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Configuring Diagnoses

Note: Your Staff Manager configuration may not include this optional application. To add this application to your configuration, contact your Clinical Consultant or Client Advocate.

Criteria-Based Library patterns can use diagnoses. You can assign diagnoses to DRG patterns (either Standard or Custom), or you can configure a Non-DRG pattern using one or more ICD codes, diagnoses, or admit reasons.

Diagnoses are facility-specific. Whether you need to configure diagnoses depends on whether your organization sends diagnoses to Patient Progress Manager in the Registration import. The amount of time you spend configuring diagnoses depends on whether your organization uses and sends higher ranking criteria to Staff Manager. The hierarchy for assigning patterns is DRG, ICD, Diagnosis, and Admit Reason, with the default being location-based pattern assignment.

The Diagnosis Definition Editor page displays diagnoses descriptions, the class, and current pattern assignment in alphabetic order; however, you can also sort by any column by clicking the column heading. You can also hide diagnoses; the page displays these diagnoses in strikethrough text: This is strikethrough text.

Normally, Patient Progress Manager imports diagnoses during the Demand Manager implementation process. This topic covers the steps needed to make any manual adjustments to diagnoses.

Finding a Diagnosis

Before adding a diagnosis description, you should make sure it does not already exist in the application.

1. From the Configure menu, select Demand Manager > Diagnoses. This opens the Diagnosis Definition Editor page.
2. In organizations with multiple facilities, the page displays a Facilities list in the Navigation pane. If so, select a facility from the menu.
3. Enter a description in the Navigation pane. You can enter the whole diagnosis or any part of it. For example, you could enter Pneumonia or just pneu. The search is not case-sensitive.
4. Click Go.

The page refreshes to show any diagnoses containing your search criteria, up to a maximum of 100 entries. If there are more than 100 entries, the page displays the message First 100 results returned. Narrow your search and click Go again.

If the search returns no results, you can add the diagnosis as described in the following section Adding a Diagnosis.

Adding a Diagnosis

Complete the following steps to add a diagnosis:

1. From the Configure menu, select Demand Manager > Diagnoses. This opens the Diagnosis Definition Editor page. The page is blank by default.
2. In organizations with multiple facilities, the page displays a Facilities list in the Navigation pane. If so, select a facility from the menu.
3. Click Add. A blank row opens in the Diagnoses table.
4. Enter a description.
5. Select a class. Available options are D (for Diagnosis) and P (for Procedure).
6. Click Save.

There cannot be duplicate diagnoses. If your diagnosis already exists in the application, Staff Manager highlights the Description box in red and prompts you to correct the entry.

Editing a Diagnosis

You can edit diagnosis information on the Diagnosis Definition Editor page if the diagnosis is not being used by a Library Pattern that has been assigned to a patient. You cannot assign a diagnosis to a pattern on this page, however; you should go instead to the Progress Patterns page to assign diagnoses to a pattern.

Complete the following steps to edit a diagnosis:

1. From the Configure menu, select Demand Manager > Diagnoses. This opens the Diagnosis Definition Editor page. The page is blank by default.
2. In organizations with multiple facilities, the page displays a Facilities list in the Navigation pane. If so, select a facility from the menu.
3. Find the diagnosis as described in the preceding section Finding a Diagnosis.
4. Made your changes to the diagnosis information. If you cannot edit the diagnosis, the box and its Class are unavailable.
5. Click Save.

Deleting a Diagnosis

You cannot delete a diagnosis if the following conditions apply.

• The diagnosis is currently assigned to a progress pattern. You would need to first remove the diagnosis from the progress pattern before deleting it.
• The diagnosis was assigned to a progress pattern and that pattern was used by a patient.
• The diagnosis was assigned to a patient encounter at any time.

The Delete icon is marked with a red X if a diagnosis cannot be deleted.

While certain diagnoses cannot be deleted, you can hide them. Hiding a diagnosis prevents it from being associated with future patterns. See the following section Hiding a Diagnosis.

If the diagnosis does not fall into one of those three categories, and you want to remove it from the Progress Pattern page available selections, you can delete it using the following steps.

1. From the Configure menu, select Demand Manager and click Diagnoses. This opens the Diagnosis Definition Editor page. The page is blank by default.
2. In organizations with multiple facilities, the page displays a Facilities list in the Navigation pane. If so, select a facility from the menu.
3. Find the diagnosis as described in the preceding section Finding a Diagnosis.
4. Click the Delete icon in the desired diagnosis row. This opens a confirmation pop-up window.
5. Click OK to confirm the deletion.
6. Click Save.

Hiding a Diagnosis

Hiding a diagnosis keeps it from being displayed as available on the Progress Pattern page and prevents it from being associated with future patterns. You should note, however, that hiding a diagnosis does not remove it from a current pattern. Staff Manager displays hidden diagnoses in strikethrough text.

Complete the following steps to hide a diagnosis:

1. From the Configure menu, select Demand Manager > Diagnoses. This opens the Diagnosis Definition Editor page. The page is blank by default.
2. In organizations with multiple facilities, the page displays a Facilities list in the Navigation pane. If so, select a facility from the menu.
3. Find the diagnosis as described in the preceding section Finding a Diagnosis.
4. Select the Hide box in the diagnosis row. The page refreshes to show the diagnosis in strikethrough text and the backgrounds of its associated options turn gray.
5. Click Save.

You can click Reset to undo any edits made since you last saved the configuration.

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