It makes sense to me that the SSC database excludes hospice/palliative/comfort 
care patients since it is the ultimate goal to help otherwise healthy patients 
survive sepsis. However, if a large study is utilizing administrative coding, 
is there any way for patients on palliative/comfort care to be removed from the 
sample? If it is not possible, then measures hospitals are using that remove 
the hospice patients are not comparable to measures based on administrative 
coding data, one of the best ways to accurately determine the extent of the 
sepsis problem.  

If anyone knows of a way to exclude palliative/comfort care patients using 
administrative data, please share.

Thanks
Katie

----------------------------------------------------------------------

Message: 1
Date: Fri, 24 Jan 2014 09:28:32 -0800
From: [email protected]
To: [email protected]
Subject: Re: [Sepsis Groups] Sepsisgroups Digest, Vol 93, Issue 6
Message-ID: <[email protected]>
Content-Type: text/plain; charset="us-ascii"



We also exclude those patients as their wishes/personal plan of care preclude 
us from fully implementing the EGDT bundle.
Thanks Tracy @ KP

Sent from my iPhone

> On Jan 24, 2014, at 6:59 AM, 
> [email protected]
wrote:
>
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> Today's Topics:
>
>    1. Re: Sepsisgroups Digest, Vol 92, Issue 2 (Schorr, Christa)
>
>
> ----------------------------------------------------------------------
>
> Message: 1
> Date: Thu, 23 Jan 2014 11:18:02 -0500
> From: "Schorr, Christa" <[email protected]>
> To: "Maddox, Lee" <[email protected]>, 'Gail Taylor'
>       <[email protected]>, "[email protected]"
>       <[email protected]>
> Subject: Re: [Sepsis Groups] Sepsisgroups Digest, Vol 92, Issue 2
> Message-ID:
>
<7f685eba782e5d4c9629d70d77c15980153545b...@mail-ccr02.chsmail.root.cooperhealth.edu>

>
> Content-Type: text/plain; charset="us-ascii"
>
> The SSC database was developed to capture specific process indictors 
> that
were thought to improve the management and outcomes in the severe sepsis 
patient. If a patient is ultimately limiting the ability of the clinician to 
implement the process measures (comfort care, refusing vasopresors, 
antibiotics, fluids etc), the patient should not be entered into the database.
>
> The SSC has educated participants not to include patients in the 
> database
if they are made comfort care within the first 24 hours and/or have limitations 
of support that would impact the ability of the clinical team to adequately 
treat the severe sepsis patient.  The examples include withholding 
vasopressors, refusing surgery for source control, refusing central line access 
etc.
>
> However, if the patient has been identified and managed for severe 
> sepsis
and subsequently at hour 26 or hour 60 is made made comfort care, then the 
patient should be included in the database.
>
> I hope this is helpful.
> Christa
>
> From: [email protected]
[mailto:[email protected]] On Behalf Of Maddox, Lee
> Sent: Wednesday, January 22, 2014 9:18 AM
> To: 'Gail Taylor'; [email protected]
> Subject: Re: [Sepsis Groups] Sepsisgroups Digest, Vol 92, Issue 2
>
>
> This may relate to how one defines hospice as our community 
> technically
does not have an inpatient hospice (everyone comes to the hospital to die)- 
obviously a hospice admission to a hospice bed is not an acute care admission.  
The larger issue seems to be what do you do when someone is admitted as acute 
care and then very shortly after one of the following happens - for the sake of 
argument we will say in the first 24 hours:
>
> 1.  The patient is made comfort care - which is technically not 
> hospice
by Medicare definitions but in effect means pulling off all non palliative 
treatment.
> 2.  The family limits care - no new pressers, no more abx, no more
invasive line placement etc
>
> Both obviously impact our ability to effectively implement the bundle.
Mortality related to the above is not necessarily a given.  If counted then you 
find yourself chasing deaths you can't do much about no matter how successful 
you are with performing all bundle elements.
>
> So what do you do with these people
>
> Thanks,
>
> Lee
> Lee A. Maddox, M.D.
> Medical Director of Pulmonary Services, Wellspan Division Chief 
> Pulmonary and Critical Care Medicine, Wellspan Site Director, Wellspan 
> Lung, Sleep, and Critical Care Phone 717-851-2939 Pager 717-751-9517 
> Fax - 717-851-6446
>
> -----Original Message-----
> From:
[email protected]<mailto:[email protected]>
 [mailto:[email protected]] On Behalf Of Gail Taylor
> Sent: Friday, January 17, 2014 1:29 PM
> To:
[email protected]<mailto:[email protected]>

