It does say that time zero will be triage if diagnosed in ER – so that will remain the same. It is in the manual somewhere…we have reviewed this closely here at SMC/TMC.
Jennifer From: Sepsisgroups [mailto:[email protected]] On Behalf Of Angela Craig Sent: Thursday, May 28, 2015 11:32 AM To: Borden Megan; [email protected] Subject: [EXTERNAL] [Sepsis Groups] Joint Commission Performance Measure Time Zero OK so most of us have changed to time of triage for time zero I would assume. I had a meeting with our data abstractor for Sepsis Core Measures yesterday and she mentioned time zero would be changing. She then showed me the manual for the data abstractors. It stated for Septic Shock Present the following: Criteria There must be documentation of severe sepsis present AND Tissue hypoperfusion persists after crystalloid fluid administration evidenced by either SBP <90, or MAP<65, or a decrease in SBP by >40points OR Lactate level is >4 Soooo My abstractor was under the impression this would be the new time zero based on this. There was a sheet on Severe Sepsis Present as well. What concerns me is that based on documentation is what will que them for time zero. I am worried that there will be delays in care if that is how it will be determined. What are everyone’s thoughts? Am I missing something? Will everyone just stay with time zero that we feel is “clinically correct” and consistent across the country and just let core measures monitor something different? Can someone help me understand this. I really hope I am not reading something correctly or just not understanding. Thank you in advance - I am soo grateful for this List serve!!! Angela Craig APN,MS,CCNS Clinical Nurse Specialist Intensive Care Unit Cookeville Regional Medical Center 931-783-5035
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