Hello JIRA,

We have patients whose PCI procedure are overlapping times with the ED encounter or fall into the Inpatient encounter.

Description of issue:

The specs read:

Within 24 hours before start of ED encounter and during ED encounter:

• Suspected aortic dissection
• Severe neurologic impairment
• Mechanical circulatory assist device placement, including: aortic balloon pump, biventricular assist device, intra-aortic balloon, intra-aortic balloon counterpulsation, intra-aortic counterpulsation balloon pump, left ventricular device, percutaneous ventricular assist device, or ventricular assist device
• Intubation, including endotracheal intubation, mechanical ventilation, nasotracheal intubation, or orotracheal intubation
• Cardiopulmonary arrest, including: cardiac arrest, CPR, defibrillation, respiratory arrest, or ventricular fibrillation (V-fib), ventricular tachycardia (VT), or pulseless electrical activity (PEA); or, traumatic or prolonged (>10 minutes) CPR

The issues here are:

• Balloon pumps are never placed in the ED.
• Cardiac arrest sometimes occurs during the procedure and NOT in the ED.
• Intubation sometimes occurs during the PCI procedure NOT in the ED.

Unless there is clarity here on this timing. Some patients will fall into the ED During timing. Others will fall into the Inpatient timing.  There is no consistency and some patients will be excluded / or fall into denominator only.

Should there be a Start and stop date/ time for PCI procedure in addition to the other date/times?

Thanks Kim