CCI Volumes 2019
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.
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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 - 3Q
- HSC_MICb-2327
- 29 picklist, 26 are transfusions; just one component CCI, LOS25
- STB_MICU-32416
- 13 pick (this is not the highest for STB); this one has a great variety of things done, 2 components, LOS ~4
- HSC_H4-18287
- 8 pick, great variety, just 1 Component, LOS 24
- 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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