VAP - Ventilator Associated Pneumonia: Difference between revisions

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== Discussion ==

* If a patient has a ~~vap~~ in the ICU and is then transferred to the ward, should the ward code the vap in the admit diagnosis also? I had been talking to the medicine data collectors about this issue and they said they were told not to code it as a ~~vap~~ but as a ~~hap~~.

* If a patient has a VAP in the ICU and is then transferred to the ward, should the ward code the vap in the admit diagnosis also? I had been talking to the medicine data collectors about this issue and they said they were told not to code it as a HAP but as a HAP.

**When a VAP that had been acquired in ICU is not resolved when a patient is transferred to a Medicine ward, and it is still being treated on the Medicine ward then VAP '''should be''' an '''admitting diagnosis''' code. If VAP was resolved in the ICU before the patient was sent to the ward, then don't include in your diagnosis codes.

**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)

[[Category:Diagnosis Coding]]

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 {{Discussion}}
 == Discussion ==
-* If a patient has a vap in the ICU and is then transferred to the ward, should the ward code the vap in the admit diagnosis also? I had been talking to the medicine data collectors about this issue and they said they were told not to code it as a vap but as a hap.
+* If a patient has a VAP in the ICU and is then transferred to the ward, should the ward code the vap in the admit diagnosis also? I had been talking to the medicine data collectors about this issue and they said they were told not to code it as a HAP but as a HAP.
+**When a VAP that had been acquired in ICU is not resolved when a patient is transferred to a Medicine ward, and it is still being treated on the Medicine ward then VAP '''should be''' an '''admitting diagnosis''' code.  If VAP was resolved in the ICU before the patient was sent to the ward, then don't include in your diagnosis codes.
+**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)
 {{stub}}
 [[Category:Diagnosis Coding]]