[Sepsis Groups] Register for Maternal and Neonatal Sepsis Congress

[Surviving Sepsis]

Maternal & Neonatal Sepsis Congress
The Global Sepsis Alliance and the World Health Organization have joined forces 
to host the World Sepsis Congress (WSC) Spotlight: Maternal and Neonatal Sepsis 
on September 12, 2017.

The WSC Spotlight is a free online congress in which 25 renowned experts from 
all around the world will give presentations on all aspects of maternal and 
neonatal sepsis, as well as give updates on sepsis in general. The congress 
will be held in English and is open to everyone with an internet connection.

For more information on program, speakers, time zones, and to register for 
free, please visit www.wscspotlight.org

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[Sepsis Groups] Lactic Acid result/time

[Bivins, Nancy N.]

Good morning! Within our BayCare Health System, we use, per the Truven/CMS 
Specs guidelines, the date and time the LA was collected, which coincides with 
the result time in the Cerner EMR.  The result must be greater than 2.0 for 
severe sepsis.  Oddly, for septic shock, it must be greater than OR equal to 
4.0.  Hope this is helpful!

Nancy Bivins, RN, BSN
Clinical Data and Quality Coordinator
Department of Evidence-based Medicine
BayCare Health Systems Office 
2985 Drew St.
Clearwater, Fl . 33759
727-519-1233
nancy.biv...@baycare.org


-Original Message-
From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On 
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Sent: Wednesday, August 09, 2017 4:13 PM
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Subject: Sepsisgroups Digest, Vol 257, Issue 6

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Today's Topics:

   1. Re: Lab times (Pamela Green)
   2. Evaluation for Severe Sepsis Screening Tool HMH   revised
  (Pamela Green)


--

Message: 1
Date: Tue, 8 Aug 2017 17:30:00 +
From: Pamela Green 
To: "sepsisgroups@lists.sepsisgroups.org"

Subject: Re: [Sepsis Groups] Lab times
Message-ID:


Content-Type: text/plain; charset="koi8-r"

We have been utilizing our Sepsis Protocol for the last Month and have been 
screening and intervening on several patients. There is one Level that we need 
clarification for. Our Protocol says any Lactate Level ?2 is considered to 
indicate sepsis, but our lab range is Normal for 0.4- 2.0. Would like to know 
how everyone is using this? Thanks Pam

From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On 
Behalf Of Belfi, Karen
Sent: Thursday, August 03, 2017 12:27 PM
To: sepsisgroups@lists.sepsisgroups.org
Subject: [Sepsis Groups] Lab times

Hi, we are confused about something here.
On our lab report in our EMR, it lists a time. It's the draw time, not report 
time, though it doesn't say draw time. We just know it is.
Can we use that for severe sepsis criteria since it doesn't specify draw time?
Thank you.

Karen Belfi, RN, MSN
Quality Outcomes Coordinator
Lankenau Medical Center
(484)476-8092

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Message: 2
Date: Wed, 9 Aug 2017 13:37:41 +
From: Pamela Green 
To: "sepsisgroups@lists.sepsisgroups.org"

Cc: HMH Directors 
Subject: [Sepsis Groups] Evaluation for Severe Sepsis Screening Tool
HMH revised
Message-ID:


Content-Type: text/plain; charset="us-ascii"

After meeting with HIM and coding yesterday it was brought to my attention that 
the Lab normal range high is 2. Our screening form had only the > 4 mmol/L 
under #3. Criteria for Severe Sepsis. So I went back to the original form the 
actual value is supposed to be >2 . The edited form had the wrong  value of >4. 
So I have made that change on the screening form as indicated. I also, have a 
question out to the Sepsis Groups to understand how other facilities are using 
this measurement. Please make copies for your dept. and make changes to your 
existing forms thanks. Pam
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Re: [Sepsis Groups] Evaluation for Severe Sepsis Screening Tool HMH revised

[Shoup, Mary]

Here is what we follow per the CMS standards:
Lactate greater than (not equal to) 2.0 and up to 4.0 indicates severe 
sepsis--> Lactate of 2.0 or less does not indicate severe sepsis.
Lactate equal to or greater than 4.0 indicates septic shock.

