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🌱 Answer: Co-management means that the burn team is doing the actual care, writing orders for the patient related to the wound care, and writing notes related to the care. They may also be doing operative wound procedures on the patient if that is required. If they are only consulting, they may be advising on the wound care but are not actually doing the care or writing the orders for the patient.
🤔 Question: There was a 30yo patient who presented to a burn center emergency department. They were involved in a motor vehicle crash/car fire. They sustained 35% TBSA burns and were treated at another burn center. They had multiple surgeries at that center and were supposed to be discharged to rehab in about a week. Unfortunately, they were unhappy with their care at that facility and left. They presented to our emergency department. Should this patient be included in our Registry?
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🌱 Answer: Please check with the Verification Committee or ABA representative for this information. You can also find some of this in the Verification Guidelines on the American Burn Association website. (: https://ameriburn.org/quality-care/verification/).
🤔 Question: If a trauma patient comes in with multiple injuries and is comanaged by several other services but the Burn Service is consulted for a laceration and repairs the laceration. Should this patient be added to the registry?
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🌱 Answer: The only cases that should be included in the Registry are those where the Burn Service is managing or co-managing the care of the patient. If this patient was solely under the Internal Medicine Service and the Burn Service was not involved in co-managing the care, then no, the patient should not be included. Consults are not considered co-managing.
🤔 Question: Question about entering patients in the registry in the case of patients with wounds. This specific case was a traumatic hematoma that became necrotic. The burn team admitted the patient for outpatient surgery for grafting with clinic follow-up for the acute wound. Should this case be included in the registry?
🌱 Answer: If your burn team is seeing and caring for these patients then, yes, they should be included in your registry as a non-burn case. You should consult with your burn surgeon to determine which type of non-burn injury this should be called if you are not sure.
🤔 Question: A patient was burned with an ankle fracture. He was admitted to the burn unit and then to rehab without leaving facility. The patient came back for a planned surgery for ortho only and then was discharged home within a couple of hours after admit orders written. Do I choose readmission, if so, what is the best choice for admission source/mode of transport? Is this something I even add to the registry since only ortho did the surgery and it’s not the acute phase?
🌱 Answer: If this is strictly an orthopedic surgery admission that has nothing to do with the burn or the burn team, then no, you do not need to enter this as a related admission for the burn case. If it was related to the burn admission, you would enter for Admission Source: “Admissions from burn center outpatient office/clinic” and Transport mode would be “Private/public vehicle/walk-In”.
🤔 Question: Can a “not known” button be added to the demographic page as a whole or do we leave blank if not known (in the case of a John Doe)
🌱 Answer: There are certain data points that do have a Not Know/Not Recorded option. For those that don't, leave them blank.
🤔 Question: When migrating to BCQP there is a patient that was entered into the old registry for his initial admission. He has been readmitted and needs to have his readmission entered in BCQP. How is this readmission to be captured in the new registry?
🌱 Answer: When entering "Admission Type" into BCQP data entry, select "Related admission or readmission" Please see 2023 Data Dictionary page 23. This admission will then be linked to the initial admission entered in your old registry. Feedback from BData noted also: You can either delete the case from your old registry and add freshly to BCQP, or enter in BCQP as a 'Readmission' and make use of Legacy registry case number field.
🤔 Question: Once a patient is discharged and is now Outpatient, should we be documenting any outpatient procedures in the registry? (example: re-grafting, laser, etc.) Or do you track them in an outpatient registry that you might have at your own facility?
🌱 Answer: For patients that are entered initially as acute inpatients, you should enter all readmissions while the wounds are still open (acute patient) as related admissions. Beginning January 2024, Long Term Outcome (LTO) data points were added to the Registry. Operative and Outpatient Procedures after the patient has been discharged should be tracked in the LTO Section.
🤔 Question: A patient was burned with an ankle fracture. He was admitted to the burn unit and then to rehab without leaving the facility. The patient came back for a planned surgery for ortho only and then was discharged home within a couple of hours after admit orders were written. Do I choose readmission? If so, what is the best choice for admission source/mode of transport? Is this something I even add to the registry since only ortho did the surgery, and it’s not the acute phase?
🌱 Answer: If this is strictly an orthopedic surgery admission that has nothing to do with the burn or the burn team, then no, you do not need to enter this as a related admission for the burn case. If it was related to the burn admission, you would enter for Admission Source: “Admissions from burn center outpatient office/clinic,” and Transport mode would be “Private/public vehicle/walk-In.”
🤔 Question: Can a “not known” button be added to the demographic page as a whole or do we leave blank if not known (in the case of a John Doe)
🌱 Answer: There are certain data points that do have a Not Know/Not Recorded option. For those that don't, leave them blank.
🤔 Question: Patients are sometimes admitted for burn scar management. Should these be classified as burn patients or non-burn patients? Additionally, should LTO data be collected for these cases?
🌱 Answer: Patients should not be added to the Burn Registry for burn scar management as an initial admission. If they had been added for treatment of their acute burn wound, then they can be added as a Related Admission. This is being clarified in the 2025 Data Dictionary. “If the initial admission is for reconstructive treatment of an already healed acute burn or non-burn injury, these patients should not be included in the ABA registry.”
🤔 Question: There is a patient who was waiting in the ED to be seen for body aches and occasional chest pain. While she was in the waiting room they went outside to smoke and forgot they had their oxygen on which resulted in a flash burn. They were brought inside and admitted to the renal service with burn service following. Would this patient be included in the burn registry or would you say it happened "in house" and would be excluded?
🌱 Answer: This would be entered as an admission and included in the registry if the patient's burn injury is being cared for by the burn service, regardless of where the patient is located in the hospital. The Admission Date is whenever the burn service started the care. Since the patient was still waiting to be seen for the original complaints and hadn't yet been admitted, the Admission Source would be Direct from the Scene of the Injury. Transport mode would probably be Other, and you can explain this in the Injury Details section.