Re: [Sepsis Groups] [External] Sepsis Validation

[Bly, Lori]

I would also like to know this.  Thank you

Lori Bly, RN
Quality Management Department
ACMH Hospital
One Nolte Drive
Kittanning, PA 16201
Extension: 8459

email: b...@acmh.org<mailto:b...@acmh.org>
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From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On 
Behalf Of Wightman, Mary
Sent: Tuesday, January 02, 2018 11:55 AM
To: 'Boyer, Suzette K'; Mary Draper; DHILLON, ROOPINDER; 
sepsisgroups@lists.sepsisgroups.org
Subject: Re: [Sepsis Groups] [External] Sepsis Validation

Happy New Year,

Has any hospital removed their skip logic for sepsis abstraction?  If so, could 
you provide me with the pros/cons of doing so.

Many thanks-
Mary


Mary Wightman, MAOM, CPHQ
Senior Quality Manager, Quality & Operations Improvement
Wellness Innovator
Wexner Medical Center Hospital East
181 Taylor Avenue
Hawthorne House, Room 114
Columbus, OH, 43203
614-257-2821 Office
614-257-2234 Fax
mary.wight...@osumc.edu<mailto:mary.dr...@osumc.edu>
We are committed to improving people's lives through personalized health care.
P  Please consider the environment before printing this e-mail

This information is confidential per Ohio Revised Code Sec 2305.25 and may not 
be shared discussed, or distributed outside of the quality process. If the 
reader of this communication is not an intended recipient, you are hereby 
notified that any dissemination, distribution or copying of this communication 
is strictly prohibited.

"Sometimes you gotta create what you want to be a part of." ― Geri 
Weitzman<http://www.goodreads.com/author/show/2114680.Geri_Weitzman>

From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On 
Behalf Of Boyer, Suzette K
Sent: Wednesday, December 27, 2017 10:12 AM
To: Mary Draper; DHILLON, ROOPINDER; 
sepsisgroups@lists.sepsisgroups.org<mailto:sepsisgroups@lists.sepsisgroups.org>
Subject: Re: [Sepsis Groups] [External] Sepsis Validation

We have been in validation and CMS is validating the sepsis cases.  They are 
part of the compliance score.
They do the branch logic.  If the patient doesn't meet the measure early in the 
algorithm -the validators continue the abstraction per branch logic.  We have 
sent several cases back for education review and they have agreed with our 
assessment on several of them, although it does not change your score.

From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On 
Behalf Of Mary Draper
Sent: Wednesday, December 20, 2017 2:16 PM
To: DHILLON, ROOPINDER 
<roopinder.dhil...@uhhospitals.org<mailto:roopinder.dhil...@uhhospitals.org>>; 
sepsisgroups@lists.sepsisgroups.org<mailto:sepsisgroups@lists.sepsisgroups.org>
Subject: Re: [Sepsis Groups] [External] Sepsis Validation

No one to date that I know of has been validated by CMS. I don't think it 
matters if you use branch logic or not. Once a metric isn't met the abstraction 
stops there.

Mary Draper RN BSN
Coordinator Quality Improvement
Peer Review Support CV/CT
JMH Quality Management
Office (925) 674-2045
Cell (925) 451-8792
Fax (925) 674-2373
mary.dra...@johnmuirhealth.com<mailto:mary.dra...@johnmuirhealth.com>
[cid:image005.png@01D38496.171354A0][cid:image006.png@01D38496.171354A0]
"O, let us always have a mountain within our soul,  with a peak so high that we 
never quite reach the top...
  For then we will always strive for greater things and will not be content  
with merely climbing hills." Ardath Rodale

From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On 
Behalf Of DHILLON, ROOPINDER
Sent: Friday, December 15, 2017 7:34 AM
To: 
sepsisgroups@lists.sepsisgroups.org<mailto:sepsisgroups@lists.sepsisgroups.org>
Subject: [External] [Sepsis Groups] Sepsis Validation


Caution: This email originated outside JMH. Do not open attachments or click on 
links if you do not recognize the sender.

