CCI Volumes 2019: Difference between revisions

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There have been concerns about the volume of work generated by CCI entries.  
There have been concerns about the volume of work generated by CCI entries. Since we had already reduced certain entries earlier in 2019, the numbers referenced here are only for pts admitted during the third quarter of 2019.  


== Summary ==
== Summary ==
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{{DT | working on}}
{{DT | working on}}
== General numbers ==
== General numbers ==
=== CCI Picklist ===
=== CCI Picklist - 2019-3Q ===
  program Site Min Average SD Max
  program Site Min Average SD Max
  CC GRA 1 4.22 4.10 48
  CC GRA 1 3.82 2.24 11
  HSC 1 5.13 4.12 48
  HSC 1 5.09 3.20 29
  STB 1 4.57 3.39 38
  STB 1 4.26 2.71 29
  Total 1 4.71 3.77 48
  Total 1 4.43 2.83 29
  Med GRA 1 1.87 1.53 20
  Med GRA 1 1.46 0.88 7
  HSC 1 1.70 1.23 14
  HSC 1 1.70 1.15 8
  STB 1 1.90 1.50 14
  STB 1 1.78 1.48 14
  VIC 1 1.51 1.26 14
  Total 1 1.65 1.19 14
Total 1 1.79 1.40 20
  Grand Total 1 2.58 2.31 29
  Grand Total 1 2.63 2.69 48


=== CCI Combination ===
=== CCI Combination - 2019-3Q ===
  program Site Min Average SD Max
  program Site Min Average SD Max
  CC CON 1 1.80 1.24 6
  CC GRA 1 2.15 1.60 10
GRA 1 2.03 1.59 15
HSC 1 2.84 2.40 17
  HSC 1 2.92 2.78 22
OAK 1 1.53 1.22 6
  OAK 1 1.64 1.09 6
  STB 1 1.96 2.45 37
  STB 1 1.94 2.13 37
Total 1 2.21 2.35 37
  Total 1 2.26 2.33 37
  Med GRA 1 1.74 1.16 9
  Med GRA 1 1.73 1.19 10
  HSC 1 2.04 1.38 10
  HSC 1 2.22 1.76 19
  STB 1 2.15 1.90 14
  STB 1 2.12 1.76 19
  Total 1 1.99 1.49 14
  VIC 1 1.49 0.87 5
  Grand Total 1 2.08 1.90 37
Total 1 2.01 1.59 19
 
  Grand Total 1 2.11 1.90 37


== Review of some high counts ==
== Review of some high counts ==

Revision as of 12:48, 2019 October 16

There have been concerns about the volume of work generated by CCI entries. Since we had already reduced certain entries earlier in 2019, the numbers referenced here are only for pts admitted during the third quarter of 2019.

Summary

A small number of records have a high CCI count. On reviewing a small sample of high-count records, it appears that repeated entries of same things account for most of the high-count records. On the Picklist, the high repeaters are CXRs, AXRs, Transfusions and Blood Gases. On the Component List, the high repeaters are CTs, MRIs, Drainages and Radiations.


working on

  • SMW


  • Cargo


  • Categories

General numbers

CCI Picklist - 2019-3Q

program	Site	Min	Average	SD	Max
CC	GRA	1	3.82	2.24	11
	HSC	1	5.09	3.20	29
	STB	1	4.26	2.71	29
	Total	1	4.43	2.83	29
Med	GRA	1	1.46	0.88	7
	HSC	1	1.70	1.15	8
	STB	1	1.78	1.48	14
	Total	1	1.65	1.19	14				
Grand Total		1	2.58	2.31	29

CCI Combination - 2019-3Q

program	Site	Min	Average	SD	Max
CC	GRA	1	2.15	1.60	10
	HSC	1	2.84	2.40	17
	OAK	1	1.53	1.22	6
	STB	1	1.96	2.45	37
	Total	1	2.21	2.35	37
Med	GRA	1	1.74	1.16	9
	HSC	1	2.04	1.38	10
	STB	1	2.15	1.90	14
	Total	1	1.99	1.49	14				
Grand Total	1	2.08	1.90	37


Review of some high counts

Big Picklists

  • GRA_MICU-10100
    • Small Combined, but huge Picklist: Transfusions, CXRs and Blood gases; LOS ~20
  • HSC_MICa-1652
    • Small Combined, but huge Picklist: Blood gases, CXRs, AXRs; LOS >30
  • GRA_S3-13723
    • Small Combined, but big picklist: CXR, AXR, Blood gases; LOS > 40
  • STB_E6a-967
    • 9 in combined; 14 picklist, all transfusions except 1; LOS 9

Big Combineds

  • GRA_MICU-10285
    • 15 pick, 15 Combined; repeated CT and MRI; LOS 27
  • HSC_SICa-2104
    • 6 pick, 22 Combined; repeated CT, Drainage; LOS 9
  • HSC_A4-15799
    • 14 pick, 19 Combined; repeated drainages and CT; LOS >40; this one was in 2018
  • STB_E6a-446
    • 4 pick, 19 Combined; repeated brain radiation (13); LOS ~20

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