Panelling or Discharge Planning: Difference between revisions

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{{DX tag | Other Medical |  | Panelling or Discharge Planning |  |  
{{PreICD10 dx | NewDxArticle = Awaiting/delayed transfer to long-term care/PCH inside or outside of Winnipeg}}
*90601 - Panelling
 
{{DX tag | Other Medical |  | Paneling or Discharge Planning |  |  
*90601 - Paneling
*90602 - Discharge planning | | | '''Critical Care and Medicine''' | Currently Collected | May 12.2004 | }}
*90602 - Discharge planning | | | '''Critical Care and Medicine''' | Currently Collected | May 12.2004 | }}


If you previously had an entry for a combined "panelling and discharge planning" it will now show as a blank lines in your [[CCMDB.mdb]]. Please change it to one of the new diagnoses. (this entry can be deleted 2012-11 since by then all old records should be dealt with) Ttenbergen 11:01, 2012 October 1 (CDT)
== Coding Instructions==
*Does this mean we are to start using these codes. The information is not very clear to me.--[[User:CMarks|CMarks]] 08:05, 2012 October 4 (CDT)
=== When to use as primary admit diagnosis ===
**Yes.  It means that if you had used 906 in your DX codes it would have gotten blanked out so anyone that you had used it for during this change you will have to make sure you re enter the code before you send.[[User:TOstryzniuk|Trish Ostryzniuk]] 11:30, 2012 October 4 (CDT)
If you use one of these diagnoses as [[Primary Admit Diagnosis]] then the [[Transfer Ready date and time]] has to be the same as the "Arrive DtTm".
 
Don't put paneling as [[Primary Admit Diagnosis]] if a patient has acute problems and has been transferred to your ward for treatment of those problems. For example if a patient on a chronic unit has been paneled but gets HAP and transfers to your ward then the #1 diagnosis for your ward is HAP. This was discussed with Dr Garland at the [[Task Team]] meeting on March 1,2013.[[User:TOstryzniuk|Trish Ostryzniuk]] 18:49, 2013 March 8 (EST)
 
===DX coded as Paneling but discharge home===
Patients with diagnosis Paneling can still be discharged home.
 
===Do not use Panelling for long term rehab (LTR)===
If patient goes to Deer Lodge for '''LTR (Long term Rehab), do not use Panelling (90601) '''. You could use Discharge Planning (90602) if applicable.


=={{CCMDB Data Integrity Checks}}==
=== Patient Panelling Cancelled ===
*'''If Admit Diagnosis 1''' Diagnosis code is '''9060*''' then:
If panelling is initiated but then cancelled, '''remove Panelling (90601)'''. You could use Discharge Planning (90602) if applicable.
** '''Transfer Ready Date and Time''' must '''= Admit Date and Time''' to your unit.
 
*** Tina to implement new check since the old one was deleted with the original code. Ttenbergen 10:49, 2012 October 1 (CDT)
Keep any transfer ready date you may have entered since we are looking for "the first date during this ward stay that a patient was deemed medically ready to be discharged." as per [[Transfer Ready date and time]].
**** Putting this on hold for now, since this Dx will likely go away. [[Category: CCMDB Data Integrity Checks Questions]]
 
=== Discharge Planning cancelled due to Panelling ===
If a patient had code Discharge Planning (90602) but the planning is cancelled because the patient is panelled, add Panelling (90601) but you can keep the discharge planning dx also. (as confirmed with Julie)
 
== CCMDB Data Integrity Checks ==
{{Data Integrity Check List|}}
 
==Who is using this administrative code?==
The [[Statistician]] for medicine reports as requested by [[p:Dr. Dan Roberts]].
 
Panelling (90601) is used in the [[Overstay]] project reports.
 
It was discussed at task meeting 2018-04-11 that [[Awaiting/delayed transfer to long-term care/PCH inside or outside of Winnipeg]] and related codes will give Julie the data she needs for reporting.


==Legacy Data==
==Legacy Data==
Line 18: Line 40:
Initially we were going to remove it, so code 90600 was deleted in version rolled out 2012-09-25. Changed to using 90601 and 90602 in [[CCMDB.mdb_Change_Log_2012#ver_2012-10-01]].
Initially we were going to remove it, so code 90600 was deleted in version rolled out 2012-09-25. Changed to using 90601 and 90602 in [[CCMDB.mdb_Change_Log_2012#ver_2012-10-01]].


