...

🌱 Answer: Not at the present time. Please select “Opioid” and select "Other drug(s)" and specify in the text field.

Report of Physical Abuse

🤔 Question: Physical abuse - In a case where there was suspected abuse, a full police and children and family report was done with documentation and followed through the patient's stay in hospital. It was documented that the case was low risk for abuse. Would you enter physical abuse as yes but then the circumstances of injury entered as accidental since it was later decided that patient was at low risk for abuse?

🌱 Answer: Select Report of Physical Abuse as it is important to note that a report was made to law enforcement and/protective services, regardless of the outcome of the investigation. In the circumstance described, list the Circumstances of Injury as described below but note that this determination needs to be ultimately decided by the treating physician.
BCQP Form: Injury Information; Circumstances/ICD-10
Circumstances of Injury
Suspected assault/abuse – yes
Report of physical abuse – yes
Investigation of physical abuse – yes
Caregiver at discharge – yes or no (depending on who the patient was discharged to)

Circumstances of Injury

🤔 Question: How should abuse should be captured. Some pediatric patients come in with suspicious burns and child protective services (CPS) is called. After CPS investigates, sometimes it's ruled as not abuse and patient goes home with the caregiver that brought them in. In order to get the Report of Abuse fields to open, you have to click on Suspected Assault/Abuse. Is that what should be entered even after the investigation rules out abuse? And if so, does the Primary ICD-10 External Cause Code have to be an abuse code? In other words, does the circumstance of injury have to match the ICD 10 external cause code? This feels like underreporting the number of investigations of abuse, but then if no abuse is found, there will be overreporting abuse cases.

...