)
+== Discussion - Coding VAP in Medicine ==
+{{discussion}}
+Only ICU collects [[VAP]] complication date. Is that because Med should never code [[VAP]] complication? If so, that check needs to be done elsewhere... [[User:Ttenbergen|Ttenbergen]] 17:40, 19 August 2009 (CDT)
+**Correct - no [[VAP]]'s in Medicine complications. CCMDB.mdb should have the this check programmed into it.   If VAP is coded in complication (medicine) then this should be flagged in yellow as an error.   Can you do it there?  The other option is the data cleaner Pagasa uses, however this is checking data after it is already appended to master database and creates more work for Pagasa. [[User:TOstryzniuk|TOstryzniuk]] 14:43, 20 August 2009 (CDT)
+*** How about if VAP is coded as admit? I should be able to code it; I'd like to make it a hard "no", though, rather than just yellowing it. OK? [[User:Ttenbergen|Ttenbergen]] 16:09, 20 August 2009 (CDT)
+***VAP can be coded as an admit DX when patient moves between ICU.  For example: [[VAP]] acquired as a complication at VIC_MICU - patient then transferred to HSC-MICU, [[VAP]] is still an active problem being tx'd therefore [[VAP]] is an admitting DX for HSC_MICU but no start date for [[VAP]] is required if transferred from another ICU.[[User:TOstryzniuk|TOstryzniuk]] 11:17, 21 August 2009 (CDT)
 [[Category:Diagnosis Coding]]
 [[Category: Pneumonia]]