Minutes Team Meeting December 1, 2010: Difference between revisions

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=='''Pathogen Follow up'''==

*Some staff are following up all culture reports and email or phone Pagasa with "pathogen to plug in, others don't follow up culture reports if patient is discharged and they are ready to send in to main database. Some are waiting 5 days after discharge. Community sites don't see any reports on charts for sometimes for weeks. Reports from Cadham lab don't come to a chart in any timely fashion. Results may not be on chart at discharge.

**'''RULE: Follow up all culture reports up to 5 days after discharge from unit.'''

==='''5 day post discharge RULE for Culture report follow up===

**'''If a culture is sent and it comes back as a "contaminent" therefore, not pathogenic, then code culture as [[Negative Culture]]. ~~'''~~

*Follow up all culture reports up to 5 days after discharge from unit.'''

===Contaminated specimen - how to code===

If a culture is sent and it comes back as a "contaminent" therefore, not pathogenic, then code culture as [[Negative Culture]].

**[[User: TOstryzniuk|Trish Ostryzniuk]] to ask Dr. Kumar is there is any value to include subcode of "contaminent".

**[[User:LKolesar|Laura Kolesar]] pointed out an example of a Central Line Related Blood steam Infection being coded as an admitting code to a community Hospital. Community Hospital [[User: Mlaporte|Marie Laporte]] had emailed STB site in regards to this because Community site physician note documenting Line Infection. Laura followed up with ID nurse at STB, who verified that Blood Stream infection was not central line related and was a contaminent.

@@ Line 17: / Line 17: @@
 =='''Pathogen Follow up'''==
 *Some staff are following up all culture reports and email or phone Pagasa with "pathogen to plug in, others don't follow up culture reports if patient is discharged and they are ready to send in to main database.  Some are waiting 5 days after discharge. Community sites don't see any reports on charts for sometimes for weeks.  Reports from Cadham lab don't come to a chart in any timely fashion. Results may not be on chart at discharge.
-**'''RULE: Follow up all culture reports up to 5 days after discharge from unit.'''
+==='''5 day post discharge RULE for Culture report follow up===
-**'''If a culture is sent and it comes back as a "contaminent" therefore, not pathogenic, then code culture as [[Negative Culture]]. '''
+*Follow up all culture reports up to 5 days after discharge from unit.'''
+===Contaminated specimen - how to code===
+If a culture is sent and it comes back as a "contaminent" therefore, not pathogenic, then code culture as [[Negative Culture]].
 **[[User: TOstryzniuk|Trish Ostryzniuk]] to ask Dr. Kumar is there is any value to include subcode of "contaminent".
 **[[User:LKolesar|Laura Kolesar]] pointed out an example of a Central Line Related Blood steam Infection being coded as an admitting code to a community Hospital.  Community Hospital [[User: Mlaporte|Marie Laporte]] had emailed STB site in regards to this because Community site physician note documenting Line Infection.  Laura followed up with ID nurse at STB, who verified that Blood Stream infection was not central line related and was a contaminent.