Percutaneous Large Bowel Procedures Cohort

The Percutaneous Large Bowel Procedures Cohort includes all encounters with an MS-DRG for Major Small and Large Bowel Procedures, Rectal Resection, or Anal and Stomal Procedures with at least one percutaneous large bowel procedure code.

To leverage this cohort:

  • Profile filters: In the Profile Editor, add the cohort as a profile filter. With this option, you can further customize the profile with additional filters.
  • Statistical Process Control: Add a Statistical Process Control section to a scorecard and select the cohort from the dropdown. Within this section, the cohort is not customizable and must be used as-is. When drilling into a chart in the SPC section, you can select to create a profile of the encounters you're drilling into so you can analyze and customize further.

Cohort inclusions

To be included in this cohort, encounter must be grouped into MS-DRG 329, 330, or 331 (Major Small and Large Bowel Procedures); 332, 333, or 334 (Rectal Resection); or 347,348, or 349 (Anal and Stomal Procedures) and have at least one percutaneous large bowel procedure code (one of: 0D1H3J4, 0D1H474, 0D1H47H, 0D1H47K, 0D1H47L, 0D1H47M, 0D1H47N, 0D1H47P, 0D1H4J4, 0D1H4JH, 0D1H4JK, 0D1H4JL, 0D1H4JM, 0D1H4JN, 0D1H4JP, 0D1H4K4, 0D1H4KH, 0D1H4KK, 0D1H4KL, 0D1H4KM, 0D1H4KN, 0D1H4KP, 0D1H4Z4, 0D1H4ZH, 0D1H4ZK, 0D1H4ZL, 0D1H4ZM, 0D1H4ZN, 0D1H4ZP, 0D1H874, 0D1H87H, 0D1H87K, 0D1H87L, 0D1H87M, 0D1H87N, 0D1H87P, 0D1H8J4, 0D1H8JH, 0D1H8JK, 0D1H8JL, 0D1H8JM, 0D1H8JN, 0D1H8JP, 0D1H8K4, 0D1H8KH, 0D1H8KK, 0D1H8KL, 0D1H8KM, 0D1H8KN, 0D1H8KP, 0D1H8Z4, 0D1H8ZH, 0D1H8ZK, 0D1H8ZL, 0D1H8ZM, 0D1H8ZN, 0D1H8ZP, 0DBE7ZZ, 0DBF7ZZ, 0DBG7ZZ, 0DBH7ZZ, 0DBK7ZZ, 0DBL7ZZ, 0DBM7ZZ, 0DBN7ZZ, 0DBP3ZZ, 0DBP4ZZ, 0DBP7ZZ, 0DBQ3ZZ, 0DBQ4ZZ, 0DBQ7ZZ, 0DBQ8ZZ, 0DBQXZZ, 0DHQ3LZ, 0DHQ4LZ, 0DPQ3LZ, 0DPQ4LZ, 0DPQ7LZ, 0DPQ8LZ, 0DTP4ZZ, 0DTP7ZZ, 0DTP8ZZ, 0DWQ3LZ, 0DWQ4LZ, 0DWQ7LZ, 0DWQ8LZ).

Cohort exclusions

  • Encounters transferred in, transferred out, or discharged Against Medical Advice (AMA) are excluded from this cohort (Admit sources 4, 7; discharge dispositions 2, 7, 43, 82, 88).
  • Encounters included in either small bowel procedure cohort defined below are also excluded. Small bowel procedures tend to be associated with more severe encounters in our data, so encounters with procedures on both areas are more appropriately associated with the small bowel procedure cohort.

Statistical Process Control (SPC) measures

The following measures pertain to this cohort in the Statistical Process Control section of scorecards.

Key measures

  • Length of Stay (LOS)
  • 1 to 30 Day Readmission Rate Forward
  • Charges - Operating Room and Labor & Delivery

Adverse events

These measures flag the encounter if the condition is present. The adverse events are aggregated in the Adverse Event bar chart.

  • Any PSI
  • Any HAC
  • Usage - Blood Use
  • Usage - ICU
  • AMI within 7 days of index admission
  • Pneumonia within 7 days of index admission
  • Sepsis within 7 days of index admission
  • Surgical site bleed within 30 days of index admission
  • Pulmonary embolism within 30 days of index admission
  • Mortality within 30 days of admission
  • Unexplained Cardiac Arrest
  • Reaction to Anesthesia