Hi,
I wanted to know if any hospital has been validated by CMS for Core Measure 
SEP-1. My question is, are we supposed to use branching logic for abstraction? 
For example, if we answer 'Yes' to Severe sepsis, but we don't have an Initial 
Lactate collected and we say 'No' to Initial Lactate question; do we stop at 
that point or do we have to still go ahead and answer the rest of the questions?

If anyone has been validated, what did you do? If you used branching logic (did 
not answe

Re: [Sepsis Groups] [External] Sepsis Validation

[Wightman, Mary]

Happy New Year,

Has any hospital removed their skip logic for sepsis abstraction?  If so, could 
you provide me with the pros/cons of doing so.

Many thanks-
Mary


Mary Wightman, MAOM, CPHQ
Senior Quality Manager, Quality & Operations Improvement
Wellness Innovator
Wexner Medical Center Hospital East
181 Taylor Avenue
Hawthorne House, Room 114
Columbus, OH, 43203
614-257-2821 Office
614-257-2234 Fax
mary.wight...@osumc.edu<mailto:mary.dr...@osumc.edu>
We are committed to improving people's lives through personalized health care.
P  Please consider the environment before printing this e-mail

This information is confidential per Ohio Revised Code Sec 2305.25 and may not 
be shared discussed, or distributed outside of the quality process. If the 
reader of this communication is not an intended recipient, you are hereby 
notified that any dissemination, distribution or copying of this communication 
is strictly prohibited.
"Sometimes you gotta create what you want to be a part of." ― Geri 
Weitzman<http://www.goodreads.com/author/show/2114680.Geri_Weitzman>

From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On 
Behalf Of Boyer, Suzette K
Sent: Wednesday, December 27, 2017 10:12 AM
To: Mary Draper; DHILLON, ROOPINDER; sepsisgroups@lists.sepsisgroups.org
Subject: Re: [Sepsis Groups] [External] Sepsis Validation

We have been in validation and CMS is validating the sepsis cases.  They are 
part of the compliance score.
They do the branch logic.  If the patient doesn't meet the measure early in the 
algorithm -the validators continue the abstraction per branch logic.  We have 
sent several cases back for education review and they have agreed with our 
assessment on several of them, although it does not change your score.

From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On 
Behalf Of Mary Draper
Sent: Wednesday, December 20, 2017 2:16 PM
To: DHILLON, ROOPINDER 
<roopinder.dhil...@uhhospitals.org<mailto:roopinder.dhil...@uhhospitals.org>>; 
sepsisgroups@lists.sepsisgroups.org<mailto:sepsisgroups@lists.sepsisgroups.org>
Subject: Re: [Sepsis Groups] [External] Sepsis Validation

No one to date that I know of has been validated by CMS. I don't think it 
matters if you use branch logic or not. Once a metric isn't met the abstraction 
stops there.

Mary Draper RN BSN
Coordinator Quality Improvement
Peer Review Support CV/CT
JMH Quality Management
Office (925) 674-2045
Cell (925) 451-8792
Fax (925) 674-2373
mary.dra...@johnmuirhealth.com<mailto:mary.dra...@johnmuirhealth.com>
[cid:image001.png@01D383C0.92C8A9A0][cid:image002.png@01D383C0.92C8A9A0]
"O, let us always have a mountain within our soul,  with a peak so high that we 
never quite reach the top...
  For then we will always strive for greater things and will not be content  
with merely climbing hills." Ardath Rodale

From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On 
Behalf Of DHILLON, ROOPINDER
Sent: Friday, December 15, 2017 7:34 AM
To: 
sepsisgroups@lists.sepsisgroups.org<mailto:sepsisgroups@lists.sepsisgroups.org>
Subject: [External] [Sepsis Groups] Sepsis Validation


Caution: This email originated outside JMH. Do not open attachments or click on 
links if you do not recognize the sender.