> Subject: Re: [Sepsis Groups] Sepsisgroups Digest, Vol 92, Issue 2
>
> We exclude hospice patients from our mortality data as well.
>
> Gail Taylor, RN, MPH, CCRN
> Corporate Administrator
> Patient Care Integration
> Methodist Le Bonheur Healthcare
> 1211 Union Avenue Suite 638
> Memphis, TN 38104
> Office: 901-516-0701 or
> 901-516-0749
> Cell: 901-258-3349
> Fax: 901-516-0794
> [email protected]<mailto:[email protected]>
>
>
> Methodist Le Bonheur Healthcare is proud to once again be named among 
> the Top 100 Integrated Healthcare Networks in the country.
>
> "Be treated well."
>
>
>
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> -----Original Message-----
> From:
[email protected]<mailto:[email protected]>
 [mailto:[email protected]] On Behalf Of 
[email protected]<mailto:[email protected]>

> Sent: Friday, January 17, 2014 12:20 PM
> To:
[email protected]<mailto:[email protected]>

> Subject: Sepsisgroups Digest, Vol 92, Issue 2
>
> Send Sepsisgroups mailing list submissions to
>
[email protected]<mailto:[email protected]>

>
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> Today's Topics:
>
>    1. Re: [Hospice patients in mortality data] (Brochis, Dale.)
>    2. Re: Sepsisgroups Digest, Vol 91, Issue 1
>       (Carlson, Barbara A. (Lincoln, NE))
>
>
> ----------------------------------------------------------------------
>
> Message: 1
> Date: Wed, 15 Jan 2014 13:28:48 -0500
> From: "Brochis, Dale." 
> <[email protected]<mailto:[email protected]>>
> To: "Cormack, Patricia \(WS\)"
<[email protected]<mailto:[email protected]>>,        "Wendy A.
>         Nieman"
<[email protected]<mailto:[email protected]>>,   "Robyn
Haddock Crosswhite"
>         <[email protected]<mailto:[email protected]>>,
<[email protected]<mailto:[email protected]>>

> Subject: Re: [Sepsis Groups] [Hospice patients in mortality data]
> Message-ID:
>
<[email protected]<mailto:[email protected]>>

> Content-Type: text/plain;       charset="iso-8859-1"
>
> There is ambiguity and confusion in the answers provided regarding
capture of mortality data, and unless clarified will never help identify a best 
practice, or importantly, how to clearly measure it.
>
> A hospice admission is not an inpatient acute care admission.
> If mortality data is based upon inpatient acute care admissions, and 
> if
all-cause mortality is not of value, then very clear definitions of the sepsis 
patients for whom mortality IS to be captures must be developed, disseminated 
and utilized.
>
> Reporting of any mortality number should clearly describe the 
> population
captured and all exclusions.
>
> I agree that there is value in exploring who has expired - DNR status,
Hospice status, and why they expired. However, independent decisions by 
individual organizations results in comparing different apples.  I count all my 
apples, and compare my organization against others that exclude only their 
Macintosh, and another that excludes MacIntosh and Granny Smith.
>
> It's not that this differentiation is wrong, it is that it is 
> different -
and undermines statistical value.
>
> ?
> Dale Brochis Gainsharing Project Coordinator Case Management 
> Department
Robert Wood Johnson University Hospital?at Rahway
> 865 Stone Street
> Rahway, NJ 07065
>
> 732-499-6217 Office / 732-428-2108 Cell 
> [email protected]<mailto:[email protected]>
>
>
>
> -----Original Message-----
> From:
[email protected]<mailto:[email protected]>
 [mailto:[email protected]] On Behalf Of Cormack, 
Patricia (WS)
> Sent: Monday, January 13, 2014 8:48 AM
> To: Wendy A. Nieman; Robyn Haddock Crosswhite;
[email protected]<mailto:[email protected]>

