Palliative Service: Difference between revisions
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Ttenbergen (talk | contribs) change needed in ccmdb.mdb? And: clean-up |
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{{DX tag | Other Medical | | Palliative Care Service | PALLIATIVE CARE SERVICE| 90400 - Palliative Care Service | | |'''Critical Care and/or Medicine''' | Currently Collected | |}} | {{DX tag | Other Medical | | Palliative Care Service | PALLIATIVE CARE SERVICE| 90400 - Palliative Care Service | | |'''Critical Care and/or Medicine''' | Currently Collected | |}} | ||
== When to code in Admit or Complication slots== | == When to code in Admit or Complication slots== | ||
Palliative Care Service should only used as follows: | Palliative Care Service should only used as follows: | ||
| Line 7: | Line 8: | ||
*COMPLICATION slots: | *COMPLICATION slots: | ||
**only if there is an actual consultation for Palliative Care Services AFTER ward admission. | **only if there is an actual consultation for Palliative Care Services AFTER ward admission. | ||
***Reminder: (change in collection process): if patient becomes [[Comfort Care | ACP C, or Comfort Care]] AFTER ward admission by the attending DOC, you cannot code Palliative Care service anymore, unless the service is consulted. | ***Reminder: (change in collection process): if patient becomes [[Comfort Care | ACP C, or Comfort Care]] AFTER ward admission by the attending DOC, you '''cannot code''' Palliative Care service anymore, unless the service is consulted. | ||
== When NOT to code == | |||
We have now clarified further that Palliative Care Service does not mean the same thing as palliation, comfort care or ACP C. It is the actual Service involvement in care. | |||
*This change in the use of the palliative diagnostic code is all the more reason that we need a code for ACP-C or comfort care. We will code palliative only for consults to the service, but for all the pts that are ACP-C (that don't have a palliative consult) we will not have that information. I would think that when a patient dies it would be good to know if they had been made ACP-C prior to this or if it was an unexpected event. I would be surprised if the managers, doctors and others that use our data for statistics would not want this. Just want to make sure before we totally ignore this important information on the charts. I personally think that instead of a tmp file change, just making an ACP-C diagnostic code would solve this problem and Dan would have what he wants also. Any admission with an ACP-C would qualify for Dan's project needs. Any complication with ACP-C would be used for knowing that the pt focus was changed to comfort care after admission. | |||
== DX name change? == | |||
It seems like the dx name was changed. Do I need to implement this in CCMDB.mdb? Julie, anything you would need to know about that? Ttenbergen 10:05, 2013 October 31 (CDT) | |||
== DC Treatment vs. Palliative Care == | == DC Treatment vs. Palliative Care == | ||
see [[DC_Treatment#DC_Treatment_vs._Palliative_Care Service]] | see [[DC_Treatment#DC_Treatment_vs._Palliative_Care Service]] | ||
Revision as of 10:05, 31 October 2013
Legacy Content
This page is about the pre-ICD10 diagnosis coding schema. See the ICD10 Diagnosis List, or the following for similar diagnoses in ICD10:Palliative careClick Expand to show legacy content.
| edit dx infobox | |
| Category/Organ System: |
Category: Other Medical (old) |
|
Type: |
|
| Main Diagnosis: | Palliative Care Service |
| Sub Diagnosis: | PALLIATIVE CARE SERVICE |
| Diagnosis Code: | 90400 - Palliative Care Service |
| Comorbid Diagnosis: | |
| Charlson Comorbid coding (pre ICD10): | |
| Program: | Critical Care and/or Medicine |
| Status: | Currently Collected
|
When to code in Admit or Complication slots
Palliative Care Service should only used as follows:
- ADMIT slots:
- only if the patient has been previously enrolled in and is currently being cared for by the Palliative Care Service.
- COMPLICATION slots:
- only if there is an actual consultation for Palliative Care Services AFTER ward admission.
- Reminder: (change in collection process): if patient becomes ACP C, or Comfort Care AFTER ward admission by the attending DOC, you cannot code Palliative Care service anymore, unless the service is consulted.
- only if there is an actual consultation for Palliative Care Services AFTER ward admission.
When NOT to code
We have now clarified further that Palliative Care Service does not mean the same thing as palliation, comfort care or ACP C. It is the actual Service involvement in care.
- This change in the use of the palliative diagnostic code is all the more reason that we need a code for ACP-C or comfort care. We will code palliative only for consults to the service, but for all the pts that are ACP-C (that don't have a palliative consult) we will not have that information. I would think that when a patient dies it would be good to know if they had been made ACP-C prior to this or if it was an unexpected event. I would be surprised if the managers, doctors and others that use our data for statistics would not want this. Just want to make sure before we totally ignore this important information on the charts. I personally think that instead of a tmp file change, just making an ACP-C diagnostic code would solve this problem and Dan would have what he wants also. Any admission with an ACP-C would qualify for Dan's project needs. Any complication with ACP-C would be used for knowing that the pt focus was changed to comfort care after admission.
DX name change?
It seems like the dx name was changed. Do I need to implement this in CCMDB.mdb? Julie, anything you would need to know about that? Ttenbergen 10:05, 2013 October 31 (CDT)