Hi,
I wanted to know if any hospital has been validated by CMS for Core Measure 
SEP-1. My question is, are we supposed to use branching logic for abstraction? 
For example, if we answer 'Yes' to Severe sepsis, but we don't have an Initial 
Lactate collected and we say 'No' to Initial Lactate question; do we stop at 
that point or do we have to still go ahead and answer the rest of the questions?

If anyone has been validated, what did you do? If you used branching logic (did 
not answer rest of the questions) was it taken against the hospital and 
considered as 'wrong' abstraction?


Thank you,
Roopa Dhillon MBBS, MBA
Clinical Quality Analyst I
Quality Improvement/Clinical Outcomes
University Hospitals Elyria Medical Centre
630 East River
Elyria, Ohio  44035
T 440-329-4959 F 440-329-5971
Roopinder.Dhillon@UHhospitals<mailto:Roopinder.Dhillon@UHhospitals> .org
Quality Assurance/Peer Review Privileged Pursuant to Ohio Rev. Code secs. 
2305.24, 2305.25, 2305.251, 2305.252 and 2305.253
[UH-Master-RGB-v1]


Visit us at 
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Federal and

Re: [Sepsis Groups] [External] Sepsis Validation

[Pamela Green]

I was wondering if anyone has a  "Sepsis ruled out"  checkbox and time or 
indicator included in their screening forms or systems. We use
Screening form in the system that screens for patients who are at risk for 
Severe Sepsis and/or Septic Shock. The Staff are asking if we can add a 
checkbox to the bottom of the form that indicates a time that sepsis was ruled 
out. I am just not sure that that is appropriate or if it is something that we 
should be doing. I would appreciate any input or guidance in this area. Pam
From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On 
Behalf Of Mary Draper
Sent: Wednesday, December 20, 2017 3:16 PM
To: DHILLON, ROOPINDER <roopinder.dhil...@uhhospitals.org>; 
sepsisgroups@lists.sepsisgroups.org
Subject: Re: [Sepsis Groups] [External] Sepsis Validation

No one to date that I know of has been validated by CMS. I don't think it 
matters if you use branch logic or not. Once a metric isn't met the abstraction 
stops there.

Mary Draper RN BSN
Coordinator Quality Improvement
Peer Review Support CV/CT
JMH Quality Management
Office (925) 674-2045
Cell (925) 451-8792
Fax (925) 674-2373
mary.dra...@johnmuirhealth.com<mailto:mary.dra...@johnmuirhealth.com>
[cid:image004.png@01D3807D.0452F810][cid:image005.png@01D3807D.0452F810]
"O, let us always have a mountain within our soul,  with a peak so high that we 
never quite reach the top...
  For then we will always strive for greater things and will not be content  
with merely climbing hills." Ardath Rodale

From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On 
Behalf Of DHILLON, ROOPINDER
Sent: Friday, December 15, 2017 7:34 AM
To: 
sepsisgroups@lists.sepsisgroups.org<mailto:sepsisgroups@lists.sepsisgroups.org>
Subject: [External] [Sepsis Groups] Sepsis Validation


Caution: This email originated outside JMH. Do not open attachments or click on 
links if you do not recognize the sender.

Hi,
I wanted to know if any hospital has been validated by CMS for Core Measure 
SEP-1. My question is, are we supposed to use branching logic for abstraction? 
For example, if we answer 'Yes' to Severe sepsis, but we don't have an Initial 
Lactate collected and we say 'No' to Initial Lactate question; do we stop at 
that point or do we have to still go ahead and answer the rest of the questions?

If anyone has been validated, what did you do? If you used branching logic (did 
not answer rest of the questions) was it taken against the hospital and 
considered as 'wrong' abstraction?


Thank you,
Roopa Dhillon MBBS, MBA
Clinical Quality Analyst I
Quality Improvement/Clinical Outcomes
University Hospitals Elyria Medical Centre
630 East River
Elyria, Ohio  44035
T 440-329-4959 F 440-329-5971
Roopinder.Dhillon@UHhospitals<mailto:Roopinder.Dhillon@UHhospitals> .org
Quality Assurance/Peer Review Privileged Pursuant to Ohio Rev. Code secs. 
2305.24, 2305.25, 2305.251, 2305.252 and 2305.253
[UH-Master-RGB-v1]


Visit us at www.UHhospitals.org<http://www.UHhospitals.org>.

