I asked the same question to determine severe sepsis per CMS criteria (no severe sepsis documented by providers). In my case scenario, the patient's creatinine was greater than the baseline range documented by the provider with documentation of acute on chronic renal failure. From what I understood from QNet response, if the physician documents acute on chronic with a creatinine lab value higher than baseline and greater than 2 MG/DL, it can be used as organ failure. For example: If the baseline creatinine is documented as a range between 1.9 and 2.4 then a creatinine level up to 2.4 cannot be used as organ failure. Anything greater than baseline of 2.4 can be used. Jocelyne [sepsis_logo_update_copy_300x265[1]][Brain_In_Blue_by_SilverGryphon8[1]]
"Teamwork is the ability to work together toward a common vision--the ability to direct individual accomplishments toward organizational objectives. It is the fuel that allows common people to attain uncommon results"- Andrew Carnegie Jocelyne F. Davis, MSN, RN, CNRN Stroke and Sepsis Programs Coordinator Doctors Hospital of Sarasota 5731 Bee Ridge Road Sarasota, FL 34233 doctorsofsarasota.com From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On Behalf Of Belfi, Karen Sent: Thursday, February 02, 2017 10:42 AM To: Gibbs, Katie <kmgi...@witham.org>; sepsisgroups@lists.sepsisgroups.org Subject: [EXTERNAL] Re: [Sepsis Groups] RENAL FAILURE I had asked qnet if acute on chronic was acceptable with a creat over baseline, and they said yes. I would abstract this as sepsis. From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On Behalf Of Gibbs, Katie Sent: Thursday, January 26, 2017 9:20 AM To: sepsisgroups@lists.sepsisgroups.org<mailto:sepsisgroups@lists.sepsisgroups.org> Subject: [EXTERNAL] [Sepsis Groups] RENAL FAILURE Good morning, While reviewing a chart today, I have a patient that has acute on chronic renal failure. MD noted this a due to sepsis. She elevated her creatinine from baseline over 1 point. She does not have an elevated lactate. She does meet SIRS criteria. Would you abstract this as sepsis? Thanks for the help! Katie Gibbs, RN, BSN Quality Improvement Specialist Witham Health Services PH 765-485-8459 [cid:image001.png@01D27D52.ADB58370] CONFIDENTIALITY NOTICE: The information in this e-mail, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and legally privileged information. If you are not the intended recipient, any disclosure, copying, distribution or use of the contents of this information in any manner is strictly prohibited and may be unlawful.
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