Hi, So is there any chance at any time that CMS will re-review the criteria and incorporate Sepsis-3 definitions and that ICD-10 will catch up? At what period does CMS re-evaluate?
My concern is not adopting or moving forward with incorporating some of the updates and performing to old standards because we need to send in measures to CMS. This lack of synchronization holds us back to "old standards" and not providing necessarily best practice. This part is very messy in the middle. We are doing a combination of both at my facility and looking carefully at all measures but really looking to the bottom line of outcomes. Maureen A. Seckel, APRN, ACNS-BC, CCNS, CCRN, FCCM Lead CNS Medical Pulmonary Critical Care Sepsis Coordinator Christiana Care Health System 4755 Ogletown-Stanton Road 3E29 Newark, DE 19718 Office 302 733-6023 [email protected] -----Original Message----- From: Sepsisgroups [mailto:[email protected]] On Behalf Of Townsend, Sean, M.D. Sent: Friday, February 03, 2017 2:26 AM To: Carissa Hicks Cc: Lewandowski Susan; [email protected] Subject: [External] Re: [Sepsis Groups] [**External**] Re: SOFA and qSOFA This is just an absolute mess. qSOFA will do nothing but mess up your bills and quality metrics since billing for "sepsis" under sepsis-3 will code to the old simple sepsis under ICD-10 rather than the better paying "severe sepsis." ICD-10 has no means to bill for the term "sepsis" as defined in sepsis-3. Also abstractors cannot abstract a diagnosis of "sepsis" (meaning the old severe sepsis) employing sepsis 3 under SEP-1, thus if a provider writes "sepsis" nobody know what it means for quality abstraction or billing purposes. This is a calamity the authors of sepsis-3 didn't think to worry about, but in fact not having a strategy to deal with these problems means sepsis-3 can never be adopted. This is why hospitals should head CMS advice and ignore sepsis-3. Sean On Feb 2, 2017, at 7:42 AM, Carissa Hicks <[email protected]<mailto:[email protected]>> wrote: WARNING: This email originated outside of the Sutter Health email system! DO NOT CLICK links if the sender is unknown and never provide your User ID or Password. We have incorporated qSOFA in our floor screening tool. Our tool is set up as SIRS: yes/no, qSOFA yes/no, if yes to either they move to the next question: does the patient have infection or suspected infection. If yes to infection we have a nurse driven lactate order set. (The tool also includes organ dysfunction screening) ________________________________ From: "Karla A. Cleveland" <[email protected]> To: "Lewandowski Susan" <[email protected]>, [email protected] Sent: Wednesday, January 25, 2017 5:32:03 AM Subject: Re: [Sepsis Groups] SOFA and qSOFA Hi Sue, Our hospitalist group is routinely using qSOFA in their documentation. However, I have not seen the ED physicians using either. Karla Cleveland BS RN Sepsis Coordinator Mercy Health Muskegon 1560 E. Sherman Blvd, Ste 334 Muskegon, MI 49444 231.672.2221 231.672.3965 (FAX) [email protected] www.MercyHealth.com From: Sepsisgroups [mailto:[email protected]] On Behalf Of Lewandowski Susan Sent: Tuesday, January 24, 2017 12:49 PM To: [email protected] Subject: [External] [Sepsis Groups] SOFA and qSOFA I was curious if any facilities have implemented SOFA and qSOFA? Our facility will be implementing both the SOFA and qSOFA in addition to continuing the use of SIRS. If these tools are being used, at what frequency is the assessment being completed? Also, is SOFA being initiated in the ED upon decision to admit? Thank you, Sue Sue Lewandowski RN Sepsis Coordinator /Nursing Supervisor Meadville Medical Center 751 Liberty Street Meadville, Pa 16335 Phone: 814-373-3328 Email: [email protected] Description: MMC%20logo%20and%20tagline%20email CONFIDENTIALITY NOTE: The information contained in this transmission may contain privileged and confidential information, including patient information protected by federal and state privacy laws. It is intended only for the use of the person(s) named above. If you are not the intended recipient, you are hereby notified that any review, dissemination, distribution, or duplication of this communication is strictly prohibited. Please contact the sender by reply email and destroy all copies of the original message. 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