For measuring costs we do not have a good cost accounting system yet, so we have been using Average Total charges and Length of Stay. We are now venturing into Excess Days based on CMS geometric DRG LOS. Thanks, Gerri
Gerri Buss, MS, RN Performance Excellence Consultant Blessing Hospital Quincy,Il. 62305 217-223-8400 Ext 6894 [email protected] -----Original Message----- From: Sepsisgroups [mailto:[email protected]] On Behalf Of [email protected] Sent: Monday, February 20, 2017 8:45 AM To: [email protected] Subject: Sepsisgroups Digest, Vol 235, Issue 2 Send Sepsisgroups mailing list submissions to [email protected] To subscribe or unsubscribe via the World Wide Web, visit http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org or, via email, send a message with subject or body 'help' to [email protected] You can reach the person managing the list at [email protected] When replying, please edit your Subject line so it is more specific than "Re: Contents of Sepsisgroups digest..." Today's Topics: 1. QUESTION: Methods for calculating sepsis cost (Barnes-Daly, Mary Ann, MN, RN, CCRN, DC) 2. Rapid Response Team questions RE: Sepsisgroups Digest, Vol 234, Issue 2 (Carlson, Brenda L) ---------------------------------------------------------------------- Message: 1 Date: Thu, 16 Feb 2017 14:30:11 -0800 From: "Barnes-Daly, Mary Ann, MN, RN, CCRN, DC" <[email protected]> To: "[email protected]" <[email protected]> Cc: "Krishnan, Sunil" <[email protected]> Subject: [Sepsis Groups] QUESTION: Methods for calculating sepsis cost Message-ID: <e6878da068c4dd4699740e87596a168b14bc8d4...@dcbl115vx.root.sutterhealth.org> Content-Type: text/plain; charset="us-ascii" Does anyone have a good method for calculating sepsis cost, perhaps using a methodology using sepsis coding, DRG based reimbursements etc., LOS only is deceiving - looking for some brilliant insight. Thanks in advance for your collaboration, Thanks, MARY ANN BARNES-DALY MS RN CCRN DC | Clinical Performance Improvement Consultant Quality & Clinical Effectiveness Team | Office of Patient Experience Sutter Health -2200 River Plaza Drive, Sacramento, CA 95833 Mobile 916.200.5604| [email protected] "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 -------------- next part -------------- An HTML attachment was scrubbed... URL: <http://lists.sepsisgroups.org/pipermail/sepsisgroups-sepsisgroups.org/attachments/20170216/1e654140/attachment-0001.htm> ------------------------------ Message: 2 Date: Thu, 16 Feb 2017 14:56:15 +0000 From: "Carlson, Brenda L" <[email protected]> To: "[email protected]" <[email protected]> Subject: [Sepsis Groups] Rapid Response Team questions RE: Sepsisgroups Digest, Vol 234, Issue 2 Message-ID: <bc25a8103b104714a824cf109e35e...@exmbxpdc03.urmc-sh.rochester.edu> Content-Type: text/plain; charset="us-ascii" In response to Linda's questions regarding the use of Rapid Response Team (RRT) and Sepsis Response Team (SRT): 1. Is your hospital a teaching hospital? Yes. 2. How many beds does your hospital have? ~830 3. Does your hospital have a rapid response team (RRT)? Yes 4. Does the RRT respond to Septic patients? (Do you have a Code Sepsis?) Yes and yes. RRT may be the first responders to a septic patient and SRT members will be called in as needed. 