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🌱 Answer: All patients should have Long Term Outcomes entered. If the patient has a non-burn injury such as friction/ road rash, you should complete the data point.
🤔 Question: A was patient admitted to burn service for a burn injury, but surgery is done by another service (i.e. hand surgery done by the hand surgery service) and then at the time of discharge they follow-up in the same hospital system, but not burn clinic - would this be lost to follow up or follow-up complete?
🌱 Answer: If the patient is discharged from the Burn Service and does not follow up in the Burn Service clinic but still need burn follow up, then they are Lost to Follow Up. If the patient is discharged and it is determined by the burn service that they no longer require any burn follow up, then their Follow up is Complete. You may need to ask you burn team which selection is appropriate.
🤔 Question: What if patient died during their hospital stay and won't have LTO? Ok to leave screens blank?
🌱 Answer: Yes, you should not enter LTOs on any patient that died as an inpatient.
Date of 95% Wound Closure
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🌱 Answer: No, this field is only required for burn patients. The next update of the Data Dictionary will reflect this but for the time being, only record this information for burn patients and click "Not applicable" for patient with inhalation injury or non-burn patients.
🤔 Question: On data dictionary page for 95% wound closure (page 147), it gives us the field value of "Not known/Not recorded" but that option is not available in BCQP. I only see a date field or Not applicable. What do we use in BCQP for Not known/Not recorded?
🌱 Answer: For now, just leave it blank. We will discuss this with BData.
🤔 Question: If you have a patient that was discharged and will follow up at another burn center closer to their home, what should you document for the LTO - Closure and Procedures tab for: Date of 95% wound closure? - Not applicable since they aren't following in your burn center? and Follow-status? - Lost to follow up?
🌱 Answer: You should leave the 95% wound closure field blank, if the wound was not 95% closed at your facility, either before they were discharged or after if you are seeing them in your clinic. You would select "Lost to Follow Up" for follow up status.
Outpatient Follow Up Status
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🌱 Answer: Long Term Outcomes are collected for 12 months from the time of the patient's initial discharge.
🤔 Question: What should be entered when a patient that has an inhalation injury is discharged and does not require any follow up in the burn clinic? Would it be "follow up complete" even though they did not have any follow up? What about when their follow up is with their PCP?
🌱 Answer: Yes, it would be Follow Up Complete because, from the Burn Center's point of view, the patient does not require any further follow up for their burn. If they do require follow up for their burn, but this is referred to their PCP, enter Lost to Follow Up.
Operative or Outpatient Procedure Date
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🌱 Answer: Record every outpatient visit for the first 12 months post-discharge.
🤔 Question: What should be entered for clinic evaluations on patients that come into the clinic daily for dressing changes?
🌱 Answer: The decision about which clinic visits to enter is up to the burn center. If the patient is coming in daily for dressing changes, you may decide to only enter a weekly clinic visit to capture how the patient is doing. The intent here is to obtain long term follow up data on those variables in the clinic evaluation section, and if the data is not changing from daily visit to daily visit, you may decide not to enter each daily visit.
Patient has Return to Pre-Burn Injury Activities
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