Task Team Meeting - Rolling Agenda and Minutes 2023: Difference between revisions
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3. New item: Clarification of [[Pulmonary emphysema or bullous disease without COPD]]. Allan modified this Wiki entry to make it clearer. | 3. New item: Clarification of [[Pulmonary emphysema or bullous disease without COPD]]. Allan modified this Wiki entry to make it clearer. | ||
4. New item: Regarding | 4. New item: Regarding the code [[Sudden cardiac death (and died)]] | ||
*After discussion we recognized that we have no need to specifically code patients' cause of death. We know it occurred by virtue of the [[Dispo field]]. Thus we '''agreed to remove this item from the list of ICD-10 codes, and to have Julie go into all records where it has been recorded and remove it'''. Allan modified the Wiki page also. | *After discussion we recognized that we have no need to specifically code patients' cause of death. We know it occurred by virtue of the [[Dispo field]]. Thus we '''agreed to remove this item from the list of ICD-10 codes, and to have Julie go into all records where it has been recorded and remove it'''. Allan modified the Wiki page also. | ||
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6. Followup item from long ago: Seeking to get ABGs at Grace Hospital to be included in the Lab Info System (LIS). | 6. Followup item from long ago: Seeking to get ABGs at Grace Hospital to be included in the Lab Info System (LIS). | ||
*The last time we tried for this, in 2015, the resp therapy group at Grace was not interested in being required to manually logging this information into LIS, as IS done at HSC and St. B. | *The last time we tried for this, in 2015, the resp therapy group at Grace was not interested in being required to manually logging this information into LIS, as IS done at HSC and St. B. | ||
*We think they may be more open to it now -- so | *We think they may be more open to it now -- so today Allan emailed Heather Smith, asking her to raise it with them. | ||
*'''If they indeed | *'''If they indeed are willing, Allan will talk to Dr. Soroko about getting it implemented'''. | ||
7. Uncertainty of when/how to use [[Complication of labor and delivery, NOS]] | |||
*As our database is only for adult patients, this code should not be used to indicate such a complication for a newborn. For example: During hospitalization, such a complication occurs, but it only affects the newborn and has no medical consequence for the mother --- here this code should not be used. | |||
*Of course, for some such complications when the newborn with a complication becomes an adult, that problem persists, e.g. [[Fetal Alcohol Syndrome]]. If that adult is then admitted, it is the [[Fetal Alcohol Syndrome]] that should be included as a [[Comorbid Diagnoses]] -- again you would NOT code [[Complication of labor and delivery, NOS]]. | |||
*The only time [[Complication of labor and delivery, NOS]] would be coded is when the mother incurs that complication herself, AND there is not a more specific code for the complication she incurred. | |||
8. '''Next Task meeting January 11, 2023 at 11 am''' | 8. '''Next Task meeting January 11, 2023 at 11 am''' | ||
Revision as of 20:41, 2023 January 11
List of items to bring to task meeting
Add to this by adding the following to the article where the problem is documented:
{{DiscussTask | explanation}}Toggle columns: Last modified
| wiki page | question | Last modified |
|---|---|---|
| wiki page | question | Last modified |
| Hemothorax or hemopneumothorax, nontraumatic | Just wondering whether this code could be combined with iatrogenic causes similar to the guideline for:
Guideline for Iatrogenic Pneumothorax According to our general rule of not coding iatrogenic events as traumas, code an iatrogenic pneumothorax as
Plus the most appropriate of the following; Pneumothorax, tension, nontraumatic Pneumothorax, nontension, nontraumatic Pneumothorax, nontraumatic, NOS Thanks, Pamela Piche 08:55, 2024 March 19 (CDT)
| 2024-04-05 8:03:05 PM |
| Iatrogenic, mechanical complication/dysfunction, internal prosthetic device or implant or graft NOS | At our last TASK meeting the decision was made to exclude spontaneous rupture of an ETT cuff or cuff leak, but we are wondering if this is correct based on what is listed in the includes section of this page and what is in Iatrogenic, mechanical complication/dysfunction, internal orthopedic prosthetic device or implant or graft or bone device and Iatrogenic, mechanical complication/dysfunction, cardiac or vascular prosthetic device or implant or graft, NOS Lisa Kaita 12:37, 2024 March 20 (CDT) | 2024-03-20 5:37:32 PM |
| Myocardial infarction, acute (AMI), NOS | ICD 10 has this code for STEMI:
2024 ICD-10-CM Diagnosis Code I21.3
ICD 10 has this code for NSTEMI: 2024 ICD-10-CM Diagnosis Code I21.4
Would it be less labor intensive for collectors to be able to use these codes instead of MI codes dependent upon development (or not) of Q waves as this is problematic to determine. Thank you, Pamela Piche 07:49, 2024 April 5 (CDT)
| 2024-04-05 8:10:42 PM |
| STB ICUs VAP Rate, CLIBSI Rate Summary |
| 2024-04-08 4:27:53 PM |
Also see Task Team Meeting - Rolling Agenda and Minutes 2022
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ICU Database Task Group Meeting – Jan 11, 2023
Copied here as starting point for 2023, please edit/overwrite
- Present: Allan, Gail, Julie, Michelle, Mindy, Stephanie, Tina, Val, Pagasa, Mailah
- Minutes prepared by: AG
- Action items in BOLD
1. Transition to Database Server#Shared Health - Nothing new about either of the possible alternative options for hosting the database.
2. Controlling Dx Type for ICD10 codes - Regarding the task to improve data collector diagnosis assignment into the 3 "bins" of admission diagnosis, acquired diagnosis and comorbid diagnosis.
- Lisa indicated that for a first pass on this, she will distribute all the codes among all the collectors.
3. New item: Clarification of Pulmonary emphysema or bullous disease without COPD. Allan modified this Wiki entry to make it clearer.
4. New item: Regarding the code Sudden cardiac death (and died)
- After discussion we recognized that we have no need to specifically code patients' cause of death. We know it occurred by virtue of the Dispo field. Thus we agreed to remove this item from the list of ICD-10 codes, and to have Julie go into all records where it has been recorded and remove it. Allan modified the Wiki page also.
5. New question: It was noticed that an error occurs if a diagnosis of Influenza is recorded (which is an implied bug) and one attempts to combine it with a Nosocomial problem code. Tina will fix this.
6. Followup item from long ago: Seeking to get ABGs at Grace Hospital to be included in the Lab Info System (LIS).
- The last time we tried for this, in 2015, the resp therapy group at Grace was not interested in being required to manually logging this information into LIS, as IS done at HSC and St. B.
- We think they may be more open to it now -- so today Allan emailed Heather Smith, asking her to raise it with them.
- If they indeed are willing, Allan will talk to Dr. Soroko about getting it implemented.
7. Uncertainty of when/how to use Complication of labor and delivery, NOS
- As our database is only for adult patients, this code should not be used to indicate such a complication for a newborn. For example: During hospitalization, such a complication occurs, but it only affects the newborn and has no medical consequence for the mother --- here this code should not be used.
- Of course, for some such complications when the newborn with a complication becomes an adult, that problem persists, e.g. Fetal Alcohol Syndrome. If that adult is then admitted, it is the Fetal Alcohol Syndrome that should be included as a Comorbid Diagnoses -- again you would NOT code Complication of labor and delivery, NOS.
- The only time Complication of labor and delivery, NOS would be coded is when the mother incurs that complication herself, AND there is not a more specific code for the complication she incurred.
8. Next Task meeting January 11, 2023 at 11 am
2022...
Also see Task Team Meeting - Rolling Agenda and Minutes 2022