Beth, You are correct. It applies to ED patients/direct admits. And those that develop sepsis during the stay.
Thank you, Kim Kim Izard, BS, RN Supervisor Clinical Outcomes/Core Measures SSM Health - St. Louis Network 1015 Corporate Square Drive Suite 240 Creve Coeur, MO 63132 Office - 314-989-2137 Cell - 618-670-3616 [email protected] "Change is a challenge and an opportunity; not a threat" -Prince Phillip of England This e-mail message is confidential, intended only for the named recipient(s) above and may contain information that is privileged or exempt from disclosure under applicable law. If you are not the intended recipient(s), you are notified that the dissemination, distribution or copying of this message is strictly prohibited. If you received this message in error, or are not the named recipient(s) please notify the sender at the e-mail address or telephone number above and delete this e-mail from your computer. Thank you! -----Original Message----- From: Sepsisgroups [mailto:[email protected]] On Behalf Of Beth Leffard Sent: Friday, May 29, 2015 9:43 AM To: [email protected] Subject: Re: [Sepsis Groups] Sepsisgroups - Core Measure - ED and IP? For someone further along in Sepsis Core Measure prep than me: My first impression from reading the CMS guidelines was that this measure would only apply to ED patients or direct admits (not transfer from ACF), but upon further reading, it appears it will apply to inpatients who develop sepsis during the stay. Is that correct? Does the CMS Sepsis Core Measure apply to both ED pts and IPs with sepsis not present on admission? Thank you. Beth Beth Leffard, MSN, RN - Assistant Director of Quality Management University of South Alabama Medical Center 2451 Fillingim St. Mobile, AL 36617 Office 251-471-7210 / Fax 251-445-9118 email [email protected] THIS TRANSMISSION CONTAINS CONFIDENTIAL HEALTH INFORMATION THAT IS LEGALLY PROTECTED. AS THE RECIPIENT OF THIS TRANSMISSION, YOU ARE OBLIGATED TO MAINTAIN IT IN A SAFE AND CONFIDENTIAL MANNER. UNAUTHORIZED RE-DISCLOSURE OR A FAILURE TO MAINTAIN THE CONFIDENTIALITY OF THE INFORMATION CONTAINED HEREIN COULD SUBJECT YOU TO PENALTIES UNDER STATE AND FEDERAL LAW. -----Original Message----- From: Sepsisgroups [mailto:[email protected]] On Behalf Of [email protected] Sent: Friday, May 29, 2015 7:33 AM To: [email protected] Subject: Sepsisgroups Digest, Vol 158, Issue 11 Send Sepsisgroups mailing list submissions to [email protected] To subscribe or unsubscribe via the World Wide Web, visit http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org or, via email, send a message with subject or body 'help' to [email protected] You can reach the person managing the list at [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: CMS Guidelines ([email protected]) ---------------------------------------------------------------------- Message: 1 Date: Thu, 28 May 2015 16:02:43 +0000 From: <[email protected]> To: <[email protected]>, <[email protected]> Subject: Re: [Sepsis Groups] CMS Guidelines Message-ID: <1629a24ac5c93b429687ace36144bb2905ffa...@xrdcwpmsghcmd2a.hca.corpad.net> Content-Type: text/plain; charset="us-ascii" Notice that the guidelines state reassessment "by a licensed independent practitioner"....RNs do not qualify for that position because we are not independent. Docs, PAs, ARNPs is what I believe they are saying it has to be. I truly believe an RN could do those things so I am unclear as to why they chose that title to do that reassessment. Any input on that .....or did we interpret it incorrectly? From: Sepsisgroups [mailto:[email protected]] On Behalf Of [email protected] Sent: Wednesday, May 27, 2015 3:25 PM To: [email protected] Subject: [EXTERNAL] [Sepsis Groups] CMS Guidelines So, I've read through the new CMS Guidelines and it states that a repeat assessment must be completed within 6 hrs with either a focused exam (including VS, cardiopulmonary exam, cap refill, peripheral pulse eval and skin exam) or any two of the four: CVP, SV02, bedside cardiovascular ultrasound, passive leg raise or fluid challenge. At our hospital, we have the "shift evaluation" and "shift re-evaluation." If the nurse documents the "shift re-evaluation" they are basically saying nothing has changed since the last evaluation. I'm wondering if that will suffice, or if they actually have to do another complete head-to-toe assessment. Any thoughts?? Thanks, Debbie Debbie Chambless, MSN, RN, ARNP-C Sepsis Coordinator Osceola Regional Medical Center Kissimmee, Fl 34741 Office: 407-518-3949 Cell: 772-807-0525 ~~Recognizing sepsis as a global enemy. Hoping for global unity in finding a solution~~ [cid:[email protected]] -------------- next part -------------- An HTML attachment was scrubbed... URL: <http://lists.sepsisgroups.org/pipermail/sepsisgroups-sepsisgroups.org/attachments/20150528/957e9c96/attachment.htm> -------------- next part -------------- A non-text attachment was scrubbed... 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