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🌱 Answer: Yes, once bData releases the fields in data entry they can develop reporting. They will follow up with everyone in Spring 2024 so you can see a couple reports they will be adding to our library: 1) To keep track of worklist (ongoing follow up on) and 2) summarizing those metrics and evaluation data.
🤔 Question: Are LTO entered for patients who are admitted or for all burn patients seen in the outpatient clinic at a burn center (therefore including patients who have not and may never be admitted)?
🌱 Answer: Enter LTO only for patients who were originally inpatients and entered in your registry.
🤔 Question: If a patient was an outpatient and was admitted to have a procedure, we are not required to document LTO data for these patients since they were not originally inpatients?
🌱 Answer: If the patient has been entered in your registry, which they would be for an inpatient procedure, then yes, you would enter LTO data on them.
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Operative or Outpatient Procedure Date
🤔 Question: Procedure types- Are pinch grafting, kenalog injections included under Procedure types? Are irrigation and debridement’s excluded under the current definition?
🌱 Answer: Include all incisional procedures and laser procedures. Kenalog injections are not incisional and not included.
🤔 Question: Question: Is ABA defining the onset of PTSD after ASD - our facility refers to ASD as converting to PTSD after 30 days.
🌱 Answer: If the patient has ASD within the 1st 30 days and then continues to have PTSD after 30 days, you will select both of these. Some patients may have one or the other or both.
🤔 Question: Question: For patients who might be repeatedly coming to clinic, is it required that they be reevaluated for symptoms at every clinic visit? If a screening tool at the first clinic visit is used, would questions about mood, or self-disclosure be enough to document presence of ASD/PTSD/Depression?
🌱 Answer: ASD and PTSD must be diagnosed by a medical professional, depression may be either by patient/parent report or medical professional. A screening tool may be used to document depression, but not ASD/PTSD. No, you do not have to do this every visit and if you don’t for a selected visit, select “Not Documented in Outpatient Record”.
Operative or Outpatient Procedure Type
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Operative or Outpatient Facility Location
Date of Outpatient Visit
🤔 Question: Is every LTO visit being recorded for a defined period of time or based on a triggering event?
🌱 Answer: Record every outpatient visit for the first 12 months post-discharge.
Scar Appearance Evaluated
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Patient has Return to Pre-Burn Injury Activities
🤔 Question: When answering if patient has returned to pre-burn injury activities would you select “yes fully” for a situation in which a patient returns to work even if they are in a different vocation? Also, for patients that may not be employed are we correct in assuming that this includes activities, such as school, past times, and general life responsibilities?
🌱 Answer: Yes, that’s correct. Yes, it’s whatever the patient/parent considers fully returned to pre-burn activities.
Presence of Depression
Presence of Post-traumatic Stress Disorder (PTSD)
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Presence of Acute Stress Disorder
🤔 Question: Are we specifically coding for ASD/PTSD/ Depression with onset at or near time of event? Would pre-existing diagnosis be included in this definition?
🌱 Answer: ASD/PTSD/Depression should be recorded regardless of time of onset, so yes, include pre-existing diagnosis.
Presence of Pain
🤔 Question: Which LTO presence of pain option would we choose for the presence of pain for a patient who says they have pain, but are not taking either prescription or over the counter pain medication? They are choosing to just live with what they have, they don't like taking medications, or it doesn't bother them enough to take something.
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