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Les outils de suivi ( Phedon Tahintzi, CHUV)

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500 jours plus tard: les DRG, contrainte ou opportunité?
Conférence du 27 juin 2013
Organisé par Paianet & Hôpitaux Universitaires de Genève (HUG)

Intervention:
Retours d’expérience d’équipes de codage et d’experts médico-économiques
Les outils de suivi

Phedon Tahintzi
CHUV

Published in: Health & Medicine
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Les outils de suivi ( Phedon Tahintzi, CHUV)

  1. 1. Etre les premiers pour vous 500 jours plus tard: DRG, contrainte ou opportunité? Conférence aux HUG – Genève 27 juin 2013 Outils de suivi Phedon Tahintzi Adjoint à la direction CAM
  2. 2.  Listes séjours « spéciaux » venant des services/ cliniciens  Contrôles ciblés  Aide de l’informatique Différents moyens: 2500 jours plus tard: DRG, contrainte ou opportunité?
  3. 3.  Défibrillateurs/ pace-makers/ valves  Neuromonitoring  Greffes de peau issu de culture cellules souches  Neuroréeducation Divers listes venant des services/ cliniciens : 3500 jours plus tard: DRG, contrainte ou opportunité?
  4. 4.  Selon codeurs  Durée de séjour plus grand que la durée de séjour moyen du DRG  Codes sans précision  Nouveaux codes : hyperthermie lors de cancer 50.29.12 Destruction percutanée de lésion du foie par thermothérapie 99.85 Hyperthermie pour traitement de cancer Autres hyperthermies adjuvantes par micro-onde ,ultrason, basse fréquence radio, sonde intersticielle, pour traitement du cancer Contrôles ciblés 1 4500 jours plus tard: DRG, contrainte ou opportunité?
  5. 5.  SAPS dans les unités qui ne sont pas calculés  Codes de déficience de facteurs de coagulation codes CHOP  N18.5 et dialyse  Ttt complexe diabète selon durée de séjour DRG K60C  Passage au stroke unit sans code ttt complexe d’AVC/AIT la durée du passage  Ponction transseptale lors Ablation de tissu du coeur (cryoablation) (électrocoagulation) (laser) (microondes) (radiofréquence) (résection), par cathéter périphérique Contrôles ciblés 2 5500 jours plus tard: DRG, contrainte ou opportunité?
  6. 6.  Passage en salle avec DRG type médical  Age et code complexe médecine intensive  Prestation de dialyse sans code de dialysé  Transfusion et anémie  Infection sans germe Aide de l’informatique 6500 jours plus tard: DRG, contrainte ou opportunité?
  7. 7. 7500 jours plus tard: DRG, contrainte ou opportunité? Merci de votre attention

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