FYI from QNet Pamela Anderson, BSN, RN Clinical Data Abstractor Interim Sepsis Coordinator Loyola University Health System Center for Clinical Excellence Maguire Center | Bldg 105-3909 | Maywood, IL 60153 (O) 708-216-5544 | (F) 708-216-7867 | (E) [email protected]<mailto:[email protected]>
NOTE: The information contained in this message may be privileged and confidential and protected from disclosure. If the reader of this message is not the intended recipient, or an employee or agent responsible for delivering this message to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this communication is strictly prohibited. If you believe you have received this communication in error, please notify us immediately by replying to the message and deleting it from your computer. Thank you. Loyola University Health System From: IQR Q&A System [mailto:[email protected]] Sent: Friday, March 25, 2016 3:12 PM To: PAMELA J. ANDERSON Subject: Reassessment documentation all in one note? [Incident: 160301-000101] Recently you requested personal assistance from our on-line support center. Below is a summary of your request and our response. If this issue is not resolved to your satisfaction, you may reopen it within the next 1095 days. Thank you for allowing us to be of service to you. To access your question from our support site, click here.<https://cms-ip.custhelp.com/app/account/questions/detail/i_id/282593> Subject Reassessment documentation all in one note? Discussion Thread Response Via Email (Jennifer Witt) 03/25/2016 04:12 PM The documentation of the components of the focused exam (cardiopulmonary exam, skin exam,Capillary Refill exam, etc.) could be documented on different sources and still be acceptable. I hope this helps. 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 Auto-Response 03/01/2016 03:38 PM 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://cms-ip.custhelp.com/app/answers/list/c/576> 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 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 (Pamela Anderson) 03/01/2016 03:38 PM For the reassessment of volume status and tissue perfusion, the specifications state that all the vital signs are required to be in one note, but does that note also need to include the other elements of cardiopulomonary, capillary refill, pulse, and skin findings OR can the remaining elements be found in other provider notes in the same time frame? Question Reference #160301-000101 Escalation Level: 5 Business Days Product Level 1: Measures & Data Element Abstraction Category Level 1: Hospital Inpatient - Sepsis Category Level 2: Cardiopulmonary Evaluation Date and Time Date Created: 03/01/2016 03:38 PM Last Updated: 03/25/2016 04:12 PM Status: Resolved (IP only) Discharge Period: 10/01/2015 - 06/30/2016 [---001:002198:20675---] Confidentiality Notice: This e-mail, including any attachments is the property of Trinity Health and is intended for the sole use of the intended recipient(s). It may contain information that is privileged and confidential. Any unauthorized review, use, disclosure, or distribution is prohibited. If you are not the intended recipient, please delete this message, and reply to the sender regarding the error in a separate email.
_______________________________________________ Sepsisgroups mailing list [email protected] http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
