FYI-

I just received a response back regarding the use of a Sepsis orderset and/or 
an antibiotic with an indication for infection/ sepsis as a means for being 
able to prove documentation of infection by a provider, so I thought I would 
share.

Have a great day!

~Claudia
Claudia Orth BSN, RN, CCRN-K
Regional Sepsis Coordinator
Clinical Quality
Munson Medical Center
1105 Sixth Street
Traverse City, MI 49684-2386
(231) 935-5692 (Voice)
(231) 318-0394 (Pager)
[email protected]<mailto:[email protected]>

From: IQR Q&A System [mailto:[email protected]]
Sent: Wednesday, March 30, 2016 11:37 AM
To: Orth, Claudia
Subject: SEP-1- Documentation of Infection [Incident: 160307-000035]



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 Subject

SEP-1- Documentation of Infection



 Discussion Thread

 Response Via Email (Char Teed)

03/30/2016 11:36 AM

Hello Claudia,

First paragraph question: yes that can be used as a suspected infection.
Sepsis is acceptable as an infection.

 Response Via Email (Lisa Lihs)

03/08/2016 07:53 AM

Due to the volume of inquires related to the SEP-1 measure we are experiencing 
a response lag time. Responses to SEP-1 questions are being answered daily. 
Please be reminded that Q&As are available in the QualityNet knowledge base 
tool<https://urldefense.proofpoint.com/v2/url?u=https-3A__cms-2Dip.custhelp.com_app_answers_list_c_576&d=BQMFAw&c=NjMSpGk2_ZA7ZXEWULsqPkmhl_68_j_HpnUZ-YvUJ78&r=dtp2T-Kko33TS6Sl7iEnNQ&m=tpop855VPl-rZFKZ2Om2Hik-SYqEDZRwkF1EnELBVMg&s=IGg5zYaTp-g63-z7SLtQdCeWx_bEsIrApHPM8AlwQnU&e=>
 posted on QualityNet.

The Sepsis (SEP-1), Additional Notes for Version 5.0b Abstraction are available 
on QualityNet 
https://www.qualitynet.org/dcs/ContentServer?c=Page&pagename=QnetPublic%2FPage%2FQnetTier3&cid=1228774725171<https://urldefense.proofpoint.com/v2/url?u=https-3A__www.qualitynet.org_dcs_ContentServer-3Fc-3DPage-26pagename-3DQnetPublic-252FPage-252FQnetTier3-26cid-3D1228774725171&d=BQMFAw&c=NjMSpGk2_ZA7ZXEWULsqPkmhl_68_j_HpnUZ-YvUJ78&r=dtp2T-Kko33TS6Sl7iEnNQ&m=tpop855VPl-rZFKZ2Om2Hik-SYqEDZRwkF1EnELBVMg&s=VyINo7zivXunV9JA-_WvgQHvkWMNibfT03HpVYWuMTQ&e=>

Be aware, while the Additional Notes for Abstraction were released on 2/10/2016 
they are effective with cases discharged starting 10/1/2015. The decision to 
re-abstract cases abstracted prior to release of the Additional Notes for 
Version 5.0b is up to the individual facility.

Please close your question if it is answered by these resources. We will 
continue working diligently to reduce response lag time in replying to 
questions.


 Customer By Web Form (Claudia Orth)

03/07/2016 11:01 AM

Can a Sepsis order set with an order for example for an antibiotic that states 
"indication for infection/sepsis" be used as the date/time of documented 
suspected infection? Our providers are often documenting outside of the 6 hour 
window where we are looking to align all criteria for severe sepsis being 
present. In those cases if there is no nursing documentation related to 
suspected or documented infection, we are working with skewed data, since they 
will have met all the other criteria and had the orders including 3 and 
sometimes 6 hour bundles implemented but the actual documentation comes later. 
The providers insist that it is more important to recognize the patient is 
septic and physically treat/care for them, then to stop what they are doing to 
go sit down and dictate or document said infection and treatment. It's 
unreasonable to expect them to then think back and state date/time frames for 
when they came to the diagnosis or suspicion of infection. Any and all 
assistance you may be able to provide would be greatly appreciated.



 Question Reference #160307-000035

Escalation Level:

5 Business Days

Product Level 1:

Measures & Data Element Abstraction

Category Level 1:

Hospital Inpatient - Sepsis

Category Level 2:

Septic Shock Presentation Date and Time

Date Created:

03/07/2016 11:01 AM

Last Updated:

03/30/2016 11:36 AM

Status:

Resolved (IP only)

Discharge Period:

10/01/2015 - 06/30/2016




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