Course Access
Hi Michael
HISWA aligns with CDC / NHSN SSI definitions and count bilateral
procedures for hip and knee arthroplasty as two separate procedures.
I have attached the link – see page 9-13.
http://www.cdc.gov/nhsn/PDFs/pscManual/9pscSSIcurrent.pdf
Kind regards
Allison
Allison Peterson, RN
Healthcare Associated Infection Surveillance WA
Healthcare Associated Infection Unit (HAIU)
Communicable Disease Control Directorate
Department of Health, WA
________________________________
Behalf Of Michael Wishart
Hi all
Another question on something different at a new employer. This one may
just be me not being up to date, though.
For the purposes of ACHS Infection Control Clinical Indicators 1.1-1.4
(hip and knee prostheses) how many facilities report bilateral
prosthesis procedures as TWO procedures in their denominator (not a
single procedure). ACHS have confirmed to us this is what they expect,
which surprised me a bit.
Since there is a single CMBS / ICD-10 code for bilateral procedures such
as these, I have only ever known reporting these as one procedure, and I
wondered whether other ICP’s are familiar with this ACHS requirement.
Might be worth checking with whoever collates your denominator for these
indicators if you are unsure.
I have to then wonder about coronary artery bypass graft procedures….
does anyone report these by the number of grafts performed, or only as
one procedure regardless of the number of grafts? We didn’t specifically
ask ACHS about this, but looking at the interpretation of ‘procedure’
for hip and knee prostheses, I have to wonder. Ie
“Multiple procedures on an individual patient should be counted
separately (eg hip
prosthesis and knee prosthesis);”
Looking at the way the indicators are worded, note:
“1.1 Total number of hip prothesis procedures performed”
And
“1.5 Total number of coronary artery bypass graft procedures
performed,”
Thanks for any thoughts (including letting me know I am way behind the
times here!).
Cheers
Michael
Michael Wishart
CNC Infection Control
Holy Spirit Northside Private Hospital
627 Rode Road, Chermside, Qld 4032
t: (07) 3326 3068 | f: (07) 3326 3523
w:www.holyspiritnorthside.org.au
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