=== discussion leading up to elimination of code ===
== Related articles ==
We want to change 90600 code to the following:
{{Related Articles}}
*90601 - Panelling
*90602 -discharge planning
*We currently have Panelling/discharge planning in on code which is a problem.  Not easy to sort out which are clearly for Panelling in the group.  Tina can you make the changes in S_alldiagnosis so we can start this begining of July.  You have Master copy of ccmdb that you are working on so I dont want to change. This is not a DX but has been used as a tagged really to mark patient that where held up/delayed with discharge because of processes involved with panelling and process involved with discharge planning.  You can follow up with Julie since I have discussed with her.  She is trying to abstract some data for Dan, but challenging when grouped like this.[[User:TOstryzniuk|Trish Ostryzniuk]] 14:55, 2012 June 22 (CDT)
**Discussed at Database Task meeting and the challenge to separate out those patient that are just panelled.  Dr. Garland will talk to Dr. Roberts and then decide how to change this code.[[User:TOstryzniuk|Trish Ostryzniuk]] 15:21, 2012 July 6 (CDT)
*** Dr Roberts decided to stop coding at yesterday's steering committee meeting. [[User:Ttenbergen|Ttenbergen]] 15:45, 2012 September 11 (CDT)
*** I understand that we are no longer be using the panelling/discharge code. Some of my patients are admitted for failure to cope in the community and are admitted to hospital for discharge planning.  Some of these individuals are physically not able to cope due to muscle deconditioning or mental decline.  I just want to clarify that I will continue to use the code muscle deconditioning and dementia codes to capture this population with out adding the panelling/discharge code.  As well I just want to clarify that we are no longer tracking persons who are being panelled for a PCH from hospital. Thanks Judy Sept 18th.
 
[[Category: Dx Code requiring review for ICD10 conversion]]

Latest revision as of 16:45, 2022 April 14


Legacy Content

This page is about the pre-ICD10 diagnosis coding schema. See the ICD10 Diagnosis List, or the following for similar diagnoses in ICD10:Awaiting/delayed transfer to long-term care/PCH inside or outside of Winnipeg

Click Expand to show legacy content.


edit dx infobox
Category/Organ
System: 		Category: Other Medical (old)

Type:

Medical Problem

Main Diagnosis: Paneling or Discharge Planning
Sub Diagnosis:
Diagnosis Code:
  • 90601 - Paneling
  • 90602 - Discharge planning
Comorbid Diagnosis:
Charlson Comorbid coding (pre ICD10):
Program: Critical Care and Medicine
Status: Currently Collected
Start Date: May 12.2004

Coding Instructions

When to use as primary admit diagnosis

If you use one of these diagnoses as Primary Admit Diagnosis then the Transfer Ready date and time has to be the same as the "Arrive DtTm".

Don't put paneling as Primary Admit Diagnosis if a patient has acute problems and has been transferred to your ward for treatment of those problems. For example if a patient on a chronic unit has been paneled but gets HAP and transfers to your ward then the #1 diagnosis for your ward is HAP. This was discussed with Dr Garland at the Task Team meeting on March 1,2013.Trish Ostryzniuk 18:49, 2013 March 8 (EST)

DX coded as Paneling but discharge home

Patients with diagnosis Paneling can still be discharged home.

Do not use Panelling for long term rehab (LTR)

If patient goes to Deer Lodge for LTR (Long term Rehab), do not use Panelling (90601) . You could use Discharge Planning (90602) if applicable.

Patient Panelling Cancelled

If panelling is initiated but then cancelled, remove Panelling (90601). You could use Discharge Planning (90602) if applicable.

Keep any transfer ready date you may have entered since we are looking for "the first date during this ward stay that a patient was deemed medically ready to be discharged." as per Transfer Ready date and time.

Discharge Planning cancelled due to Panelling

If a patient had code Discharge Planning (90602) but the planning is cancelled because the patient is panelled, add Panelling (90601) but you can keep the discharge planning dx also. (as confirmed with Julie)

CCMDB Data Integrity Checks

Data Integrity Checks (automatic list)

 AppStatus
Check Function Panelling admit transfer sameCCMDB.accdbretired

Who is using this administrative code?

The Statistician for medicine reports as requested by p:Dr. Dan Roberts.

Panelling (90601) is used in the Overstay project reports.

It was discussed at task meeting 2018-04-11 that Awaiting/delayed transfer to long-term care/PCH inside or outside of Winnipeg and related codes will give Julie the data she needs for reporting.

Legacy Data

90600 Code was removed as of CCMDB.mdb_Change_Log_2012#ver_2012-09-06

Initially we were going to remove it, so code 90600 was deleted in version rolled out 2012-09-25. Changed to using 90601 and 90602 in CCMDB.mdb_Change_Log_2012#ver_2012-10-01.

Related articles

Related articles:
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