Adverse Drug Event (ADE) Anti-Coagulant Usage - OPTION #2 Measure Definition Sheet
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1 Adverse Drug Event (ADE) Anti-Coagulant Usage - OPTION #2 Measure Definition Sheet Data Definition Percent of International Normalized Ratio (INR) Greater Than 5 Numerator: Total number of INR >5 readings. Denominator: Total number of INR readings. Data Submission 1. Input data into the WSHA Quality Benchmarking System (QBS) at the following link. Current users may log in with their QBS credentials. If you need access to QBS, contact Decision Support at decisionsupport@wsha.org. 2. Baseline data: Two quarters in 2013 will be used for baseline data. Enter monthly data starting with July 1 st, 2013 data. Submit to QBS by March 15 th, Ongoing: Monthly data to be submitted to QBS by 45 days after the end of the prior month. Data Month Submit By Data Month Submit By January March 15 th July September 15 th February April 15 th August October 15 th March May 15 th September November 15 th April June 15 th October December 15 th May July 15 th November January 15 th June August 15 th December February 15 th Inclusion Criteria Patients who are admitted to hospital bed, regardless of status (e.g. include observation, rehab and swing bed patients). Exclusion Criteria 1. Exclude Emergency Department readings 2. Exclude all patients with liver failure diagnosis. (See excluded diagnoses listed below). This exclusion is optional for facilities that have a limited population of these patients. 3. Exclude patients given argatroban. Page 1 of 5 Revised: July 2015
2 Opioid Exclusion Codes: ICD Diagnosis Code Crosswalk Mapping ICD-9 ICD-9 Description ICD-10 ICD-10 Description Viral hepatitis A with B15.00 Hepatitis A with Viral hepatitis A without mention of B15.90 Hepatitis A without Acute hepatitis C with B17.11 Acute hepatitis C with Hepatitis delta without mention of active hepatitis B disease with B17.00 Acute delta-(super) infection of hepatitis B carrier Hepatitis E with B17.20 Acute hepatitis E Chronic hepatitis C with B18.20 Chronic viral hepatitis C Other specified viral hepatitis with B17.80 Other specified acute viral hepatitis Unspecified viral hepatitis with hepatic B19.00 Unspecified viral hepatitis with hepatic Unspecified viral hepatitis C without B19.20 Unspecified viral hepatitis C without Unspecified viral hepatitis C with B19.21 Unspecified viral hepatitis C with Viral hepatitis B with, acute or unspecified, without mention of B16.20 Acute hepatitis B without delta-agent with hepatitis delta B19.11 Unspecified viral hepatitis B with Viral hepatitis B with, B16.00 Acute hepatitis B with delta-agent with acute or unspecified, with hepatitis delta Viral hepatitis B with, chronic, without mention of hepatitis delta Viral hepatitis B with, chronic, with hepatitis delta Unspecified viral hepatitis without mention of Viral hepatitis B without mention of, acute or unspecified, without mention of Viral hepatitis B without mention of, acute or unspecified, with hepatitis delta Viral hepatitis B without mention of, chronic, without mention of hepatitis delta Viral hepatitis B without mention of, chronic, with hepatitis delta B18.10 Chronic viral hepatitis B without deltaagent B18.00 Chronic viral hepatitis B with deltaagent B19.90 Unspecified viral hepatitis without B16.90 Acute hepatitis B w/o delta-agent and without B19.10 Unspecified viral hepatitis B without B16.10 Acute hepatitis B with delta-agent without B18.10 Chronic viral hepatitis B without deltaagent B18.00 Chronic viral hepatitis B with deltaagent Page 2 of 5 Revised: July 2015
