I think that the important thing to remember is that CMS had to standardize to 
allow for 100% compliance.
We should still use all of the SIRS criteria and all of the organ failure, and 
treat as early as possible - basically do what we are doing, only continue to 
improve
AND - some of our patients, based on certain criteria outlined by CMS, will be 
submitted for compliance.
CMS is driving care for the 40 or 50 or 60 or 80% of the patients who meet 
criteria (do not have exclusions such as being on antibiotics for longer than 
24 hours for example).
We should not short track our care for the patients who may not be reportable 
but who need the care.

Thanks,

MARY ANN BARNES-DALY RN BSN CCRN DC  | Clinical Performance Improvement 
Consultant
Sutter Health - Clinical Integration Department | 2200 River Plaza Drive, 
Sacramento, CA 95833
Mobile 916.200.5604| Office 916.286.6717  | [email protected]

"You never change things by fighting the existing reality. To change something, 
build a new model that makes the existing model obsolete."      ~R. Buckminster 
Fuller


-----Original Message-----
From: Sepsisgroups [mailto:[email protected]] On 
Behalf Of Gerard, Daniel
Sent: Tuesday, June 16, 2015 12:28 PM
To: [email protected]
Subject: Re: [Sepsis Groups] Sepsisgroups Digest, Vol 161, Issue 6

RE: SEP-1 SIRS
2 part question. Has CMS also standardized which organ failure signs we will 
look at in addition to which SIRS criteria?

Daniel Gerard RPh
Critical Care Pharmacist
McLaren Northern Michigan
231-487-4770
FAX: 213-487-4817
________________________________________
From: Sepsisgroups <[email protected]> on behalf of 
[email protected] 
<[email protected]>
Sent: Tuesday, June 16, 2015 3:12 PM
To: [email protected]
Subject: Sepsisgroups Digest, Vol 161, Issue 6

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]

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When replying, please edit your Subject line so it is more specific than "Re: 
Contents of Sepsisgroups digest..."


Today's Topics:

   1. Re: SEP-1 SIRS criteria (Hawkins, Denis)


----------------------------------------------------------------------

Message: 1
Date: Tue, 16 Jun 2015 18:46:48 +0000
From: "Hawkins, Denis" <[email protected]>
To: "'[email protected]'" <[email protected]>,
        "'[email protected]'"
        <[email protected]>
Subject: Re: [Sepsis Groups] SEP-1 SIRS criteria
Message-ID:
        
<1d03c7f613bcdd4eac466f6a435ddf2b921c4...@smesexcp014038.msnyuhealth.org>

Content-Type: text/plain; charset="iso-8859-1"

Anyone have a good article and or data on sepsis readmissions?

----- Original Message -----
From: Gerard, Daniel [mailto:[email protected]]
Sent: Monday, June 15, 2015 02:07 PM
To: [email protected] <[email protected]>
Subject: [Sepsis Groups] SEP-1 SIRS criteria

I know many institutions use a variety of SIRS criteria when screening for 
severe sepsis/septic shock.  Will we continue to use local screening criteria 
or will this be standardized for all via SEP-1?


Daniel Gerard RPh
Critical Care Pharmacist
McLaren Northern Michigan
231-487-4770
FAX: 213-487-4817
________________________________________
From: Sepsisgroups <[email protected]> on behalf of 
[email protected] 
<[email protected]>
Sent: Monday, June 15, 2015 9:22 AM
To: [email protected]
Subject: Sepsisgroups Digest, Vol 161, Issue 2

Send Sepsisgroups mailing list submissions to
        [email protected]

To subscribe or unsubscribe via the World Wide Web, visit
        
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Today's Topics:

   1. Re: Fluids in non-shock sepsis (Myran, Robin) (Mary Fullick)
   2. Re: Sepsisgroups Digest, Vol 159, Issue 4 (Myran, Robin)


----------------------------------------------------------------------

Message: 1
Date: Sun, 14 Jun 2015 23:04:15 +0000
From: Mary Fullick <[email protected]>
To: "[email protected]"
        <[email protected]>
Subject: Re: [Sepsis Groups] Fluids in non-shock sepsis (Myran, Robin)
Message-ID:
        <da6dc477a4dafb4b9afdddd75fa4ab936c7...@lvdcmbx-mex003.nswhealth.net>
Content-Type: text/plain; charset="iso-8859-1"

We use 20mL/kg 0.9% sodium chloride for an initial bolus for emergency 
department patients. In ward patients we give an initial  bolus of 500mls as 
per the sepsis pathways for the  SEPSIS KILLS program which is in place across 
New South Wales hospitals, Australia.

Mary Fullick
Sepsis Program Lead|Clinical Excellence Commission Level 17, McKell Building 2 
- 24Rawson Place, Sydney. 2000 Tel 02 9269 5542 | Fax 02 9269 5599 | 
[email protected]???
www.cec.health.nsw.gov.au
??? ?????????????????????????




