Patients classification System

tools for
Cost management

tools for
Quality management

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HOSPITAL PLANNING

4  Why to choose US

4  implementation

4  ANECDOTE

4  contact

4  Logic

4  diagnoses

4  procedures

4  inpatients

4  outpatients

4  insurance

4  readmissions

4  reoperations

4  complications

4  deaths

4  length of stay

4  day surgery

4  unjustified stays

Day surgery algorithm

Interventions are considered as eligible for one day surgery if they are performed with an endoscopic or endovascular access, if they are highly invasive on very small organs, minimally invasive or moderately invasive on small organs.

Only procedures with at least incision through the skin or mucous membrane are taken into account.

More details are given below.

The list of procedures’ groups eligible for one day surgery is given here: 4  procedures

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Step 1. Organ supply

Following procedures’ groups require organ supply: heart transplantation (COR4), heart operation with circulatory assistance (COR3), operation on large vessels with circulatory assistance (GVA3), extra corporeal circulation (VAS4), lung transplantation (PUL5), ventilatory support > 96 hours (TRA5), ventilatory support < 96 hours or unspecified (TRA2), kidney transplantation (REN5), liver transplantation (HEP4).

Step 2. Endoscopic or endovascular access

Percutaneous transluminal coronary angioplasty (ARC2), Other minor operation on small vessels (VAS3), Operation on varicose limb veins (VAS2), Cardiac catheterization or angiocardiography (COR1), Coronary angiography or thrombolytic therapy (ARC1), Other arteriography or catherization (VAS1), Endoscopic operation on ureter (URE2), Endoscopic operation on urethra (URT2), Endoscopic operation on bladder (VES2), Endoscopic operation on stomach (STO2), Minor operation on small intestine (INT2), Minor operation on large intestine (INC2), Gastroscopy (STO1), Endoscopic operation on biliary tract (BIL3), Biliary tract endoscopy (BIL2).

Step3. Highly invasive procedures

Procedures are considered highly invasive if they involve the whole organ (resection, anastomosis, amputation, prosthesis, repair for instance). The extensive list of procedures’ categories is given below:

ABD5, ANP2, ANU4, APP2, ARC3, ART3, AUE4, AUE5, BIL2, BIL4, BIL5, BUC3, CAP3, CER3, COL3, COR2, COX4, COX5, CRA2, CRU3, CRU4, CUT3, CUT4, DIA2, DIG3, FAC3, GEN4, GVA2, HEP3, HYP2, INC3, INC4, INT3, INT4, LAR3, LIE2, LYM3, MAM3, MAM4, MAM5, MUS3, NAS4, NER3, OCU3, OES3, ORB2, OVA3, PAN2, PED3, PED4, PEN3, PER2, PHA3, PRO3, PUL2, PUL3, PUL4, REC3, REN4, SCA3, SIN2, SPI3, STO3, STO4, STO5, TES3, THM2, THO2, THR3, TRA4, URE3, URT3, VAG2, VAL2, VAS5, VAS6, VES4, VES5, VUL3.

Step4. Very small organs

Eye structures and fingers

Step 5. Low invasive procedures

Procedures are considered as minimally invasive if they involve only a part of the organ (biopsy, partial excision, incision for instance). The extensive list of procedures0 categories is given below:

Minor operation on anus (ANU3), Thyroid biopsy (THR2), Operation on lymphatic nodes (LYM2), Operation on the blood marrow (SAN2), Excision of knee structures (GEN2), Other arthroscopic operation on knee (GEN3), Minor operation on hand (MAN2), Bone biopsy (OSS2), Incision or excision of the vulva (VUL2), Minor operation on uterus (UTE2), Debridement (CUT2), Minor operation on tegument (CUT1), Minor operation on eyeball (OCU2), Minor operation on posterior chamber (CAP2), Operation on anterior chamber (CAA2), Operation on conjunctiva (CON2), Operation on eyelid (PAL2), Minor operation on larynx (LAR2), Minor operation on mouth (BUC2), Operation of tympan (AUE2), Minor operation on ear (AUE3), Other operation on nose (NAS3), Minor operation on pharynx (PHA2), Operation on tonsil, except resection (TON2), Other operation on teeth (DEN2), Transfusion (SAN1).

Step 6. Small organs

Hand, foot, salivary glands, teeths, nerves, lymph nodes

© SQLape s.ŕ.r.l. and Yves Eggli,  2014,  last update 09.06.2014