Query check CCI ICD10 Dialysis no Dx: Difference between revisions

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(moving task check discussion to Check Renal Tasks)
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== CRF/ARF vs [[TISS28]] items 32, 33, 34 ==
== CRF/ARF vs [[TISS28]] items 32, 33, 34 ==
Any patient with '''all''' of the following is an error:
=== dx implies TISS ===
* ICU patient  
Any ICU patient with LOS>3 and dxs (350, 351, 352, 355, 356, 398, 450-499, 327, 357) who doesn't have (T33/34/35) in TISS28 is an error.
* (3 < LOS)
 
* (dx [[ARF (Diagnosis)|ARF(350)]] or como [[CRF - Chronic Renal Failure|CRF (351)]])
=== TISS implies dx ===
* no (T33/34/35) in TISS28
Any ICU patient with LOS>3 and (T33/34/35) in TISS28 who doesn't have one of dxs (350, 351, 352, 355, 356, 398, 450-499, 327, 357) is an error.
{{discussion}}
 
== Reality check ==
* Collectors can you see a scenario where this would not be an error? If not, this could be added to [[Change Priorities]]. Ttenbergen 20:17, 2014 April 30 (CDT){{Potential Change}}
* Collectors can you see a scenario where this would not be an error? If not, this could be added to [[Change Priorities]]. Ttenbergen 20:17, 2014 April 30 (CDT){{Potential Change}}


=== Short stay patients ===
== Short stay patients, incl community hospitals==
CRF/ARF patients in community hospitals often don't receive dialysis if they are only there for a short time. That led to false=positives for the check, so the restriction of "LOS>3" was added.  
CRF/ARF patients may not receive dialysis if they are only there for a short time. That led to false=positives for the check, especially in community hospitals, so the restriction of "LOS>3" was added.  




[[Category: TISS28 Checks]]
[[Category: TISS28 Checks]]

Revision as of 21:15, 2014 April 30

TISS28

  • 32 Intermittent Hemodialysis (even if pt goes to dialysis unit)
  • 33 CRRT
  • 34 Peritoneal Dialysis

CRF/ARF vs TISS28 items 32, 33, 34

dx implies TISS

Any ICU patient with LOS>3 and dxs (350, 351, 352, 355, 356, 398, 450-499, 327, 357) who doesn't have (T33/34/35) in TISS28 is an error.

TISS implies dx

Any ICU patient with LOS>3 and (T33/34/35) in TISS28 who doesn't have one of dxs (350, 351, 352, 355, 356, 398, 450-499, 327, 357) is an error.

Reality check

Short stay patients, incl community hospitals

CRF/ARF patients may not receive dialysis if they are only there for a short time. That led to false=positives for the check, especially in community hospitals, so the restriction of "LOS>3" was added.

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