Team Meeting November 29, 2018

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Team Meeting

  • Date: Thursday Nov 29, 2018
  • TIME: 1245-1445 hours
  • Place: HSC-John Buhler Research Center Conference Room - JB718
See second map on HSC site Map.

Agenda

Please add what you would like to bring to team meeting.

  • DB Program 30 years old - service milestones - drinks & treats
  • team photo
  • Notes field in CCMDB and use - leaving DATE left off for others that are covering. Consistent practice needed.
  • ICD/CCI Jan 1.19 - transition plans
  • Reviewing some basic ICD10 coding guidelines, using a sample patientMlagadi 08:14, 2018 October 25 (CDT)
    • staff will need submit some examples in advance of meeting.
  • Update on program and staffing changes (ie. VIC "closure", reassignments, vacancies, etc.)
  • Plan to manage data collection position vacancies
  • Discuss change log and new roll outs.

Template:Discussion

  • Where are or to whom are the examples suggested above supposed to be submitted to?
    • on this page. You would have to be prepared before meeting how you coded example yourself.
      • I think we should only have one, possibly two examples, and work through them from start to finish. If we have more than this, we won't be able to get through them, and we will have wasted our time creating and working on them. Could we come up with one scenario for every team meeting? My thought was that everyone could look at the example and think through which codes they would use, and how they would code the CCI's. That way, we are all prepared at the meeting, and our specific questions could be answered. Mlagadi 12:40, 2018 November 14 (CST)
  • Cunningham's Law

ICU/CCI - sample scenerio

Scenario 1: A 43 year old patient comes is admitted with a creatinine of 2000. They have not been to the doctor for years, but they have most likely had pre-existing kidney disease, possibly secondary to a non-proliferative glomerular nephritis. The patient has a hgb of 95, and is exhibiting tremors. Past history includes hypertension and a smoking history. A CXR done in ER shows pulmonary edema. Studies include: CXR in ER, and one done 2 days after admission. On the ward (same day of admit), the patient had an IJ vasc cath placed. The patient had a KUB ultrasound 1 day post admit, and had a tunnelled dialysis line placed 4 days after they arrived on the ward. They received dialysis on day 2 and 4 of their admission. Mlagadi 12:50, 2018 November 14 (CST)

Scenario 2 (if you want it): Patient example for ICD 10 and CCI: Mr. V. came from PA after undergoing an emergent repair of a perforated stomach and duodenal ulcer. The reason for admission to the ICU was hypotension requiring pressors. He has a history of hypertension and dysphagia. The patient was not ventilated and the lactate was normal, his creatinine and other parameters were normal. The patient required vasopressin and levophed infusions to maintain his BP. No cultures were sent on this patient. He had 1 ABG on N12 and 2 ABG’s on N11. He had 1 CXR on N11 and required 4 units of albumin on N11. --LKolesar 11:39, 2018 November 15 (CST)

Next Meeting

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