> Subject: Re: [Sepsis Groups] Sepsisgroups Digest, Vol 91, Issue 1
>
> We do not include hospice patients in our mortality. Expected mortality.
> Patty Cormack
>
> -----Original Message-----
> From:
[email protected]<mailto:[email protected]>

> [mailto:[email protected]] On Behalf Of 
> Wendy
A. Nieman
> Sent: Friday, January 10, 2014 7:47 AM
> To: Robyn Haddock Crosswhite;
[email protected]<mailto:[email protected]>

> Subject: Re: [Sepsis Groups] Sepsisgroups Digest, Vol 91, Issue 1
>
> Hello everyone
> If the patient dies while an inpatient they would be included in our
mortality rate, regardless of Hospice status.
> Wendy Nieman RN
> ICU and Medical Quality Coordinator
> St. Joeseph Mercy Hospital
> Ann Arbor Michigan 48104
>
>
> ________________________________________
> From:
[email protected]<mailto:[email protected]>

> [[email protected]] on behalf of Robyn 
> Haddock
Crosswhite [[email protected]]
> Sent: Wednesday, January 08, 2014 12:03 PM
> To:
[email protected]<mailto:[email protected]>

> Subject: Re: [Sepsis Groups] Sepsisgroups Digest, Vol 91, Issue 1
>
> Our hospital includes hospice discharges regarding sepsis patients  in
our mortality rates, I just wanted to know if other hospitals are doing this as 
well? Thanks
>
> -----Original Message-----
> From:
[email protected]<mailto:[email protected]>

> [mailto:[email protected]] On Behalf Of
[email protected]<mailto:[email protected]>

> Sent: Monday, January 06, 2014 2:07 PM
> To:
[email protected]<mailto:[email protected]>

> Subject: Sepsisgroups Digest, Vol 91, Issue 1
>
> Send Sepsisgroups mailing list submissions to
>
[email protected]<mailto:[email protected]>

>
> To subscribe or unsubscribe via the World Wide Web, visit
>
> http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.o
> rg
>
> or, via email, send a message with subject or body 'help' to
>
[email protected]<mailto:[email protected]>

>
> You can reach the person managing the list at
>
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>
> When replying, please edit your Subject line so it is more specific 
> than
> "Re: Contents of Sepsisgroups digest..."
>
>
> Today's Topics:
>
>    1. Re: Mortality (Angela Craig)
>    2. Re: First Dose Antibiotics (Rick Rutherford)
>
>
> ----------------------------------------------------------------------
>
> Message: 1
> Date: Fri, 3 Jan 2014 13:31:38 -0600
> From: Angela Craig 
> <[email protected]<mailto:[email protected]>>
> To: "'Michelle  Corder'"
<[email protected]<mailto:[email protected]>>,
"Philip S.
>         Barie"  
> <[email protected]<mailto:[email protected]>>,
Hesham Hassaballa
>
<[email protected]<mailto:[email protected]>>,
>
"<[email protected]<mailto:[email protected]>>"

>
<[email protected]<mailto:[email protected]>>

> Subject: Re: [Sepsis Groups] Mortality
> Message-ID:
>
> <343e31412fc9094487b54371286adda003d404b...@d109exchmb.crmchealth.hosp
> it
>
al<mailto:343E31412FC9094487B54371286ADDA003D404B937@D109EXCHMB.crmchealth.hospit%0bal>>

>
> Content-Type: text/plain; charset="windows-1252"
>
> I think of it as "All Cause Mortality"  so, no matter where they are 
> when
they expire it counts
>
> Angela Craig APN,MS,CCNS
> Clinical Nurse Specialist
> Intensive Care Unit
> Cookeville Regional Medical Center
> 931-783-5035
>
> ________________________________
> From:
[email protected]<mailto:[email protected]>

> [mailto:[email protected]] On Behalf Of
Michelle Corder
> Sent: Thursday, January 02, 2014 9:36 AM
> To: Philip S. Barie; Hesham Hassaballa;
>
<[email protected]<mailto:[email protected]>>

