No, wasn't done in the ambulance.
We've really had some struggles on the whole PSI thing. We've also had issues with PSI-11, Postoperative Respiratory Failure Rate, and the cases that occur as a result of a code blue situation? An intubation procedure is picked up by coders, and there is NO exclusion for post procedure intubation in respiratory or cardiac arrest.
SETH JEREMY KATZ, MPH, RHIA, FAHIMA Associate Administrator, Information Management (816) 404-3355 | firstname.lastname@example.org
You make great points Lawrence, but where I think the concern comes from is that when looking at a hospital's data set (hospital compare, Vizient, Leapfrog, etc.) and you see HAC's or PSI's or whatever, most people don't look at it and use the same logic that you provided below. They might look at the number and say, "Man they have a lot of hospital acquired conditions, they have poor quality." The aggregate data doesn't really distinguish between HAC's that are expected in the course of treatment and those were a broken process or some level of negligence led to a poor outcome.