I had understood that there were no exclusions from sepsis mortality - regardless of how sensible an exclusion it is. However, it appears that New York State has identified this might not be such a smart idea with reported data: http://open.nysenate.gov/legislation/bill/S6979-2013
It's one thing to get a global epidemiological picture of the impact that sepsis has on our society. When that data is then reported to the public without explanation, then I think we do a disservice to folks who are just trying to make good decisions about their healthcare...and to the hospitals trying to provide that care. The bill sums it up thusly (emphasis mine): Statement in Support: The data collection and reporting requirements within the regulations governing sepsis measures adopted in 2013 are novel both in New York State and throughout the nation (if not internationally). As such, the process for evaluating the data collected to assure completeness and accuracy, as well as the modeling necessary to develop fair and accurate risk-adjusted measures of mortality attributable to sepsis, are also novel and untested. Accordingly, premature release of this data before thorough and careful analysis, may improperly damage hospitals and mislead consumers. This legislation would allow for a pilot phase lasting no more than two years, to complete data collection and analytics* to assure that the information ultimately made public is accurate and meaningful. *The Department would publish this data after validation. Yay, NY State! -- Sam Farrell, RN CCRN Intensivist Program Manager West Coast Critical Care Specialists office: 805.988.7004 fax: 805.988.7101 *wcintensivist.com* <http://wcintensivist.com/> *CONFIDENTIALITY NOTICE : This message and any included attachments are intended only for the addressee and may contain confidential information belonging to the sender that is legally protected. Unauthorized forwarding, printing, copying, distribution, or use of such information is strictly prohibited and may be unlawful. If you are not the addressee, please promptly delete this message and notify the sender of the delivery error by e-mail. Thank you.* On Wed, Jun 18, 2014 at 12:03 PM, Francisco, Nenita < [email protected]> wrote: > When you report sepsis mortality rate (severe sepsis/septic shock), do > you use any exclusions in your denominator such as DNR, Comfort care, > refuse treatment, etc? > > Thank You > > > > > > Nenita Francisco, RN, BSN > > Director of Critical Care & Cardiovascular Unit > > Methodist Hospital > > 626 462-2758 > > > > This message, together with any attachments, is intended only for the use > of the individual or entity to which it is addressed. It may contain > information that is confidential and prohibited from disclosure. If you are > not the intended recipient, you are hereby notified that any dissemination > or copying of this message or any attachments is strictly prohibited. If > you have received this message in error, please notify the original sender > immediately by telephone or by return e-mail and delete this message, along > with any attachments, from your computer. Thank you. > > > _______________________________________________ > Sepsisgroups mailing list > [email protected] > http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org > >
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