Yes this is very confusing to me. What is the definition of "some" SSC as
feb 2016 does not require SIRS criteria. Task force found t to be
"unhelpful". I am wondering when CMS will not require it as well. Still
researching.

On Tue, Mar 1, 2016 at 4:04 PM, <[email protected]
> wrote:

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> Today's Topics:
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>    1. Sepsis coordinator (Carter, Anne)
>    2. Re: Crystalloid Fluids (Belfi, Karen)
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> ----------------------------------------------------------------------
>
> Message: 1
> Date: Tue, 1 Mar 2016 16:58:55 +0000
> From: "Carter, Anne" <[email protected]>
> To: "[email protected]"
>         <[email protected]>
> Subject: [Sepsis Groups] Sepsis coordinator
> Message-ID:
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>
> After much trial and error to get on top of the Sepsis core measure, our
> institution would like to institute a "code sepsis" that alerts housewide
> providers of a potentially septic patient. I have been tasked to find out
> how other institutions have accomplished this who do not have an alert in
> their EMR. Would anyone be willing to share a policy, protocol or
> description of their code sepsis procedure at their institution?
> Also, do you have a dedicated sepsis coordinator? If so, who do they
> report to and how do they function in that role? I'd love that job
> description as well.
> Thanks in advance.
>
> Anne Carter MS, ACNS-BC, CEN
> Coordinator
> Outcomes Management
> Riverview Medical Center
> 732-450-2735
> [email protected]<mailto:[email protected]>
>
>
> "This document and the information attached is Patient Safety Work Product
> & as such, is privileged and confidential pursuant to the N.J. Patient
> Safety Act and the Federal Patient Safety & Quality Improvement Act of 2005
> and should not be further disclosed except as permitted by law."
>
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> ------------------------------
>
> Message: 2
> Date: Wed, 24 Feb 2016 09:08:46 -0500
> From: "Belfi, Karen" <[email protected]>
> To: "[email protected]" <[email protected]>,
>         "[email protected]"
>         <[email protected]>
> Subject: Re: [Sepsis Groups] Crystalloid Fluids
> Message-ID:
>         <[email protected]>
> Content-Type: text/plain; charset="us-ascii"
>
> >From what they've stated, in the power point as well as the Q&A, you
> don't need the full 30 mL/kg of crystalloid fluids in order to say "yes" to
> septic shock when the criteria is physician documentation or lactate >4.
> The patient just needs to receive SOME crystalloid fluids-any amount.
> So if you have a physician documenting septic shock, and the patient
> receives any crystalloid fluids, you say yes.
> However if the patient doesn't get the full 30 mL/kg, you would say no to
> the crystalloid fluids question.
> Here are some Q&As from the Oct 26 presentation that addresses this.
>
> Question 61: If lactate is >4 and no crystalloid fluids are administered,
> do you answer "Yes" or "No" for Septic Shock present?
> Answer 61: The Septic Shock Present data element's Notes for Abstraction
> indicates that if crystalloid fluids were not administered after the
> presentation date and time of severe sepsis, to choose Value "2 (No)."
>
>
> Question 144: On slide 103, the Specifications Manual says: "If there has
> not been crystalloid administration, select "No" for septic shock. Patients
> with initial lactate >4 and severe sepsis present have septic shock without
> the administration of crystalloids." Is this being addressed in the manual
> page 1-332?
> Answer 144: For purposes of the SEP-1 measure, if crystalloid fluids were
> not given following presentation of severe sepsis, you should select "No"
> for Septic Shock Present. This allows the case to be excluded from the
> crystalloid fluid data elements. The case would fail if crystalloid fluids
> were not given. This does not mean the patient does not clinically have
> septic shock.
>
>
> Question 145: If initial lactate is >4, but no crystalloid fluids are
> given during the 6 hours after severe sepsis, do we answer "No" to septic
> shock?
> Answer 145: Not necessarily. You would select "No" for Septic Shock
> Present if no crystalloid fluids were given at all after presentation of
> severe sepsis. There is no time frame after severe sepsis presentation
> associated with this. If fluids were not given within 6 hours following
> presentation of severe sepsis but were given after 6 hours, then you would
> select "Yes." This is an all-or-none point for crystalloid fluids.
>
> Question 157: Based on documentation in the note which indicates, "Septic
> Shock" (is time zero as no other criteria present to support earlier time)
> as the reason patient already on pressors, MAP>65, not hypotensive, lactate
> <4, so why would the patient require a 30cc/kg bolus?
> Answer 157: If the MAP is >65 and SBP is >90 and the lactate is <4, the 30
> ml/kg bolus is not indicated. However if the physician documented septic
> shock, then it might be indicated. According to your question, the patient
> is on vasopressors, which may indicate crystalloid fluids were already
> given. If so, then crystalloid fluids given prior to presentation of septic
> shock should be taken into consideration. If no crystalloid fluids were
> given after presentation time of severe sepsis, the Septic Shock Present
> data element's Notes for Abstraction indicate to select Value "2 (No)."
> There is not enough information in the question to comment further.
>
>
> Question 159: If no crystalloid fluids were administered, the answer to
> septic shock present is no even if the physician documents septic shock?
> Answer 159: Correct.
>
> Question 161: If there is MD documentation of "possible septic shock" but
> no crystalloid fluids were administered or were not administered at 30
> ml/kg, would I answer the "Septic Shock Present" data element as a "No?"
> Answer 161: If no fluids were given after the presentation of severe
> sepsis, you would select "No" for Septic Shock Present, regardless of
> physician documentation or clinical criteria. If fluids were given but not
> 30 ml/kg, you would select "Yes" for Septic Shock Present because of the
> physician documentation of possible septic shock.
>
> Question 163: Would you please clarify slide 103: If crystalloid fluids
> were not administered after the presentation date and time of Severe
> Sepsis, select Allowable Value "2 (No)," does this mean any crystalloid
> fluid or does this only apply if 30ml/kg was not given?
> Answer 163: This means any crystalloid fluid.
>
> Question 176: If the physician states septic shock in their notes but no
> crystalloid fluids were administered, do we select "Yes" or "No" for septic
> shock?
> Answer 176: If no crystalloid fluids were given after presentation of
> severe sepsis, you would select "No" for Septic Shock Present, regardless
> of how septic shock is identified.
>
>
> Karen Belfi, RN, MSN
> Quality Outcomes Coordinator
> Lankenau Medical Center
> 484-476-8092
> Pager: 5240
> [cid:[email protected]]
>
> 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
> Email: [email protected]<mailto:[email protected]>
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-- 
Carol Lovelace RN, CCRN (ret)
Physician Peer Review Analyst
577-2335
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