Team Meeting June 12 2008: Difference between revisions

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===Questions/Concerns Submitted so far===

# Clarify definition for Hypotension NYD- it says not due to shock or post-op in the code book we don't know when to use this. Why can't we just have hypotension NYD for a code? In other words if patients don't meet the specific criteria for septic shock or hypovolemic shock or cardiogenic shock it would be NYD.

# Clarify definition [[Septic Shock]]

# Clarify definition Septic Shock

# Clarify definition [[Cardiogenic Shock]]

# Clarify definition Cardiogenic Shock

# Clarify definition [[Cardiac ~~Arrest]]s~~-It's impossible to see how many occur right before admission to Medicine as some patients are admitted to medicine bypassing ICU

# Clarify definition Cardiac Arrests-It's impossible to see how many occur right before admission to Medicine as some patients are admitted to medicine bypassing ICU

# Clarify definition [[Violent behavior]] code - supposed to be 2nd to dementia but is used for anyone who is violent

# Clarify definition Violent behavior code - supposed to be 2nd to dementia but is used for anyone who is violent

# Clarify definition [[Panelling or Discharge Planning]] why does it say in the code book primary reason for admission to ward bed?

# Clarify definition Panelling or Discharge Planning why does it say in the code book primary reason for admission to ward bed?

# Clarify definition

#* [[Muscle deconditioning]]

#* Muscle deconditioning

#* [[Pain Control - non post op]]

#* Pain Control - non post op

#* [[Pain Control - post op]] - we feel it is highly overused

#* Pain Control - post op - we feel it is highly overused

# Clarify definition [[Palliative Care]] - need criteria to follow

# Clarify definition Palliative Care - need criteria to follow

# [[Acute coronary insufficiency]] and [[Unstable angina]] (151, 152) - description in code book should be reversed

# Acute coronary insufficiency and Unstable angina (151, 152) - description in code book should be reversed

# There currently is no codes for: hematuria- we have lots of people who are getting CBI for hematuria NYD

#* either add to [[:Category:Diagnoses we are not coding]] or make [[Hematuria NYD]]

#* either add to :Category:Diagnoses we are not coding or make Hematuria NYD]]

# Regarding the KATZ [[Activities of Daily Living|ADL]]

# Regarding the KATZ Activities of Daily Living|ADL

## assessment for feeding; when a person arrives to the unit within the first 24 hours NPO either for a test or for GI Bleed does this qualify as Dependant? The KATZ says 'Dependant is assistance to eat; does not eat (I interpret this to include NPO); must be fed; fed partly or completely by NG or IV.

## Continence for assessment; does the use of a foley from home or within the first 24 hours qualify as Dependant. The KATZ states "Dependant as assistance; incontinent or cathether used (as with the use of a foley).

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#Does a foly quality as dependent? ''No if it is for convenience.''

#If a patient has a preexisting cognitive impairment what should their GCS be? ''If they are operating at their regular level of functionality it should be 15.''

#If their is not a clearly recorded previous stroke or MI but the EKG interpretation or CT scan reports a prior event should it still be recorded as a commorbidity? ''Yes''

#If their is not a clearly recorded previous stroke or MI but the EKG interpretation or CT scan reports a prior event should it still be recorded as a commorbidity? [[Yes]]

'''Questions to Trish'''

@@ Line 23: / Line 23: @@
 ===Questions/Concerns Submitted so far===
 # Clarify definition for Hypotension NYD- it says not due to shock or post-op in the code book we don't know when to use this. Why can't we just have hypotension NYD for a code? In other words if patients don't meet the specific criteria for septic shock or hypovolemic shock or cardiogenic shock it would be NYD.
-# Clarify definition [[Septic Shock]]
+# Clarify definition Septic Shock
-# Clarify definition [[Cardiogenic Shock]]
+# Clarify definition Cardiogenic Shock
-# Clarify definition [[Cardiac Arrest]]s-It's impossible to see how many occur right before admission to Medicine as some patients are admitted to medicine bypassing ICU
+# Clarify definition Cardiac Arrests-It's impossible to see how many occur right before admission to Medicine as some patients are admitted to medicine bypassing ICU
-# Clarify definition [[Violent behavior]] code - supposed to be 2nd to dementia but is used for anyone who is violent
+# Clarify definition Violent behavior code - supposed to be 2nd to dementia but is used for anyone who is violent
-# Clarify definition [[Panelling or Discharge Planning]] why does it say in the code book primary reason for admission to ward bed?
+# Clarify definition Panelling or Discharge Planning why does it say in the code book primary reason for admission to ward bed?
 # Clarify definition
-#* [[Muscle deconditioning]]
+#* Muscle deconditioning
-#* [[Pain Control - non post op]]
+#* Pain Control - non post op
-#* [[Pain Control - post op]] - we feel it is highly overused
+#* Pain Control - post op - we feel it is highly overused
-# Clarify definition [[Palliative Care]] - need criteria to follow
+# Clarify definition Palliative Care - need criteria to follow
-# [[Acute coronary insufficiency]] and [[Unstable angina]] (151, 152) - description in code book should be reversed
+# Acute coronary insufficiency and Unstable angina (151, 152) - description in code book should be reversed
 # There currently is no codes for: hematuria- we have lots of people who are getting CBI for hematuria NYD
-#* either add to [[:Category:Diagnoses we are not coding]] or make [[Hematuria NYD]]
+#* either add to :Category:Diagnoses we are not coding or make Hematuria NYD]]
-# Regarding the KATZ [[Activities of Daily Living|ADL]]
+# Regarding the KATZ Activities of Daily Living|ADL
 ## assessment for feeding; when a person arrives to the unit within the first 24 hours NPO either for a test or for GI Bleed does this qualify as Dependant?  The KATZ says 'Dependant is assistance to eat; does not eat (I interpret this to include NPO); must be fed; fed partly or completely by NG or IV.
 ## Continence for assessment; does the use of a foley from home or within the first 24 hours qualify as Dependant. The KATZ states "Dependant as assistance; incontinent or cathether used (as with the use of a foley).
@@ Line 71: / Line 71: @@
 #Does a foly quality as dependent? ''No if it is for convenience.''
 #If a patient has a preexisting cognitive impairment what should their GCS be? ''If they are operating at their regular level of functionality it should be 15.''
-#If their is not a clearly recorded previous stroke or MI but the EKG interpretation or CT scan reports a prior event should it still be recorded as a commorbidity? ''Yes''
+#If their is not a clearly recorded previous stroke or MI but the EKG interpretation or CT scan reports a prior event should it still be recorded as a commorbidity? [[Yes]]
 '''Questions to Trish'''