The goal of the data collection is to have clean data to be statistically analyzed to identify what makes a difference in outcome and what does NOT.
1. While a Hospice Patient is discharged alive, their discharge plan is palliative and comfort care, for their limited life expectancy. 2. If their discharge to Hospice is NOT captured clearly, it will not accurately reflect their prognosis, and imminent certain death, and will skew survival percentages erroneously. 3. These patients are hospice BECAUSE continued aggressive sepsis treatment (along with their other comorbid conditions) will not lead to cure or survival. These hospice patients are valuable in the data for initial presentation, recognition, and timeliness and appropriateness of treatment. 1. Was severe sepsis POA? Was septic shock POA? 2. Where did they come from - home, SNF, Hospice? 3. Did you do everything right and they were unable to respond (comorbidities,etc)? 4. Did you NOT do everything right and they worsened to point of irreversible organ failure? (Then could it be argued that these be counted as a death?) We need to make sure we have a standard way of capturing the discharge status of patients beyond lived and died. Respectfully, Dale Brochis BA 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] -----Original Message----- From: [email protected] [mailto:[email protected]] On Behalf Of DanaMarie Smith Sent: Thursday, April 03, 2014 9:51 AM To: [email protected] Subject: [Sepsis Groups] Hospice Patients Hi Everyone, I have a question and I want to know what everyone's practice is on the subject. When I am doing chart abstract and reviews on our severe sepsis patients I come across patients who get discharged to Hospice either home or to inpatient Hospice in our hospital but they aren't admitted anymore and itsd a completely different admission so they are technically discharged from acute care. Then the patients who go to hospice expired. My question is that would you count them on your mortality list or say they survived discharge from acute care setting? Like I said even though there is an inpatient hospice they are completely separated from the hospital admissin and don't even show up on our regular mortality list. I hope I explained this well. Thank You, Dana Dana Marie Moore RN Clinical Data Analyst Quality/Performance Improvement Aria Health Hospital Phone # 215- 612-4888 Fax # 215-612-4463 Let Life Bloom: Sign up to become an organ, eye and tissue donor. This message and any attachments contain information that may be confidential and privileged. If you have received this in error and are not the intended recipient, you may not use, copy or disclose this message or its contents to anyone. If you have received this message in error, please advise the sender by reply e-mail, and delete or destroy this message and its attachments. _______________________________________________ Sepsisgroups mailing list [email protected] http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org This e-mail and any files transmitted with it are confidential and are intended solely for the use of the individual or entity to whom they are addressed. This communication represents the originator's personal views and opinions, which do not necessarily reflect those of Robert Wood Johnson University Hospital at Rahway. If you are not the original recipient or the person responsible for delivering the e-mail to the intended recipient, be advised that you have received this e-mail in error, and that any use, dissemination, forwarding, printing, or copying of this e-mail is strictly prohibited. If you receive this email in error, please immediately notify [email protected]. _______________________________________________ Sepsisgroups mailing list [email protected] http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
