Query check CCI ICD10 Dialysis no Dx: Difference between revisions

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(moving task check discussion to Check Renal Tasks)
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[[TISS28]] applicable to dialysis: 32, 33 & 34.  Tina and Julie may review if they want to go there with this QA check.  yoy![[User:TOstryzniuk|Trish Ostryzniuk]] 18:02, 2014 April 30 (CDT)
[[TISS28]]
*32 Intermittent Hemodialysis (even if pt goes to dialysis unit)
*33 CRRT
*34 Peritoneal Dialysis


 
== CRF/ARF vs [[TISS28]] items 32, 33, 34 ==
=== Q2.3(new) - CRF/ARF vs [[:Category: TISS76 | TISS76]] items: 53, 54 and 55 ===
''Note: must be tested after sending since TISS not available before.''
Any patient with '''all''' of the following is an error:  
Any patient with '''all''' of the following is an error:  
* ICU patient  
* ICU patient  
* (3 < LOS <= 10)  
* (3 < LOS)  
* (dx [[ARF (Diagnosis)|ARF(350)]] or como [[CRF - Chronic Renal Failure|CRF (351)]])  
* (dx [[ARF (Diagnosis)|ARF(350)]] or como [[CRF - Chronic Renal Failure|CRF (351)]])  
* no (T53, T54, T55)
* no (T33/34/35) in TISS28
** no (T33/34/35) in TISS28
{{discussion}}
 
* Collectors can you see a scenario where this would not be an error? If not, this could be added to [[Change Priorities]]. Ttenbergen 20:17, 2014 April 30 (CDT){{Potential Change}}
==== Q2.3 Discussion ====
*if community Hosp '''and''' admit or complication is ARF '''and''' patient discharged to teaching (HSC or STB), and TISS 53-55 not marked, this is okay, because community sent to teaching for dialysis. (Trish)
** If LOS>3days this would be problematic to the patient, would it not. If the time restriction still stands, then the LOS check above already takes care of this. Are you ''sure'' you want patients with 351 who are not dialyzed for more than 3 days not to be flagged? [[User:Ttenbergen|Ttenbergen]] 14:14, 29 October 2008 (CDT)
**YES I am sure, otherwise we audit every single dialysis patient (like we are doing right now) to find out that most CRF pts don't have dialysis done daily anyways.  So 3 days or less without is fine. (Trish)
*** The above definition already excludes the patients with a LOS < 3. What I am wondering about is CRFs in community who are discharged to teaching '''after more''' than 3 days. Those should '''not''' be OK, right? [[User:Ttenbergen|Ttenbergen]] 14:20, 30 October 2008 (CDT)
**If you are able to add this as a double check to CCMDB where the collector must verify TASK dialysis YES or NO if 351 before they send that would help. Currently cleaner mdb is generating too many checks only to find out that TASK item was indeed not missed for these patients.
*** If we come up with a consistent no-exception rule I can add it, otherwise it just becomes another "gopher" that will be ignored. If it is a check, it would have to be a show-stopper that they have to correct before being allowed to send. [[User:Ttenbergen|Ttenbergen]] 14:20, 30 October 2008 (CDT)
 
==== Q2.3 Programming Status - waiting for clarification ====
TRISH HERE:  I think the query looks fine.[[User:TOstryzniuk|TOstryzniuk]] 17:57, 29 October 2008 (CDT)
TINA HERE: There seem to be discussion items left, aren't there? [[User:Ttenbergen|Ttenbergen]] 14:22, 30 October 2008 (CDT)


*Consider outcome of ARF vs ARI discussion in Q2.2 for this query as well.
=== Short stay patients ===
CRF/ARF patients in community hospitals often don't receive dialysis if they are only there for a short time. That led to false=positives for the check, so the restriction of "LOS>3" was added.  




[[Category: TISS76 Checks]]
[[Category: TISS28 Checks]]
[[Category: TISS28 Checks]]

Revision as of 20:17, 2014 April 30

TISS28

  • 32 Intermittent Hemodialysis (even if pt goes to dialysis unit)
  • 33 CRRT
  • 34 Peritoneal Dialysis

CRF/ARF vs TISS28 items 32, 33, 34

Any patient with all of the following is an error:

Template:Discussion

Short stay patients

CRF/ARF patients in community hospitals often don't receive dialysis if they are only there for a short time. That led to false=positives for the check, so the restriction of "LOS>3" was added.

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