-----Original Message-----
From: Sepsisgroups [mailto:[email protected]] On 
Behalf Of [email protected]
Sent: Sunday, 14 June 2015 5:11 AM
To: [email protected]
Subject: Sepsisgroups Digest, Vol 160, Issue 12

Send Sepsisgroups mailing list submissions to
        [email protected]

To subscribe or unsubscribe via the World Wide Web, visit
        
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When replying, please edit your Subject line so it is more specific than "Re: 
Contents of Sepsisgroups digest..."


Today's Topics:

   1. Re: Fluids in non-shock sepsis (Myran, Robin)


----------------------------------------------------------------------

Message: 1
Date: Fri, 12 Jun 2015 12:15:39 -0700
From: "Myran, Robin" <[email protected]>
To: "Stroud, Shalan" <[email protected]>,
        <[email protected]>
Subject: Re: [Sepsis Groups] Fluids in non-shock sepsis
Message-ID:
        <[email protected]>
Content-Type: text/plain; charset="us-ascii"

Shalan -



We use the previous guideline of 20 mL/kg for those patients with a lactate 2.0 
- 3.9 who are not hypotensive. If they become hypotensive, we add the 
additional 10 mL/kg.





Robin Myran, MSN, RN, PCCN

Sepsis Coordinator

Hoag Memorial Hospital Presbyterian

One Hoag Drive

Newport Beach, CA 92658

Office: (949) 764-4588

Fax: (949) 764-5387

Cell: (949) 300-9137

[email protected] <mailto:[email protected]>







From: Sepsisgroups [mailto:[email protected]]
On Behalf Of Stroud, Shalan
Sent: Thursday, June 11, 2015 12:37 PM
To: [email protected]
Subject: [Sepsis Groups] Fluids in non-shock sepsis



The expectation for 30 ml/kg IVF in septic shock is in response to 
hypotension/L.A. >4.0.



What have you all set for initial volume to be infused in patients with a L.A. 
<4.0 and not hypotensive (yet) who of course, still need fluid?



We are using the traditional 1 liter and then re-evaluate but making the 
wording and expectation for each population remains pretty unclear for our 
providers.



Any ideas you all have would be great!







Shalan Stroud RN, APRN, ACNS-BC, ACCNS-AG Critical Care Clinical Nurse 
Specialist Nursing Resources | Shawnee Mission Medical Center |9100 W. 74th 
St., Shawnee Mission, KS 66204
P: 913-676-7476

Much more than medicine.
ShawneeMission.org | Facebook.com/ShawneeMission




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------------------------------

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------------------------------

Message: 2
Date: Fri, 12 Jun 2015 16:45:01 -0700
From: "Myran, Robin" <[email protected]>
To: <[email protected]>
Subject: Re: [Sepsis Groups] Sepsisgroups Digest, Vol 159, Issue 4
Message-ID:
        <[email protected]>
Content-Type: text/plain; charset="us-ascii"

This whole conversation has been fascinating, and I appreciate all of the 
expert viewpoints.

CMS wording:
For patients who enter the Emergency Department with severe sepsis, the Severe 
Sepsis Presentation Time is the time they were triaged in the Emergency 
Department.

Although the words "enter with" seem clear, I actually believe that they meant 
to capture the essence of the SSC's position on Time Zero in the ED (available 
at 
https://urldefense.proofpoint.com/v2/url?u=http-3A__www.survivingsepsis.org_SiteCollectionDocuments_Time-2DZero.pdf&d=AwICAg&c=4R1YgkJNMyVWjMjneTwN5tJRn8m8VqTSNCjYLg1wNX4&r=y2Q7bTh7vIAocvKqWX0RUkPtPfgVtrCcIsfR_DxdgyU&m=9bvhucja-rBYl8s7ekkGrZLAFNt1gzl9bpqnHUeSAI8&s=oTuYeRL2UcoUoTsqTxgEa7Yeev__YcF-br_vvC-cgzg&e=
 ), which basically states that triage time should be considered Time Zero no 
matter when the patient actually meets severe sepsis criteria.

They go on to say:
Time zero based solely on physician diagnosis will miss the opportunity to 
clearly identify the time period leading up to diagnosis, a period that 
establishes the best target for performance improvement. Without recognition 
that the clock is ticking, there is no incentive to recognize a challenging 
diagnosis early. Despite best intentions, patient care may be compromised.


We currently track "Triage Time" as well as "Time of Recognition".


Robin Myran, MSN, RN, PCCN
Sepsis Coordinator
Hoag Memorial Hospital Presbyterian
One Hoag Drive
Newport Beach, CA 92658
Office: (949) 764-4588
Fax: (949) 764-5387
Cell: (949) 300-9137
[email protected] <mailto:[email protected]>




-----Original Message-----
From: Sepsisgroups [mailto:[email protected]]
On Behalf Of Izard, Kimberly
Sent: Tuesday, June 02, 2015 1:29 PM
To: [email protected];
[email protected]
Subject: Re: [Sepsis Groups] Sepsisgroups Digest, Vol 159, Issue 4

According to the specifications manual from CMS, triage time is not "time zero" 
unless severe sepsis or septic shock is documented on arrival. There must be 
physician/NP/PA documentation of severe sepsis or septic shock, or the criteria 
must be met (within 6 hours of each other). If "time zero" is take to early 
(inaccurately), then it is possible to fail the sepsis bundles for core measure.

