Hi Dr. Townsend and all, Many abstractors are questioning how to abstract for the SEP-1 data element persistent hypotension if there is only ONE BP documented in the hour following crystalloid fluids completion. The answer, I believe is selecting "allowable value 3" which includes "unable to determine". I think (not sure as I need to review the category assignments again) that value 3 may fail the measure. Again NOT sure. But in the meantime while I review, I would still like to ask my question.
1) WHY did the CMS change this data element to TWO BPs instead of one? The reason I ask is because sometimes there is only ONE BP documented in the record before a vasopressor is started. Is it a clinical reason, i.e., is it not appropriate to go to vasopressor and/or determine shock) based on ONE BP? Or something else? I just need a little help as to how and why this data element was written the way it was for the measure? I just need to understand the background so I can assist the physicians. Thanks everyone for your help, Jennifer Halligan, RN Quality Review Nurse San Joaquin General Hospital Tel: 209-468-7471 Fax: 209-468-7011
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