Mary Shoup
Clinical Quality Specialist
Tel: (517) 205-1358
Cell: (269) 967-0210
Fax: (517) 841-1322
mary.sh...@allegiancehealth.org
[hfah-email-signature-logo2]

From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On 
Behalf Of Pamela Green
Sent: Wednesday, August 09, 2017 9:38 AM
To: sepsisgroups@lists.sepsisgroups.org
Cc: HMH Directors
Subject: [Sepsis Groups] Evaluation for Severe Sepsis Screening Tool HMH revised

After meeting with HIM and coding yesterday it was brought to my attention that 
the Lab normal range high is 2. Our screening form had only the > 4 mmol/L 
under #3. Criteria for Severe Sepsis. So I went back to the original form the 
actual value is supposed to be >2 . The edited form had the wrong  value of >4. 
So I have made that change on the screening form as indicated. I also, have a 
question out to the Sepsis Groups to understand how other facilities are using 
this measurement. Please make copies for your dept. and make changes to your 
existing forms thanks. Pam
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Re: [Sepsis Groups] Core Measures for Sepsis

[Mary Draper]

I don't know of any source for reimbursement based on the sepsis core measures 
compliance. It isn't tied to value based purchasing yet.

Mary Draper RN BSN
Coordinator Quality Improvement
Peer Review Support CV/CT
Quality Management JMH
Office (925) 674-2045
Cell (925) 451-8792
Fax (925) 674-2373
mary.dra...@johnmuirhealth.com
[cid:image002.png@01D31122.FF32B5B0]
"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 Tracie Hopkins
Sent: Tuesday, August 08, 2017 10:00 AM
To: sepsisgroups@lists.sepsisgroups.org
Subject: [Sepsis Groups] Core Measures for Sepsis


Hello,
Does anyone know where I can find the details for Core Measure for Sepsis? Not 
what they are-but the threshold for payment? Is it just SEP-1 or is each 
element measured for compliance & payment?  What percentage is required?   I 
thought it might be in the 5.3 version-but cannot find the specifics for 
reimbursement.  Any information you can share would be appreciated.  Our 
compliance rate is just over 50% & am planning on next steps to improve our 
numbers.  Knowing the financial impact will help gain support.  Thank you-
Tracie L Hopkins RN, BSN, CCRN
Sepsis Program Administrator
Covenant Healthcare
Saginaw, MI 48602
989-583-6604 Office
989-258-8587 Pager
[cid:image001.png@01D1B1D2.839602F0]

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Re: [Sepsis Groups] Lab times

[Gibbs, Katie]

We edited our lab ranges when the measure started so anything from 2-4 is 
called an "action value", the lab still calls to alert the staff of the 
elevation.
We have an auto-reflex in place so anything greater than 2  an order 
automatically is sent so lab knows to re-draw in 4 hours.
Greater than 4 is our critical value.

Hope this helps.
Katie


Katie Gibbs, RN, BSN
Quality Improvement Specialist
Witham Health Services
PH 765-485-8459
[cid:image001.png@01D3112F.15A64670]
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From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On 
Behalf Of Pamela Green
Sent: Tuesday, August 08, 2017 1:30 PM
To: sepsisgroups@lists.sepsisgroups.org
Subject: Re: [Sepsis Groups] Lab times

We have been utilizing our Sepsis Protocol for the last Month and have been 
screening and intervening on several patients. There is one Level that we need 
clarification for. Our Protocol says any Lactate Level ≥2 is considered to 
indicate sepsis, but our lab range is Normal for 0.4- 2.0. Would like to know 
how everyone is using this? Thanks Pam

From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On 
Behalf Of Belfi, Karen
Sent: Thursday, August 03, 2017 12:27 PM
To: 
sepsisgroups@lists.sepsisgroups.org
Subject: [Sepsis Groups] Lab times

Hi, we are confused about something here.
On our lab report in our EMR, it lists a time. It's the draw time, not report 
time, though it doesn't say draw time. We just know it is.
Can we use that for severe sepsis criteria since it doesn't specify draw time?
Thank you.

Karen Belfi, RN, MSN
Quality Outcomes Coordinator
Lankenau Medical Center
(484)476-8092

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Re: [Sepsis Groups] Core Measures for Sepsis

[jenny clarke]

Qualitynet.org

Sent from my iPhone

On Aug 9, 2017, at 3:14 PM, Tracie Hopkins 
> wrote:


Hello,
Does anyone know where I can find the details for Core Measure for Sepsis? Not 
what they are-but the threshold for payment? Is it just SEP-1 or is each 
element measured for compliance & payment?  What percentage is required?   I 
thought it might be in the 5.3 version-but cannot find the specifics for 
reimbursement.  Any information you can share would be appreciated.  Our 
compliance rate is just over 50% & am planning on next steps to improve our 
numbers.  Knowing the financial impact will help gain support.  Thank you-
Tracie L Hopkins RN, BSN, CCRN
Sepsis Program Administrator
Covenant Healthcare
Saginaw, MI 48602
989-583-6604 Office
989-258-8587 Pager


This email may contain legally privileged and/or confidential information. If 
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delivery of this message to the intended recipient, you are hereby notified 
that any dissemination, distribution or copying of this email is strictly 
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notify the sender and delete this email from your computer. Your cooperation is 
appreciated.
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[Sepsis Groups] Provider orders or protocols for IVF administered by EMS

[Carlson, Brenda L]

Has anyone figured out a way to include IVF given by EMS? We are struggling 
with this since provider orders or protocols must be
found in the hospital record and none of the local EMS companies provide this 
type of information.

