H1N1

Will start tagging retrospective and NEW admissions.TOstryzniuk 21:25, 10 June 2009 (CDT)
any patient that is currently on your PDA (still in your unit) or any file that you have already sent in to the master database that was suspected or confirmed should be labeled. Please call Trish or Pagasa if any file you have sent in since the end of April was suspected or confirmed and we will add this information to TmpV2.
I will also be cross checking our database with another source each week and will update the database.

Instructions

AND

DX code should be an infection code, primarily CAP with subcode 75 influenza virus

AND

DX code should be and infection code, primarily CAP with subcode 75 influenza virus

Confirmation of DX should be marked in chart. If patient is discharged or moved without culture report then TMP option of suspected N1N1 remains and there should be and infection coded with subcode 75 influenza virus

there is alternate tracking being done and I will look after this to update tag in tmpv2 Working with Kumar.TOstryzniuk 20:59, 10 June 2009 (CDT)

No automated data integrity checks for this are done at collection or send time.

Will Julie do any checks later, and which? Ttenbergen 13:33, 11 June 2009 (CDT)

June 11.09 is start date. No end date at this time. Kumar and Roberts will advise. TOstryzniuk 19:59, 11 June 2009 (CDT)

Just some clarification...any patient who is positive for Influenza A should be coded in TMP as a suspected H1N1. H1N1 is a subspecies of Influenza A.

Also, I have a patient who had an adm Dx of COPD exacerbation, who is not progressing as she should and thus is being investigated for flu. These patients also need to be captured in the "flu database". What I have done is added a dx of CAP and put suspected H1N1 in the temp files. BDeVlaming 14:21, 11 June 2009 (CDT)
- I assume they don't think true pneumonia but rather H1N1 mild triggering COPD...that is common. There I would tag as suspected but not report it as a DX of CAP. Anand Kumar, MD TOstryzniuk 15:03, 12 June 2009 (CDT)
June 12.09
- Some pts are coming in with CAP but the physicians are not convinced that they are suspect, therefore not isolated nor screened. Should be be tagging ALL new admits with CAP or COPD exacerbations as SUSPECT then?---TOstryzniuk 15:20, 12 June 2009 (CDT) Joanne Hutton.
  - No, don't tag unless positive. Or we'll have way to many cases. Tag if positive for H1N1 even if no CAP...influenza often triggers asthma or COPD exacerbation. Anand Kumar, MD.TOstryzniuk 12:30, 15 June 2009 (CDT)

Any CAP or COPD that comes in whether they are placed in isolation or not and a swab is sent, should be considered suspect and tagged as such?TOstryzniuk 12:36, 15 June 2009 (CDT)
- People are going to start screening for H1N1 just in case. That is probably what they are doing. Same with CAP/COPD isolation…it’s just precautionary. I would only tag suspected H1N1 if they start oseltamivir. Anand Kumar.TOstryzniuk 12:36, 15 June 2009 (CDT)

Hi I have a lot of patients who are coming in with bronchitis,or CAP or COPD exacerbation and brochiectasis ,they are not being swabbed for H1N1. Should I be coded them as suspects plus they are not on isolation.?
- - No, don't tag unless positive. Anand Kumar, MD.TOstryzniuk 12:30, 15 June 2009 (CDT)

Next question I have a patient who was admitted for pneumonia and bronchiectasis 3 days later they did a swab for H1N1 due to patient was in contact with friends from St. Therese prior to admission. Patient was discharged culture was not back to check. So I code Suspect under TMP but the patient was never on isolation. Are we going to get phone calls to check why patient wasn't on isolation?SKiesman 11:31, 15 June 2009 (CDT)