Our docs will not treat a patient for sepsis unless they feel they are truly 
septic. In other words, they will not start the 'clock' until diagnosis is made 
which may be hours after triage time.

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"
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This e-mail message is confidential, intended only for the named
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-----Original Message-----
From: Sepsisgroups [mailto:[email protected]]
On Behalf Of [email protected]
Sent: Tuesday, June 02, 2015 11:47 AM
To: [email protected]
Subject: Re: [Sepsis Groups] Sepsisgroups Digest, Vol 159, Issue 4

We are using triage as time zero. I don't want to wait till a patient crumps 2 
hours later before we start treating them.

Jennifer Rieske RN, CCRN, SCRN
Sepsis Coordinator
Swedish Medical Center
601 E. Hampden Ave Suite 220
Englewood, CO 80113
Phone 303-788-5206
Pager 303-234-7060




-----Original Message-----
From: Sepsisgroups [mailto:[email protected]]
On Behalf Of [email protected]
Sent: Tuesday, June 02, 2015 10:44 AM
To: [email protected]
Subject: [EXTERNAL] Sepsisgroups Digest, Vol 159, Issue 4

Send Sepsisgroups mailing list submissions to 
[email protected]

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Today's Topics:

   1. Re: Joint Commission Performance Measure Time Zero
      ([email protected])
   2. Re: Joint Commission Performance Measure Time Zero
      (Barnes-Daly, Mary Ann)


----------------------------------------------------------------------

Message: 1
Date: Mon, 1 Jun 2015 12:57:48 +0000
From: <[email protected]>
To: <[email protected]>, <[email protected]>, 
<[email protected]>
Subject: Re: [Sepsis Groups] Joint Commission Performance Measure Time Zero
Message-ID:
<38902089313ea545b2fe24cf7fe874de11590...@xrdcwpmsghcmd1a.hca.corpad.net
>

Content-Type: text/plain; charset="utf-8"

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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------------------------------

Message: 2
Date: Tue, 2 Jun 2015 09:43:52 -0700
From: "Barnes-Daly, Mary Ann" <[email protected]>
To: 'Brandy Cuevas' <[email protected]>, 'Angela Craig'
<[email protected]>, "'[email protected]'"
<[email protected]>,
"'[email protected]'"
<[email protected]>
Subject: Re: [Sepsis Groups] Joint Commission Performance Measure Time Zero
Message-ID:
<e6878da068c4dd4699740e87596a168b0c483b2...@dcbl115vx.root.sutterhealth.
org>

Content-Type: text/plain; charset="utf-8"

It seems as though there will be 2 possible T-0 for the ED

1.      For those patients who meet criteria in triage (when first
encountered) Triage time = T ? 0

2.      For those patients who do not meet the above, but have the
?constellation of symptoms? documented sometime later in their ED stay, that 
will be

T ? 0



The 30ml/kg bolus is meant for patients with severe sepsis who have hypotension 
and/or lactate > 4.0 as always

Thanks,

MARY ANN BARNES-DALY RN BSN CCRN DC  | Clinical Performance Improvement 
Consultant Sutter Health - Clinical Integration Department | 2200 River Plaza 
Drive, Sacramento, CA 95833 Mobile 916.200.5604| Office
916.286.6717  | [email protected]

?You never change things by fighting the existing reality. To change something, 
build a new model that makes the existing model obsolete.?
~R. Buckminster Fuller

From: Sepsisgroups [mailto:[email protected]]
On Behalf Of Brandy Cuevas
Sent: Friday, May 29, 2015 5:55 AM
To: Angela Craig; '[email protected]'; 
[email protected]
Subject: Re: [Sepsis Groups] Joint Commission Performance Measure Time Zero

I am also confused on Time Zero as it says patients entering through the ED, 
the time of presentation is the time the patient is triaged.

Also, Can anyone clarify the 30ml/kg for me.  Is it your understanding that any 
patient that presents with sepsis will get 30ml/kg regardless if they are in 
septic shock or severe sepsis?

Thanks in advance!!

Brandy Cuevas, BSN, RN
Quality Improvement Coordinator
William Newton Hospital
1300 E. 5th Ave.
Winfield, KS  67156
620-222-6225
[email protected]<mailto:[email protected]>

CONFIDENTIALITY NOTICE: This email communication may contain private, 
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From: Sepsisgroups [mailto:[email protected]]
On Behalf Of Angela Craig
Sent: Thursday, May 28, 2015 10:32 AM
To: '[email protected]';
[email protected]<mailto:[email protected]
ps.org>
Subject: [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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Subject: Digest Footer

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Subject: Digest Footer

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