Rhonda,
At our institution we have our Quality data abstractors that are amazing and 
are the ones that will be performing the CMS abstraction.  They are familiar 
with abstracting for other CMS core measures and understand the process with 
CMS and the resources available for us.  My  understanding is that they will be 
doing random sampling.

We have a separate process to abstract and record and monitor our process 
measures around sepsis in our ICU that our ICU Data coordinator abstracts.  She 
captures all patients that come to our ICU with sepsis to track our compliance 
and outcomes.  This data is entered into the Surviving Sepsis Campaign Access 
database and is great for running reports to track our progress toward our 
goals for compliance.

Much of the data abstraction will be duplication and we suspect there will be 
some opportunities to share and glean from each other's efforts but the purpose 
for our abstraction is different so will remain separate.


Michelle Foss RN
Critical Care Data Coordinator
913.632.2429 office
Shawnee Mission Medical Center

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Sent: Tuesday, September 15, 2015 2:16 PM
To: [email protected]
Subject: Sepsisgroups Digest, Vol 171, Issue 1

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Today's Topics:

   1. Sepsis Core Measures Follow-up (Allen, Gilman B)
   2. sepsis coordinator roles (Gluckner, Rhonda)


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

Message: 1
Date: Tue, 15 Sep 2015 16:25:20 +0000
From: "Allen, Gilman B" <[email protected]>
To: "'[email protected]'" <[email protected]>
Cc: "'[email protected]'"
        <[email protected]>
Subject: [Sepsis Groups] Sepsis Core Measures Follow-up
Message-ID: <[email protected]>
Content-Type: text/plain; charset="us-ascii"

Sean,

I attended your webinar on Sepsis Core measures last week and was left with a 
number of concerning questions:

1. If we are using the logic that "there is no evidence to show it doesn't 
hurt" to justify follow-up physical exam measures for evaluation of response to 
resuscitation, then why does the same logic not apply to the use of Normsol and 
other chloride-balanced crystalloids? I would argue that there is a growing 
body of evidence that normal saline may indeed "hurt" (JAMA. 
2012;308(15):1566-1572.; Br J Surg 102 (1):24-36. Crit Care Med 2014; 
42:1585-1591.

2. In defending the use of many of these unproven metrics of volume 
responsiveness and distal perfusion, you described many of these measures as a 
"proxy" measure of "attentive evaluation" and intensive care.  I full agree, 
and practice this way.  I believe these measures help represent a collective 
epi-phenomenon of intensive and regimented care. Using the same reasoning, why 
then is there no provision in any of this for providers to document their own 
rationale for diverging from some of these restrictive mandates when judged to 
be clinically justified. Is this not also a worthy "proxy" of intensive and 
attentive care?

3. When does the clock really start ticking? Our hospitals still don't have a 
solid and reliable answer to this question. Is it when the physician documents 
their suspicion of sepsis, 3 hours after a fever and hypotension? When blood 
cultures are first ordered one hour after the fever? Or when an MD orders 
Tylenol, a CBC, lactate, and blood cultures on someone he/she suspects may be 
either bleeding, in pain, or possibly infected post-Op? When do these types of 
patients really "declare" themselves septic.

The efforts to try to "capture" every element of Goal-directed care in an 
"all-or-none" pass/fail algorithm dooms itself from the beginning. Why didn't 
CMS just start off with the 3 hour bundle, monitor how others do with the 6 
hour bundle, and try to figure out where (and why) their algorithm is 
succeeding, or failing, to capture (and enforce) best practice?

I've augured to my group that there is absolutely no excuse for not getting 
blood cultures, a lactate, and fluids on board within one hour of a high 
suspicion of sepsis. This is a low bar we should all be meeting, but probably 
aren't. Why not simply start there, and work our way forward?

Gilman B. Allen, MD
Associate Professor
Department of Medicine
Director of Adult Critical Care Services University of Vermont / Fletcher Allen 
Healthcare HSRF 220, 149 Beaumont Ave Burlington, VT 05405-0075
(802)656-9004
Fax: (802) 656-8926
[email protected]<mailto:[email protected]>

[UVMMedicalCenter_Color]

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Message: 2
Date: Mon, 14 Sep 2015 14:00:44 +0000
From: "Gluckner, Rhonda" <[email protected]>
To: "[email protected]"
        <[email protected]>
Subject: [Sepsis Groups] sepsis coordinator roles
Message-ID:
        
<blupr08mb1810e936294ac6d926da34129b...@blupr08mb1810.namprd08.prod.outlook.com>
        
Content-Type: text/plain; charset="us-ascii"

I am interested in knowing how other facilities with sepsis coordinators are 
planning on abstracting the data for the CMS metric in October.  Is it falling 
under the realm of the sepsis coordinator, or does it belong to the quality 
department/data abstractors?

Rhonda Gluckner, BSN, RN
Sepsis Coordinator
Mercy Health-Youngstown

Office:  330.480.2935
Pager:  330.229.2035
Fax:  330.480.3177
[email protected]<mailto:[email protected]>


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