List of CCI procedures we don't code: Difference between revisions

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** nasogastric tube (NG)/orogastric tube (OG)
** nasogastric tube (NG)/orogastric tube (OG)
** suture removal
** suture removal
** central line insertions (we do not need to differentiate between PICCs, Vasc.caths, regular CL's, etc. They all look the same in component CCI)
*** {{discussion}} this may need to move to the right place...


{{discussAllan|  
{{discussAllan|  
1 Can we confirm that the following are not coded:
1 Can we confirm that the following are not coded:
* FMS  
* FMS  
* central line insertions (do we need to differentiate between PICCs, Vasc.caths, regular CL's, etc. They all look the same in component CCI).
* Art lines
* Art lines
* Pulmonary Arterial Catheters (ie. Swan Ganz catheters)
* Pulmonary Arterial Catheters (ie. Swan Ganz catheters)

Revision as of 13:44, 2018 June 20

Additional Info

See Reasoning around moving to CCI and our subset of it#Why do we not include the entire set of CCI codes.

  • Examples of procedures we have specifically considered, and decided not to code.
    • EKG
    • Xrays other than Abdominal plain X-ray (AXR), CXR plain film
    • Dressings (incl VAC dressings)
    • Oxygenation
    • intubation - it is already coded as Insertion of ETT (TISS Item) for ICU and not done on the ward (without patient leaving to ICU), so it was decided not to code this.
    • chest tubes inserted and left in place (ie. therapeutic thoracentesis, not just diagnostic)
    • tracheostomy insertion (is on TISS)
    • Temp Pacemakers in the unit (is on TISS)
    • Foley
    • nasogastric tube (NG)/orogastric tube (OG)
    • suture removal
    • central line insertions (we do not need to differentiate between PICCs, Vasc.caths, regular CL's, etc. They all look the same in component CCI)

Template:DiscussAllan

clarified

  • IABP in the unit - will be picklist item, so yes on the unit.
  • PEG insertion (either done in OR or with endo, so we do capture, therapeutic intervention on stomach, bypass

Template:Discussion should we assume because the above questions are not answered yet that we are not coding the above? It's pretty hard to practise coding the new system when we don't know what to code or how to do it.I work alone so without feedback from someone else it's hard to know what to do. Is anyone else out there having trouble knowing what to do? Does anyone out there think we need better training on this?GHall 08:58, 2018 June 7 (CDT)

  • I concur with Gail, it is unclear which procedures are not coded as there are inconsistent entries. For example, intubation and chest tubes are mentioned in CCI_Collection#Procedures_only_coded_once_pre_ward_stay to be done by component method, yet here it looks like we don't code them at all.
  • Not sure how to put in a Swan Ganz cath or an art line in CCI if we are supposed to do it. Someone please up-date this list so we know which procedures we don't code. --LKolesar 13:50, 2018 June 7 (CDT)
  • I get that these delays are frustrating, but we simply have not got to those questions yet. I meet with Allan about weekly to go over questions on the wiki, they simply are coming in faster than we can answer. Please keep posted. Ttenbergen 10:01, 2018 June 14 (CDT)

Background

  • We don't code all procedures. A procedure that is not either: (a) on the picklist, or (b) able to be constructed from it's components [e.g. a body part, and what was done to that body part] --- then we're not looking to code it.
  • The main issue here is that among the lists "what was done", we haven't included EVERY possibility.
    • For example, in the Imaging Procedures, besides some plain X-rays contained in that picklist, the "what type of imaging study was done" does NOT include plain x-rays. Thus we're not enabling creation of a plain X-ray of other body part other than those contained in the picklist.
    • Similarly, for the Therapeutic Procedures, there is a list of approximately 30 items of "what was done" to the chosen body part. So some items of "what was done" are not available and you won't be able to code such procedures.
      • BUT, before you decide this is the case, you will need to become very familiar with the descriptions of EACH of the "what was done" items that ARE available. For example the item Bypass includes creating a ostomy (which includes a colostomy and even a tracheostomy).