Sepsis Coding
SIRS + Localized Infection
What is sepsis criteria?
This company worked to create APR DRGS.
Who is 3M?
Hoag applies this data set rules for reporting secondary and/or other diagnoses.
What is UHDDS?
This system is being piloted by Hoag to help prevent pressure ulcers.
What is Leaf?
Lasix
What is fluid overload, CHF, etc.
Sepsis, UTI, Renal Failure
What is severe sepsis with organ failure?
314
What is the number of base DRGs?
This condition can be reported if documented when a patient becomes symptomatic, has had blood loss and an order is placed for iron supplementation.
What is acute blood loss anemia?
True or False? Acute respiratory failure with a POA indicator of No, will not fall into PSI 11 unless it is documented as "post-operative".
What is false?
Nifedipine
What is hypertension?
(or angina)
The number of codes need to code severe sepsis?
What is 3?
(Sepsis code, localized infection code, severe sepsis code)
1258
What is the number of APR DRGs/ (314 base DRGs x 4 sub classes + 2 error DRGs)
One of these indicators would support a query to a physician to clarify post-operative ileus.
What is re-insertion for NG tube OR KUB OR dietary changes OR absence of bowel sounds for 48 hours or documentation by the physician "awaiting restoration of bowel function" more than 48 hours cooperatively?
Hoag closely monitors all PSI 90 indicators, but of those monitored this is the number of PSI indicator most closely monitored.
What is 11?
Zosyn for a respiratory condition
What is aspiration pneumonia?
I must be coded first if sepsis is due to a device.
What is a complication code?
Unlike MS-DRGs, this is also taken into consideration when calculating an APR DRG.
What is birth weight?
True or false? A possible/probable diagnosis MUST be listed on the discharge summary before it can be reported.
What is false? It may be documented on any physician progress notes on the day of discharge.
This is the number of PSIs reported to Leapfrog, US News & World Report, BPCI AND VBP/HAC.
What is 2?
Tamsulosin (Flomax)
What is urinary retention?
The principal diagnosis for a patient with sepsis due to influenza.
This college created DRG methodology.
What is Yale?
(Yale School of Management and Yale School of Public Health)
A patient is diagnosed with acute respiratory failure. Clinical indicators note the patient is on 90% on RA and able to speak full sentences. Name the type of query that would be issued.
What is lack of clinical indicators?
When a practitioner documents a diagnosis that does not appear to be supported by the clinical indicators in the health record, it is currently advised that a query be generated to address the conflict.
A pressure ulcer, stage II, POA progresses to a level III during the admission. These codes should be reported with these POA indicators.
What is a pressure ulcer stage II POA Y and pressure ulcer stage III POA N?
What is shock?