> Subject: Re: [Sepsis Groups] Mortality
>
> I have a question for the establishing mortality rate:
> Do you include a patient that is transfered out of the ICU but later
expires on the floor in the mortality rate?
> or
> Do you only count the patients that expire while in the ICU?
>
> Michelle Corder
> PIH Health
>
> ________________________________
> From:
[email protected]<mailto:[email protected]>

> [[email protected]] On Behalf Of Philip S.
> Barie [[email protected]]
> Sent: Friday, December 27, 2013 10:39 AM
> To: Hesham Hassaballa;
<[email protected]<mailto:[email protected]>>

> Subject: Re: [Sepsis Groups] Mortality Yes, unless you can prove it to 
> be completely unrelated. Which, it seems
as though you cannot.
> ________________________________
> From:
[email protected]<mailto:[email protected]>

> [[email protected]] on behalf of Hesham
Hassaballa [[email protected]]
> Sent: Tuesday, December 24, 2013 4:28 PM
> To:
<[email protected]<mailto:[email protected]>>

> Subject: [Sepsis Groups] Mortality
> I have a question:

>
> A patient was admitted with septic shock, and we successfully treated 
> him
and he survived to ICU discharge. Approximately 17 days later, he codes and 
dies on the floor (unknown reason why) the day before he was slated to be 
discharged from the hospital.
>
> Does this really count against our sepsis mortality?
>
> Hesham A. Hassaballa, MD
> Program Medical Director
> Critical Care
> Rush-Copley Medical Center
>
> Assistant Professor of Medicine
> Rush University Medical Center
>
> Phone: (331) 454-6572
>
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>
> ------------------------------
>
> Message: 2
> Date: Sat, 4 Jan 2014 07:25:40 -0800
> From: Rick Rutherford
<[email protected]<mailto:[email protected]>>
> To: Sepsis List Serve
<[email protected]<mailto:[email protected]>>

> Subject: Re: [Sepsis Groups] First Dose Antibiotics
> Message-ID:
<[email protected]<mailto:[email protected]>>

> Content-Type: text/plain; charset="iso-8859-1"
>
> Hello All,
>
> We are seeing resistance to giving antibiotics early in patients who 
> meet
criteria for severe sepsis  but do not have a source.  The argument often goes 
like this:  "The patient is not critically ill and I do not have a source.  
Antibiotics will cloud an unclear picture further and have side effects such as 
liver and renal failure and breed resistance.
> I am going to hold off on antibiotics unless a source becomes apparent."
> Often, but not always, these patients will get their positive urine or
blood culture 2-3 days later and we will have been out of compliance and put 
the patient at risk.  Antibiotics noncompliance in nonshock septic patients is 
our most common miss in the bundles.
> I would appreciate help in formulating counterarguments to these
concerns.  Especially useful would be articles demonstrating the safety of 
single doses of antibiotics and the consequences of incorrect antibiotics in 
sepsis and severe sepsis (Not Septic Shock which Dr.
> Kumar and others have addressed nicely).
> Thanks,
> RIck RutherfordSepsis Task Force ChairVentura County Medical Center
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> ------------------------------
>
> Message: 2
> Date: Wed, 15 Jan 2014 18:29:59 +0000
> From: "Carlson, Barbara A. (Lincoln, NE)"
<[email protected]<mailto:[email protected]>>
> To: "Cormack, Patricia (WS)"
<[email protected]<mailto:[email protected]>>, "Wendy A.
>         Nieman"
<[email protected]<mailto:[email protected]>>, Robyn Haddock 
Crosswhite
>         <[email protected]<mailto:[email protected]>>,
"[email protected]<mailto:[email protected]>"

>
<[email protected]<mailto:[email protected]>>

> Subject: Re: [Sepsis Groups] Sepsisgroups Digest, Vol 91, Issue 1
> Message-ID:
>
<35dbb1774783904fb66a013e4e110d3f2ce73...@chiex011.chi.catholichealth.net<mailto:35dbb1774783904fb66a013e4e110d3f2ce73...@chiex011.chi.catholichealth.net>>

