NYPORTS UPDATE September 9, 2013 - GNYHA

NYPORTS UPDATE
SEPTEMBER 9, 2013

Amendment to Section 405.8

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 Adoption date; May 29, 2013.
 Adverse Event Reporting, via the New York Patient

Occurrence Reporting and Tracking System
(NYPORTS), has been revised to update current
provisions to conform to current practice.
 Implementation date; July 15, 2013.

NQF/NYPORTS Reporting Guide
Updates

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 Eleven new Sub Codes for Detail Code 913
(Unintended Retention of a Foreign Object) have
been included in the Reporting Guide. When
retained foreign object events are submitted, a Sub
Code is required to be entered on the Short Form.
The Sub Code indicates what type of object was
unintentionally retained. This modification will be
beneficial for purposes of analysis.

4 Code 913 Sub Codes

 CAT Catheter
 DR Drain
 DB Drill Bit
 GW Guidewire
 INS Instrument
 LP Lap Pad
 NE Needle
 SP Sponge
 TO Towel
 VS Vaginal Sponge
 OTH Other

NQF/NYPORTS Reporting Guide
Updates Cont.

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 Five additional Sub Codes for Detail Code 915
(Death or Serious Injury) have been included in the
Reporting Guide. These Sub Codes are consistent
with the National Quality Forum (NQF) Serious
Reportable Event definitions, as well as New York
State Statutory language.

Code 915 Sub Codes

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 BIO: Biologic Specimen
Death or serious injury resulting from the
irretrievable loss of an irreplaceable biologic
specimen.

 LPR: Lab, Pathology, Radiology
Death or serious injury associated from failure to
follow-up or communicate lab, pathology, or
radiology test results.

Code 915 Sub Codes Cont.

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 MRI: Magnetic Resonance Imaging
Death or serious injury of patient or staff associated
with the introduction of a metallic object into the
MRI area.

 PHL: PHL 2805-l
Death or serious injury in circumstances other than
those related to the natural course of illness,
disease, or proper treatment in accordance with
generally accepted medical standards.

Code 915 Sub Codes Cont.

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 RES: Restraints, Bedrails
Death or serious injury associated with the use of
physical restraints or bedrails while being cared for
in a healthcare setting.

Additional Updates

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 Definition of when “surgery ends” has been revised:
 Previous definition: “……after counts have concluded, the surgical

incision has been closed and/or operative devices such as probes have
been removed, regardless of the setting…..”

 Current definition: “…….after all incisions or procedural access routes
have been closed in their entirety, device(s) such as probes or instruments
have been removed, and, if relevant, final surgical counts confirming
accuracy of counts and resolving any discrepancies have concluded and
the patient has been taken from the operating room.”

Additional Updates Cont.

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 915 MAT

Maternal death or serious injury associated with labor or delivery while
being cared for in a healthcare setting.

Revision to the Implementation Guidance in the Reporting Guide:

 Events that occur within 42 days post-delivery.
The facility’s obligation is to report the event when it is made aware
of a maternal death or serious injury, either by re-admittance, or by
notification of the patient/patient’s representative.
If the inpatient admission is to other than the birth setting, please
contact DOH NYPORTS Coordinator.

Additional Updates Cont.

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 Code 701

Patient or staff death or serious injury associated with a burn incurred from
any source in the course of a patient care process in a healthcare setting.

Revisions to the Implementation Guidance in the Reporting Guide:

 Burns caused by heat, chemicals (including extravasation), electricity,
radiation, or gases.

 To be consistent with the definitions of “serious” and “injury” in the
NYPORTS Glossary, the following statement has been removed from the
Implementation Guidance language in the Reporting Guide:
2nd or 3rd degree burns.

Additional Updates Cont.

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 Code 911
Surgery or other invasive procedure performed on the
wrong site.

Revision to the Implementation Guidance in the Reporting Guide:

 Previous language: “Incorrectly placed vascular
catheters or tubes……”

 Current language: “Use of incorrectly placed vascular
catheters or tubes……”

Additional Updates Cont.

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 Detail Code 937 (Malfunction of equipment) has
been retired and removed from the Reporting
Guide.

Contact Information

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 Colleen Kewley
[email protected]
 Linda Delaney
[email protected]

 518-402-1003 or 1004