5. Who leads the RRT and who are the members of the Team? RRT members: Clinical Resource Nurse (CRN) Respiratory Therapist Possibly MICU RRT-NP (after initial assessment of patient and call from CRN) SRT members: Primary team (should be notified if not primary) CRN MICU fellow Pharmacist 6. Do the members have other roles/ job responsibilities? Yes, the team members have other responsibilities but usually in a relatively lighter role if they are on call for RRT/SRT. 7. What metrics does the RRT measure? The RRT/SRT determines whether or not the patient is stable enough to remain in a non-ICU location or needs to be transferred to an ICU. If the patient needs to be transferred to an ICU then the RRT/SRT will assist in the transition. The RRT/SRT also assists the primary nurse/team with establishing vascular access, obtaining labs (lactate, blood cultures, CBC etc.), assisted ventilation prn and administration of antibiotics and IV fluid boluses as needed. If it is determined that the patient has septic shock, the RRT/SRT will assign a provider to return and do a repeat assessment in less than 6 hours. I hope that this helps. Please let me know if you have any questions or comments. Brenda L. Carlson MS, BSN, RN Assistant Quality Officer Office of Clinical Practice Evaluation University of Rochester Medical Center 265 Crittenden Blvd., Saunders Research Building, 3.205 585-273-4721 This message may contain information which is confidential and privileged. Unless you are the addressee (or authorized to receive for the addressee), you may not use, copy or disclose to anyone the message or any information contained in the message (including attachments). If you have received the message in error, please advise sender by reply email, and delete the message. Thank you! -----Original Message----- From: Sepsisgroups [mailto:[email protected]] On Behalf Of [email protected] Sent: Thursday, February 16, 2017 9:17 AM To: [email protected] Subject: Sepsisgroups Digest, Vol 234, Issue 2 Send Sepsisgroups mailing list submissions to [email protected] To subscribe or unsubscribe via the World Wide Web, visit https://urldefense.proofpoint.com/v2/url?u=http-3A__lists.sepsisgroups.org_listinfo.cgi_sepsisgroups-2Dsepsisgroups.org&d=DQICAg&c=4sF48jRmVAe_CH-k9mXYXEGfSnM3bY53YSKuLUQRxhA&r=FQX0EdGt2z5AU0WET6IGnDY7hW-OH5oVWIrKTppItnPTAfNZCRPOOCAWFJtHw_aG&m=d5GHH-f_zxl-jxcJYQIKyli2OURIWVC_G4T4S2BKl6E&s=Lh_IbAs1n0AaVo5ccTD6HShw5p1XlDm9ItpuHbbATfA&e= or, via email, send a message with subject or body 'help' to [email protected] You can reach the person managing the list at [email protected] When replying, please edit your Subject line so it is more specific than "Re: Contents of Sepsisgroups digest..." Today's Topics: 1. Rapid Response Team (Pender.Linda) ---------------------------------------------------------------------- Message: 1 Date: Mon, 13 Feb 2017 16:03:07 +0000 From: Pender.Linda <[email protected]> To: "[email protected]" <[email protected]> Subject: [Sepsis Groups] Rapid Response Team Message-ID: <dm5pr11mb1690cb09ad7fe5aef4e38e38f6...@dm5pr11mb1690.namprd11.prod.outlook.com> Content-Type: text/plain; charset="us-ascii" We are trying to implement a new Rapid Response Team. I would like to know the following information to see if your hospitals have been successful: 1. Is your hospital a teaching hospital? 2. How many beds does your hospital have? 3. Does your hospital have a rapid response team (RRT)? 4. Does the RRT respond to Septic patients? (Do you have a Code Sepsis?) 5. Who leads the RRT and who are the members of the Team? 6. Do the members have other roles/ job responsibilities? 7. What metrics does the RRT measure? If you only have time to answer a few of the questions, please know that any help is appreciated. Linda G. Pender RRT-NPS Sepsis Coordinator Patient Care Services Administration phone: 478-633-6806 pager: 4444 KNOW Sepsis: Inside & Out [MCCG...World Class Care! See our website...]