I was wondering if anyone could tell me if there is a standard for number of Sepsis Coordinators in an institution and/or Performance improvement staff. - 600 bed academic quaternary medical center with at least 30 ICU severe sepsis cases per month and 200 hospital sepsis cases per month.
Thanks Fiona ________________________________________ From: Sepsisgroups <[email protected]> on behalf of [email protected] <[email protected]> Sent: Thursday, March 03, 2016 2:27:28 PM To: [email protected] Subject: Sepsisgroups Digest, Vol 194, Issue 10 THIS EMAIL IS FROM AN EXTERNAL SENDER! DO NOT click links or provide your User ID or Password if the sender is unknown. 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] You can reach the person managing the list at [email protected] When replying, please edit your Subject line so it is more specific than "Re: Contents of Sepsisgroups digest..." Today's Topics: 1. New Sepsis Definition (Clement, Joseph (DPH)) 2. Code Sepsis ([email protected]) 3. Feb. 23rd JAMA article negates severe sepsis and SIRS (June Curry) ---------------------------------------------------------------------- Message: 1 Date: Fri, 26 Feb 2016 01:46:46 +0000 From: "Clement, Joseph (DPH)" <[email protected]> To: "[email protected]" <[email protected]> Subject: [Sepsis Groups] New Sepsis Definition Message-ID: <dm2pr09mb0447e9687ca4ded50220427b9a...@dm2pr09mb0447.namprd09.prod.outlook.com> Content-Type: text/plain; charset="iso-8859-1" Hello, I'm very interested in hearing what people are thinking about the newly released definitions of Sepsis and Septic shock: http://www.sccm.org/Research/Quality/Pages/Sepsis-Definitions.aspx [http://www.sccm.org/images/SCCM_logo.jpg]<http://www.sccm.org/Research/Quality/Pages/Sepsis-Definitions.aspx> SCCM | Sepsis Definitions<http://www.sccm.org/Research/Quality/Pages/Sepsis-Definitions.aspx> www.sccm.org About SCCM. Join; Governance; Leadership and Staff. President; Council ; Past Presidents; CEO; Staff; SCCM Careers; Support SCCM; Collaborations; Industry Partnerships We are busy trying to digest this information and catalog the potential impacts/ramifications. I'm sure many are doing the same. What do people think? Here are some of my early thoughts/concerns: [] Should we replace our current SIRS + Infection screening tools (imperfect as we've known them to be) in favor of just using infection + qSOFA? Would that mean a slower response for many patients? Would that be appropriate or not? [] Should we train medical teams and/or RNs to use the SOFA tool? That would necessitate a lot of additional ABGs and is unfamiliar to many providers. [] Will the failure of elevated lactate to "count" as an organ dysfunction qualifying for the sepsis diagnosis lead to a de-emphasis of lactate measurement? Will people use it less? On the other hand - this is more aligned with ICD-10. [] The new definition for sepsis is very different than the definition of severe sepsis used in the SEP-1 measure - so should we continue to teach people to apply the bundle to a broader range of patients? If we did, that would mean we teach people to apply the sepsis bundle to patients that don't have "Sepsis". [] There will be a gap between the Sepsis-3 definition and the ICD-10 codes, that could result in under-coding (e.g. patient with SIRS and PNA does not get the ICD-10 code for sepsis). This would adjust our risk adjustment measures, reimbursement rates, etc. [] On the positive side, does this present an opportunity to zero in our interventions on the (smaller) subset of patients who are most likely to benefit? Could that drive acceptance of the full bundle? I could probably go on. Apologies for the long post but I'm hoping to start what I'm sure will be a very long series of conversations. Thank you! Joe Joseph Clement, MS, RN, CCNS Clinical Nurse Specialist San Francisco General Hospital ph: 415206-6174 pg: 415 327-0220 -------------- next part -------------- An HTML attachment was scrubbed... URL: <http://lists.sepsisgroups.org/pipermail/sepsisgroups-sepsisgroups.org/attachments/20160226/73b2d9d4/attachment-0001.htm> ------------------------------ Message: 2 Date: Wed, 2 Mar 2016 14:01:16 +0000 From: <[email protected]> To: <[email protected]>, <[email protected]> Subject: [Sepsis Groups] Code Sepsis Message-ID: <390bbbea24d6e04ba51ca67a1625ed92116fc...@fwdcwpmsghcmd4b.hca.corpad.net> Content-Type: text/plain; charset="us-ascii" I too would be very interested in other facility's processes regarding Code Sepsis. 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] This email and any files transmitted with it may contain privileged or confidential information and may be read or used only by the intended recipient. If you are not the intended recipient of the email or any of its attachments, please be advised that you have received this email in error and that any use, dissemination, distribution, forwarding, printing, or copying of this email or any attached files is strictly prohibited. If you have received this email in error, please immediately purge it and all attachments and notify the sender by reply email or contact the sender at the number listed. From: Sepsisgroups [mailto:[email protected]] On Behalf Of Carter, Anne Sent: Tuesday, March 01, 2016 10:59 AM To: [email protected] Subject: [EXTERNAL] [Sepsis Groups] Sepsis coordinator 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." -------------- next part -------------- An HTML attachment was scrubbed... URL: <http://lists.sepsisgroups.org/pipermail/sepsisgroups-sepsisgroups.org/attachments/20160302/57ea3161/attachment-0001.htm> ------------------------------ Message: 3 Date: Mon, 29 Feb 2016 19:14:49 +0000 From: June Curry <[email protected]> To: "[email protected]" <[email protected]> Subject: [Sepsis Groups] Feb. 23rd JAMA article negates severe sepsis and SIRS Message-ID: <E1B14A4B33095D41A2EE7A7E42899D4C3E96001D@smbx1> Content-Type: text/plain; charset="windows-1252" Dr. Townsend, A number of our physicians have brought to our attention an article published by JAMA on Feb. 23rd titled, "The third international consensus definitions for sepsis and septic shock". It is their understanding that this article negates severe sepsis and SIRS. Our physicians are wanting to know when CMS will address these changes and how/when they will affect the current SEP-1 measure. I would appreciate any information you can share that I can pass along to our providers. Thanks! _________________________ June R. Curry, RHIA Manager, Evidence Based Care Process Improvement and Innovation [cid:[email protected]]<http://www.methodisthealth.org/> 1211 Union Ave. Rm 604 Memphis, TN 38104 mobile 901-568-9431 | email [email protected] -------------- next part -------------- An HTML attachment was scrubbed... URL: <http://lists.sepsisgroups.org/pipermail/sepsisgroups-sepsisgroups.org/attachments/20160229/cb696f33/attachment.htm> -------------- next part -------------- A non-text attachment was scrubbed... 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