Please do not be concerned about this at this time. The possibility of changing definitions will not affect CMS's abstraction of this measure in the near term or long term. In fact, if the clinical definition of sepsis were to somehow change, for better or worse, it is very unlikely CMS, AHA, or ICD-10 will follow suit for a long time, if ever.
For administrative purposes, from now until the foreseeable future, sepsis will remain defined as you currently understand the disease. If clinicians attempt to change the definition in the future, it will take many years for administrators to become cognizant (and then interested) in the change. Sean R. Townsend, M.D. Vice President of Quality & Safety California Pacific Medical Center 2330 Clay Street, #301 San Francisco, CA 94115 email [email protected] office (415) 600-5770 fax (415) 600-1541 ________________________________ From: Sepsisgroups [[email protected]] On Behalf Of Mary Kay Bader [[email protected]] Sent: Friday, April 03, 2015 10:54 AM To: Jennifer L Halligan [SJGH]; [email protected] Subject: Re: [Sepsis Groups] CMS Abstraction for Severe Sepsis/Septic Shock PRESENTATION TIME Hi I attended the ISICEM meeting in Brussels 2 weeks ago. There were several presentations on March 17 that reported on the march 12-14 International Forum on Sepsis. The roundtable included experts from the international world and focused on Reducing the Global Burden of Sepsis. Amongst the topics presented – there was dialogue of creating a new definition of sepsis as well as exploring the true validity (limited sensitivity , lack of face validity, lack of construct validity, lack of predictive validity) of the SIRS criteria. The analysis leads me to believe that the SIRS criterial will more than likely be replaced by criteria from SOFA (ICU) and qSOFA (ED and the floor). The three critical criteria mentioned on qSOFA were Respiratory Rate, BP , and Mental Status changes. There is more to come but it was an enlightening presentation. Mary Kay Bader RN, MSN, CCNS, FAHA, FNCS Neuro/Critical Care CNS Mission Hospital From: Sepsisgroups [mailto:[email protected]] On Behalf Of Jennifer L Halligan [SJGH] Sent: Thursday, April 02, 2015 8:45 AM To: [email protected] Subject: [Sepsis Groups] CMS Abstraction for Severe Sepsis/Septic Shock PRESENTATION TIME Question to the group. I have been and currently still am abstracting TRIAGE TIME for “time zero”. With the release of the new measure specification manual/abstraction guidelines I want to clarify that I will still abstract TRIAGE time as severe sepsis/septic shock PRESENTATION TIME even though ALL the criterion may NOT be met yet at the time of triage, i.e. for severe sepsis -1) documentation of suspected source of infection, 2) 2 SIRS criteria, and 3) organ dysfunction? Thank you, Jennifer Jennifer Halligan, RN Quality Review Nurse San Joaquin General Hospital Tel: 209-468-7471 Fax: 209-468-7011 ________________________________ Notice from St. Joseph Health System: Please note that the information contained in this message may be privileged and confidential and protected from disclosure.
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