Hello,

I'm reviewing the updated specification manual 5.2 for SEP-1, that will go into 
effect 1/1/17, and I have a few questions - I wonder if others are further 
along than me.

https://www.qualitynet.org/dcs/ContentServer?c=Page&pagename=QnetPublic%2FPage%2FQnetTier3&cid=1228775749207


[] The manual says that MD attestation of reassessment, VS review, skin 
assessment, cardiopulmonary exam, and peripheral pulse exams are acceptable. It 
also says that "performing, or attesting to performing a physical examination, 
perfusion (re-perfusion) assessment, or sepsis (severe sepsis or septic shock) 
focused exam is acceptable."

At the risk of asking an obvious question, I just want to make sure I am 
getting this right.  If the MD signs something that says "I attest to having 
performed a severe sepsis re-perfusion exam at XX:XX", then this would meet the 
measure requirement?


[] I see that a new element was added "Blood Culture Collection Acceptable 
Delay" - but I'm not clear from the manual what constitutes an acceptable 
delay.  Am I missing something?  Can anybody clarify?


Thanks in advance!


Joe


Joseph Clement, MS, RN, CCNS
Clinical Nurse Specialist
San Francisco General Hospital
ph: 628 206-6174
pg: 415 327-0220
office: H5841
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