The enclosed information is STRICTLY CONFIDENTIAL and is intended for the
use of the addressee only. University Hospitals and its affiliates disclaim
any responsibility for unauthorized disclosure of this information to anyone
other than the addressee.

Federal and Ohio law protect patient medical information, including
psychiatric_disorders, (H.I.V) test results, A.I.Ds-related conditions,
alcohol, and/or drug_dependence or abuse disclosed in this email. Federal
regulation (42 CFR Part 2) and Ohio Revised Code section 5122.31 and
3701.243 prohibit disclosure of this information without the specific
written consent of the person to whom it pertains, or as otherwise permitted
by law.
___
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Sepsisgroups@lists.sepsisgroups.org
http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org

Re: [Sepsis Groups] [External] Sepsis Validation

[Mary Draper]

No one to date that I know of has been validated by CMS. I don't think it 
matters if you use branch logic or not. Once a metric isn't met the abstraction 
stops there.

Mary Draper RN BSN
Coordinator Quality Improvement
Peer Review Support CV/CT
JMH Quality Management
Office (925) 674-2045
Cell (925) 451-8792
Fax (925) 674-2373
mary.dra...@johnmuirhealth.com
[cid:image001.png@01D37994.A64189B0][cid:image002.png@01D37994.A64189B0]
"O, let us always have a mountain within our soul,  with a peak so high that we 
never quite reach the top...
  For then we will always strive for greater things and will not be content  
with merely climbing hills." Ardath Rodale

From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On 
Behalf Of DHILLON, ROOPINDER
Sent: Friday, December 15, 2017 7:34 AM
To: sepsisgroups@lists.sepsisgroups.org
Subject: [External] [Sepsis Groups] Sepsis Validation


Caution: This email originated outside JMH. Do not open attachments or click on 
links if you do not recognize the sender.

Hi,
I wanted to know if any hospital has been validated by CMS for Core Measure 
SEP-1. My question is, are we supposed to use branching logic for abstraction? 
For example, if we answer 'Yes' to Severe sepsis, but we don't have an Initial 
Lactate collected and we say 'No' to Initial Lactate question; do we stop at 
that point or do we have to still go ahead and answer the rest of the questions?

If anyone has been validated, what did you do? If you used branching logic (did 
not answer rest of the questions) was it taken against the hospital and 
considered as 'wrong' abstraction?


Thank you,
Roopa Dhillon MBBS, MBA
Clinical Quality Analyst I
Quality Improvement/Clinical Outcomes
University Hospitals Elyria Medical Centre
630 East River
Elyria, Ohio  44035
T 440-329-4959 F 440-329-5971
Roopinder.Dhillon@UHhospitals .org
Quality Assurance/Peer Review Privileged Pursuant to Ohio Rev. Code secs. 
2305.24, 2305.25, 2305.251, 2305.252 and 2305.253
[UH-Master-RGB-v1]


Visit us at www.UHhospitals.org.

The enclosed information is STRICTLY CONFIDENTIAL and is intended for the
use of the addressee only. University Hospitals and its affiliates disclaim
any responsibility for unauthorized disclosure of this information to anyone
other than the addressee.

Federal and Ohio law protect patient medical information, including
psychiatric_disorders, (H.I.V) test results, A.I.Ds-related conditions,
alcohol, and/or drug_dependence or abuse disclosed in this email. Federal
regulation (42 CFR Part 2) and Ohio Revised Code section 5122.31 and
3701.243 prohibit disclosure of this information without the specific
written consent of the person to whom it pertains, or as otherwise permitted
by law.
___
Sepsisgroups mailing list
Sepsisgroups@lists.sepsisgroups.org
http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org