>
> Content-Type: text/plain; charset="us-ascii"
>
> Thoughts for the future...
>
> I would consider that currently patients are excluded from the 
> mortality
measure if they are hospice day 0.
>
> >From CMS excluded population for mortality
> "Admissions for patients enrolled in the Medicare Hospice Program any
time in the 12 months prior to the index hospitalization including the first 
day of the index admission since it is likely these patients are continuing to 
seek comfort measures only."
>
> Also, if and when this measure is a CMS eMeasure, some abstraction in
current core measures is excluded if the patient is hospice/comfort care day 
0-1.
>
> Barbara Carlson RN
> Performance Improvement
> St Elizabeth Regional Medical Center
> P 402-219-7332
> F 402-219-8992
> -----Original Message-----
> From:
[email protected]<mailto:[email protected]>
 [mailto:[email protected]] On Behalf Of Cormack, 
Patricia (WS)
> Sent: Monday, January 13, 2014 7:48 AM
> To: Wendy A. Nieman; Robyn Haddock Crosswhite;
[email protected]<mailto:[email protected]>

> Subject: Re: [Sepsis Groups] Sepsisgroups Digest, Vol 91, Issue 1
>
> We do not include hospice patients in our mortality. Expected mortality.
> Patty Cormack
>
> -----Original Message-----
> From:
[email protected]<mailto:[email protected]>

> [mailto:[email protected]] On Behalf Of 
> Wendy
A. Nieman
> Sent: Friday, January 10, 2014 7:47 AM
> To: Robyn Haddock Crosswhite;
[email protected]<mailto:[email protected]>

> Subject: Re: [Sepsis Groups] Sepsisgroups Digest, Vol 91, Issue 1
>
> Hello everyone
> If the patient dies while an inpatient they would be included in our
mortality rate, regardless of Hospice status.
> Wendy Nieman RN
> ICU and Medical Quality Coordinator
> St. Joeseph Mercy Hospital
> Ann Arbor Michigan 48104
>
>
> ________________________________________
> From:
[email protected]<mailto:[email protected]>

> [[email protected]] on behalf of Robyn 
> Haddock
Crosswhite [[email protected]]
> Sent: Wednesday, January 08, 2014 12:03 PM
> To:
[email protected]<mailto:[email protected]>

> Subject: Re: [Sepsis Groups] Sepsisgroups Digest, Vol 91, Issue 1
>
> Our hospital includes hospice discharges regarding sepsis patients  in
our mortality rates, I just wanted to know if other hospitals are doing this as 
well? Thanks
>
> -----Original Message-----
> From:
[email protected]<mailto:[email protected]>

> [mailto:[email protected]] On Behalf Of
[email protected]<mailto:[email protected]>

> Sent: Monday, January 06, 2014 2:07 PM
> To:
[email protected]<mailto:[email protected]>

> Subject: Sepsisgroups Digest, Vol 91, Issue 1
>
> Send Sepsisgroups mailing list submissions to
>
[email protected]<mailto:[email protected]>

>
> To subscribe or unsubscribe via the World Wide Web, visit
>
> http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.o
> rg
>
> or, via email, send a message with subject or body 'help' to
>
[email protected]<mailto:[email protected]>

>
> You can reach the person managing the list at
>
[email protected]<mailto:[email protected]>

>
> When replying, please edit your Subject line so it is more specific 
> than
> "Re: Contents of Sepsisgroups digest..."
>
>
> Today's Topics:
>
>    1. Re: Mortality (Angela Craig)
>    2. Re: First Dose Antibiotics (Rick Rutherford)
>
>
> ----------------------------------------------------------------------
>
> Message: 1
> Date: Fri, 3 Jan 2014 13:31:38 -0600
> From: Angela Craig 
> <[email protected]<mailto:[email protected]>>
> To: "'Michelle  Corder'"
<[email protected]<mailto:[email protected]>>,
"Philip S.
>         Barie"  
> <[email protected]<mailto:[email protected]>>,
Hesham Hassaballa
>
<[email protected]<mailto:[email protected]>>,
>
"<[email protected]<mailto:[email protected]>>"

