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Published byMarvin O’Connor’ Modified over 9 years ago
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BC SCR CALL DECEMBER 2011
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Outline Updates - What is you biggest challenge at this time? Providence Health – Data Automation Online Community at BCPSQC Website CPT Codes BC NSQIP Timeline and Important Dates
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Updates: (1-2 minutes per site) When did you start your ramp-up? What is your biggest challenge at this time?
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Providence Health Authority’s Data Automation and Data Quality Control Strategies - Paul Smith, Clinical Care Analyst
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PHC Automated NSQIP Data Our Team Lisa Toback Paul Smith Julie Pichur Meghan Macleod Also Starring….. Karl Newholm & Bruce Nicholson Decision Support Team
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Overview Background & Context Where we where & where we are now Our Current Strategies (What we can do) Use of the database – OR Log & Crosswalk Worksheets & Call Sheets Uploading & Data Cleaning Our Strategies for the Future Q & A Session
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Background & Context: Where we were: – Spending on average 1.5 days each SCR to – Collate OR Log – Choose Cases – Writing up Worksheets & Telephone Scripts – Entering basic Information into NSQIP Workstation – Only at the beginning of data cleaning – We were behind about 6 to 7 cycles – All charts available electronically (We are 2 sites collecting 80 cases per cycle with 2.5 SCRs)
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Where we wanted to be Spend far less time on paperwork & more time collecting the data and analysis Catch up with our cycles Enable a long-term robust system for data collecting and processing Begin a journey for paperless environment Spend far less time on paperwork & more time collecting the data and analysis Catch up with our cycles Enable a long-term robust system for data collecting and processing Begin a journey for paperless environment
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How did we get there? Facilitation from Leader of Decision Support Team– Karl Newholm Karl’s insight for data automation Karl brought Bruce Nicholson to us to collaborate for data automation Bruce developed our database with automation features based on OUR needs Built-in capacity for future needs
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Main Page
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Operating Log
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Uploading Data to NSQIP Workstation
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Filtering the Data
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Worksheet Cover
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Procedure Matching
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Data Cleaning
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The Future Pre – Populated Surgeon Information Letter Draft Written – waiting final approval G.P. Letter similar to Surgeon Letter also Pre - Populated Wait for Provincial letter first Strategies for monitoring errors in Wound Classifications ASA Scores Patient Contact Management
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Questions
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Online Community - Rebecca Brooke
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CPT Code OpenLap Description 44140 44204 Partial ColectomyPartial colectomy Sigmoid Resection Left Hemicolectomy 44160 44205 Right Hemicolectomy Partial colectomy with removal of terminal ileum with ileocolostomy (anastomosis of ileum to colon) Extended Right Hemicolectomy Ileocecectomy Ileocolic Resection 45111--- Anterior Resection Partial resection of rectum transabdominal approach 4414544207 Low Anterior Resection Partial colectomy with low pelvic anastomosis 4413944213 Splenic Flexure take downMobilization of splenic flexure 4414344206 Hartmann’s ResectionPartial colectomy + colostomy + closure of distal segment Common Colorectal CPT Codes:
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CPT Code Tissue Expander 19357 - Breast reconstruction, immediate or delayed, with tissue expander, including subsequent expansion RVU: ~18 Includes Pectoralis Flap If done concurrent with Simple Mastectomy: Add 19303: RVU~15 If done concurrent with Radical Mastectomy Add 19307 : RVU ~19 If done with Pectoralis Flap + Simple Mastectomy Most US coders use 19357+19307 (just because RVU for radical mastectomy is greater than simple mastectomy) BC: use 19303, 19357 and 19499: Unlisted Procedure, Breast
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Books: Pocket Guide to the Operating Room Maxine Goldman ISBN-13: 978-0803600331 $25.00 Netter’s Atlas of Human Anatomy for CPT Coding Second Edition, AMA ISBN#: 978-1-60359-109-6 $71.95
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BC NSQIP Timeline and Important Dates Jan 2012 “Doug’s Challenge” J. Berkowitz on BC SCR Call Online community Feb 2012 Workshop with Kathy Rowell (Feb 8, 2012) Mar 2012 NSQIP’s SAR Release (Jul 2010-Jun 2011 Data) Apr 2012 Submit 2011 Excel Spreadsheet for Data Analysis (April 30, 2012) May 2012 First BC NSQIP Report (Jan-Dec 2011 Data)
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Vacation Cycles
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Q&A
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Happy Holidays!
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