If there is physician documentation of septic shock it will be  'Yes' for 
Septic Shock, irrespective of any criteria.

Please see the screen shot below from a MIDAS webinar on 1/7/2016. The response 
on 11/17/2015 has details.
The response on 11/12/2015, especially Qs #3 is contradictory, I would ignore 
it.
[cid:[email protected]]
In

From: Sepsisgroups [mailto:[email protected]] On 
Behalf Of [email protected]
Sent: Tuesday, February 23, 2016 10:21 PM
To: [email protected]
Subject: [Sepsis Groups] Crystalloid Fluids

Slide 25 in the September 21,2015 CMS webinar states "If crystalloid fluids not 
administered after presentation date and time of severe sepsis, select NO" to 
Septic Shock Present. This is also indicated on page 92 of the specs manual 
version 5.0b.How would this be abstracted if the full volume of crystalloid 
fluids were not administered after severe sepsis presentation date/time  even 
if there is physician documentation of septic shock?

Karen King, RN MSN
Quality Management Core Measures Specialist, Lead
Lakeview Regional Medical Center
95 Judge Tanner Boulevard
Covington, LA  70433
Office: (985) 867-4467
Cell:  (985) 788-0585
Fax: (985) 867-4263
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