Does anyone have access to an article that has the latest definition of sepsis?
> On Jun 23, 2016, at 6:47 PM, Greg Stanford <[email protected]> wrote: > > No. Coding should not be using a differential diagnosis. It depends on how > it is worded. “Probable”, for example, will get coded. “Possible” will not. > I have ED docs who will put everything but the kitchen sink into the > differential because they think that will justify a higher level of billing. > They frequently have a template with a huge list of differentials. And it > does not meet criteria for source of infection. > >> Greg Stanford, MD >> Medical Director >> Clinical Documentation Improvement and Outcomes >> >> 1840 Amherst Street | Winchester, Va 22601 >> Phone: (540) 596 4999 Cell: 540 664 5736 | |[email protected] >> >> <image001.png> >> >> CONFIDENTIALITY NOTICE: This e-mail is confidential, may be legally >> privileged, and for the intended recipient only. Access, disclosure, >> copying, forwarding and distribution by any means is strictly prohibited. If >> received in error, do not read but delete and e-mail confirmation to the >> sender. > > > > > I would like to understand how my peers are abstracting a particular issue. I > have a question for the group… > > If you have a patient in the EC and the physician lists as part of the > differential diagnoses a UTI or PNA. Then the physician documents as his > final EC diagnosis respiratory failure, COPD with exacerbation. Then let’s > say the patient does have the clinical signs to support severe sepsis. (temp > 102, Pulse 124, Respiratory failure documented and placed on vent). > > Do you count the differential diagnoses of UTI and PNA as a source of > infection in this scenario? > > Thanks, > Debra > > Debra M. Cox, BSN, RN > STTI Member > Corporate Quality Specialist | Quality Services > > <image001.png> > > 101 East Wood Street | Spartanburg, SC 29303 > O: 864-560-2694 | c: 864-327-5731 | f: 864-560-7365 > e: [email protected]| w: SpartanburgRegional.com > > "You never change things by fighting the existing reality. To change > something, build a new model that makes the existing model obsolete." > ~R. Buckminster Fuller > > > _______________________________________________ > Sepsisgroups mailing list > [email protected] > http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
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