The NYSDOH approved protocols used by all EMS agencies in upstate NY are 
available here:

https://www.mlrems.org/GetFile.aspx?fileID=10896

There are no patient specific orders, these are standing order for all patients 
with suspected septic shock.

Has anyone found a way to comply with provider orders in the hospital record 
for IVF given by EMS?

Thank you for your help.


Brenda L. Carlson MS, BSN, RN
Assistant Quality Officer
Office of Clinical Practice Evaluation
University of Rochester Medical Center
265 Crittenden Blvd., Saunders Research Building, 3.205
585-273-4721
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Thank you!


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Re: [Sepsis Groups] Sepsisgroups Digest, Vol 257, Issue 6

[Carlson, Brenda L]

Hi, Pamela. 

A lactate greater than 2 could indicate sepsis if the other parameters are also 
met (suspected infection and 2/4 SIRS). 


Brenda L. Carlson MS, BSN, RN
Assistant Quality Officer
Office of Clinical Practice Evaluation
University of Rochester Medical Center
265 Crittenden Blvd., Saunders Research Building, 3.205
585-273-4721
This message may contain information which is confidential and privileged. 
Unless you are the addressee (or authorized to receive for the addressee), you 
may not use, copy or disclose to anyone the message or any information 
contained in the message (including attachments). If you have received the 
message in error, please advise sender by reply email, and delete the message. 
Thank you! 






-Original Message-
From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On 
Behalf Of sepsisgroups-requ...@lists.sepsisgroups.org
Sent: Wednesday, August 09, 2017 4:13 PM
To: sepsisgroups@lists.sepsisgroups.org
Subject: Sepsisgroups Digest, Vol 257, Issue 6

Send Sepsisgroups mailing list submissions to
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Contents of Sepsisgroups digest..."


Today's Topics:

   1. Re: Lab times (Pamela Green)
   2. Evaluation for Severe Sepsis Screening Tool HMH   revised
  (Pamela Green)


--

Message: 1
Date: Tue, 8 Aug 2017 17:30:00 +
From: Pamela Green 
To: "sepsisgroups@lists.sepsisgroups.org"

Subject: Re: [Sepsis Groups] Lab times
Message-ID:


Content-Type: text/plain; charset="koi8-r"

We have been utilizing our Sepsis Protocol for the last Month and have been 
screening and intervening on several patients. There is one Level that we need 
clarification for. Our Protocol says any Lactate Level ?2 is considered to 
indicate sepsis, but our lab range is Normal for 0.4- 2.0. Would like to know 
how everyone is using this? Thanks Pam

From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On 
Behalf Of Belfi, Karen
Sent: Thursday, August 03, 2017 12:27 PM
To: sepsisgroups@lists.sepsisgroups.org
Subject: [Sepsis Groups] Lab times

Hi, we are confused about something here.
On our lab report in our EMR, it lists a time. It's the draw time, not report 
time, though it doesn't say draw time. We just know it is.
Can we use that for severe sepsis criteria since it doesn't specify draw time?
Thank you.

Karen Belfi, RN, MSN
Quality Outcomes Coordinator
Lankenau Medical Center
(484)476-8092

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Message: 2
Date: Wed, 9 Aug 2017 13:37:41 +
From: Pamela Green 
To: "sepsisgroups@lists.sepsisgroups.org"

Cc: HMH Directors 
Subject: [Sepsis Groups] Evaluation for Severe Sepsis Screening Tool
HMH revised
Message-ID:


Content-Type: text/plain; charset="us-ascii"

After meeting with HIM and coding yesterday it was brought to my attention that 
the Lab normal range high is 2. Our screening form had only the > 4 mmol/L 
under #3. Criteria for Severe Sepsis. So I went back to the original form the 
actual value is supposed to be >2 . The edited form had the wrong  value of >4. 
So I have made that change on the screening form as indicated. I also, have a 
question out to the Sepsis Groups to understand how other facilities are using 
this measurement. Please make copies for your dept. and make changes to your 
existing forms thanks. Pam
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