>
<[email protected]<mailto:[email protected]>>

> Subject: Re: [Sepsis Groups] Mortality
> Message-ID:
>
> <343e31412fc9094487b54371286adda003d404b...@d109exchmb.crmchealth.hosp
> it
>
al<mailto:343E31412FC9094487B54371286ADDA003D404B937@D109EXCHMB.crmchealth.hospit%0bal>>

>
> Content-Type: text/plain; charset="windows-1252"
>
> I think of it as "All Cause Mortality"  so, no matter where they are 
> when
they expire it counts
>
> Angela Craig APN,MS,CCNS
> Clinical Nurse Specialist
> Intensive Care Unit
> Cookeville Regional Medical Center
> 931-783-5035
>
> ________________________________
> From:
[email protected]<mailto:[email protected]>

> [mailto:[email protected]] On Behalf Of
Michelle Corder
> Sent: Thursday, January 02, 2014 9:36 AM
> To: Philip S. Barie; Hesham Hassaballa;
>
<[email protected]<mailto:[email protected]>>

> Subject: Re: [Sepsis Groups] Mortality
>
> I have a question for the establishing mortality rate:
> Do you include a patient that is transfered out of the ICU but later
expires on the floor in the mortality rate?
> or
> Do you only count the patients that expire while in the ICU?
>
> Michelle Corder
> PIH Health
>
> ________________________________
> From:
[email protected]<mailto:[email protected]>

> [[email protected]] On Behalf Of Philip S.
> Barie [[email protected]]
> Sent: Friday, December 27, 2013 10:39 AM
> To: Hesham Hassaballa;
<[email protected]<mailto:[email protected]>>

> Subject: Re: [Sepsis Groups] Mortality Yes, unless you can prove it to 
> be completely unrelated. Which, it seems
as though you cannot.
> ________________________________
> From:
[email protected]<mailto:[email protected]>

> [[email protected]] on behalf of Hesham
Hassaballa [[email protected]]
> Sent: Tuesday, December 24, 2013 4:28 PM
> To:
<[email protected]<mailto:[email protected]>>

> Subject: [Sepsis Groups] Mortality
> I have a question:
>
> A patient was admitted with septic shock, and we successfully treated 
> him
and he survived to ICU discharge. Approximately 17 days later, he codes and 
dies on the floor (unknown reason why) the day before he was slated to be 
discharged from the hospital.
>
> Does this really count against our sepsis mortality?
>
> Hesham A. Hassaballa, MD
> Program Medical Director
> Critical Care
> Rush-Copley Medical Center
>
> Assistant Professor of Medicine
> Rush University Medical Center
>
> Phone: (331) 454-6572
>
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> ------------------------------
>
> Message: 2
> Date: Sat, 4 Jan 2014 07:25:40 -0800
> From: Rick Rutherford
<[email protected]<mailto:[email protected]>>
> To: Sepsis List Serve
<[email protected]<mailto:[email protected]>>

> Subject: Re: [Sepsis Groups] First Dose Antibiotics
> Message-ID:
<[email protected]<mailto:[email protected]>>

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>
> Hello All,
>
> We are seeing resistance to giving antibiotics early in patients who 
> meet
criteria for severe sepsis  but do not have a source.  The argument often goes 
like this:  "The patient is not critically ill and I do not have a source.  
Antibiotics will cloud an unclear picture further and have side effects such as 
liver and renal failure and breed resistance.
> I am going to hold off on antibiotics unless a source becomes apparent."
> Often, but not always, these patients will get their positive urine or
blood culture 2-3 days later and we will have been out of compliance and put 
the patient at risk.  Antibiotics noncompliance in nonshock septic patients is 
our most common miss in the bundles.
> I would appreciate help in formulating counterarguments to these
concerns.  Especially useful would be articles demonstrating the safety of 
single doses of antibiotics and the consequences of incorrect antibiotics in 
sepsis and severe sepsis (Not Septic Shock which Dr.
> Kumar and others have addressed nicely).
> Thanks,
> RIck RutherfordSepsis Task Force ChairVentura County Medical Center
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