3 ICD-9 ICD-9 Description Acute hepatitis C without mention of Hepatitis delta without mention of active hep B disease or Hepatitis E without mention of hepatic Chronic hepatitis C without mention of Other specified viral hepatitis without mention of ICD-10 ICD-10 Description B17.10 Acute hepatitis C without B17.00 Acute delta (super) infection of hepatitis B carrier B17.20 Acute hepatitis E B18.20 Chronic viral hepatitis C B17.80 Other specified acute viral hepatitis B18.80 Other chronic viral hepatitis B18.90 Chronic viral hepatitis, unspecified Hepatic flexure C183 Malignant neoplasm of hepatic flexure Transverse colon C18.4 Malignant neoplasm of transverse colon Descending colon C18.6 Malignant neoplasm of descending colon Sigmoid colon C18.7 Malignant neoplasm of sigmoid colon Cecum C18.04 Malignant neoplasm of cecum Appendix C18.1 Malignant neoplasm of appendix Splenic flexure C18.5 Malignant neoplasm of splenic flexure Other specified sites of large intestine C18.8 Malignant neoplasm of overlapping sites of colon Colon, unspecified C18.9 Malignant neoplasm of colon, unspecified Liver, primary C22.0 Liver cell carcinoma C22.2 Hepatoblastoma C22.7 Other specified carcinomas of liver C22.8 Malignant neoplasm of liver, primary, unspecified as to type Intrahepatic bile ducts C22.1 Intrahepatic bile duct carcinoma Liver, not specified as primary or secondary C22.9 Malig neoplasm of liver, not specified as primary or secondary Secondary malignant neoplasm of liver C78.7 Secondary malig neoplasm of liver and intrahepatic bile duct Benign neoplasm of liver and biliary D13.4 Benign neoplasm of liver passages Carcinoma in situ of liver and biliary system D01.5 Carcinoma in situ of liver, gallbladder and bile ducts Neoplasm of uncertain behavior of liver and biliary passages D37.6 Neoplasm of uncertain behavior of liver, GB & bile duct Antiphospholipid Antibody Syndrome D68.51 Activated protein C resistance D68.52 Prothrombin gene mutation D68.59 Other primary thrombophilia D68.61 Antiphospholipid syndrome D68.62 Lupus anticoagulant syndrome Page 3 of 5 Revised: July 2015
4 ICD-9 ICD-9 Description ICD-10 ICD-10 Description 570 Acute and subacute necrosis of liver K72.00 Acute and subacute hepatic failure without Alcoholic fatty liver K70.0 Alcoholic fatty liver Acute alcoholic hepatitis K70.10 Alcoholic hepatitis without ascites Alcoholic cirrhosis of liver K70.30 Alcoholic cirrhosis of liver without ascites Alcoholic liver damage, unspecified K70.9 Alcoholic liver disease, unspecified Chronic hepatitis, unspecified K73.9 Chronic hepatitis, unspecified Chronic persistent hepatitis K73.0 Chronic persistent hepatitis, not classified Autoimmune hepatitis K75.4 Autoimmune hepatitis Other K73.2 Chronic active hepatitis, not classified Cirrhosis of liver without mention of alcohol K74.0 Hepatic fibrosis K74.60 Unspecified cirrhosis of liver K74.69 Other cirrhosis of liver Biliary cirrhosis K74.3 Primary biliary cirrhosis K74.4 Secondary biliary cirrhosis K74.5 Biliary cirrhosis, unspecified Other chronic nonalcoholic liver disease K76.0 Fatty (change of) liver, not classified Unspecified chronic liver disease K74.1 Hepatic sclerosis without mention of alcohol K76.9 Liver disease, unspecified Hepatic encephalopathy K72.90 Hepatic failure, unspecified without K72.91 Hepatic failure, unspecified with Portal hypertension K76.6 Portal hypertension Hepatorenal syndrome K76.7 Hepatorenal syndrome Other sequelae of chronic liver disease K72.10 Chronic hepatic failure without K72.90 Hepatic failure, unspecified without Chronic passive congestion of liver K76.1 Chronic passive congestion of liver Hepatitis in viral diseases classified K77 Liver disorders in diseases classified Hepatitis in other infectious diseases classified K77 Liver disorders in diseases classified Hepatitis, unspecified, toxic (noninfectious) hepatitis K71.6 Toxic liver disease with hepatitis, not classified Hepatic infarction K76.3 Infarction of liver Hepatopulmonary syndrome K76.81 Hepatopulmonary syndrome Other specified disorders of liver, K76.1 Chronic passive congestion of liver hepatoptosis K76.89 Other specified diseases of liver Unspecific disorder of liver K76.9 Liver disease, unspecified Poisoning by anticoagulant T45.11A Poisoning by anticoagulants, accidental, initial Page 4 of 5 Revised: July 2015
5 Page 5 of 5 Revised: July 2015
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