<https://urldefense.proofpoint.com/v2/url?u=http-3A__www.navicenthealth.org_&d=DQICAg&c=4sF48jRmVAe_CH-k9mXYXEGfSnM3bY53YSKuLUQRxhA&r=FQX0EdGt2z5AU0WET6IGnDY7hW-OH5oVWIrKTppItnPTAfNZCRPOOCAWFJtHw_aG&m=d5GHH-f_zxl-jxcJYQIKyli2OURIWVC_G4T4S2BKl6E&s=Gvrp6XKSiPeaYUcOTdzX1oB_EJ1drqOiYWC39TfObXo&e= > Confidential Quality Improvement: Not for Disclosure Email: [email protected]<mailto:[email protected]> CONFIDENTIALITY NOTICE: The information transmitted in this e-mail message, including any attachments, is for the sole use of the intended recipient(s) or entity to which it is addressed and may contain confidential, privileged, and/or proprietary information. Any unauthorized review, retransmission, use, disclosure, dissemination, or other use of, or taking any action in reliance upon this information by persons or entities other than the intended recipient is prohibited. If you are not the intended recipient, you are hereby notified that any reading, dissemination, distribution, copying, or other use of this message or its attachments is strictly prohibited. If you have received this message in error, please notify the sender immediately by reply e-mail, or by calling (478) 633-7272, and destroy the original message, attachments, and all copies thereof on all computers and in any other form. Thank you. Navicent Health. https://urldefense.proofpoint.com/v2/url?u=http-3A__www .navicenthealth.org_&d=DQICAg&c=4sF48jRmVAe_CH-k9mXYXEGfSnM3bY53YSKuLUQRxhA&r=FQX0EdGt2z5AU0WET6IGnDY7hW-OH5oVWIrKTppItnPTAfNZCRPOOCAWFJtHw_aG&m=d5GHH-f_zxl-jxcJYQIKyli2OURIWVC_G4T4S2BKl6E&s=Gvrp6XKSiPeaYUcOTdzX1oB_EJ1drqOiYWC39TfObXo&e= -------------- next part -------------- An HTML attachment was scrubbed... URL: <https://urldefense.proofpoint.com/v2/url?u=http-3A__lists.sepsisgroups.org_pipermail_sepsisgroups-2Dsepsisgroups.org_attachments_20170213_53857afd_attachment.htm&d=DQICAg&c=4sF48jRmVAe_CH-k9mXYXEGfSnM3bY53YSKuLUQRxhA&r=FQX0EdGt2z5AU0WET6IGnDY7hW-OH5oVWIrKTppItnPTAfNZCRPOOCAWFJtHw_aG&m=d5GHH-f_zxl-jxcJYQIKyli2OURIWVC_G4T4S2BKl6E&s=4a8AbMTevmuE5aT0yXUV2zESS5ppGTtTpJRbdEPb_JE&e= > -------------- next part -------------- A non-text attachment was scrubbed... Name: image001.png Type: image/png Size: 9451 bytes Desc: image001.png URL: <https://urldefense.proofpoint.com/v2/url?u=http-3A__lists.sepsisgroups.org_pipermail_sepsisgroups-2Dsepsisgroups.org_attachments_20170213_53857afd_attachment.png&d=DQICAg&c=4sF48jRmVAe_CH-k9mXYXEGfSnM3bY53YSKuLUQRxhA&r=FQX0EdGt2z5AU0WET6IGnDY7hW-OH5oVWIrKTppItnPTAfNZCRPOOCAWFJtHw_aG&m=d5GHH-f_zxl-jxcJYQIKyli2OURIWVC_G4T4S2BKl6E&s=_dQxOVuqcwf2fiNtVytylOZBauIerukBPQ4MaGfpWWg&e= > ------------------------------ Subject: Digest Footer _______________________________________________ Sepsisgroups mailing list [email protected] https://urldefense.proofpoint.com/v2/url?u=http-3A__lists.sepsisgroups.org_listinfo.cgi_sepsisgroups-2Dsepsisgroups.org&d=DQICAg&c=4sF48jRmVAe_CH-k9mXYXEGfSnM3bY53YSKuLUQRxhA&r=FQX0EdGt2z5AU0WET6IGnDY7hW-OH5oVWIrKTppItnPTAfNZCRPOOCAWFJtHw_aG&m=d5GHH-f_zxl-jxcJYQIKyli2OURIWVC_G4T4S2BKl6E&s=Lh_IbAs1n0AaVo5ccTD6HShw5p1XlDm9ItpuHbbATfA&e= ------------------------------ End of Sepsisgroups Digest, Vol 234, Issue 2 ******************************************** ------------------------------ Subject: Digest Footer _______________________________________________ Sepsisgroups mailing list [email protected] http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org ------------------------------ End of Sepsisgroups Digest, Vol 235, Issue 2 ******************************************** The information contained in this e-mail message is PRIVILEGED AND CONFIDENTIAL and is intended for the use of the addressee and no one else. If you are not the intended recipient, please do not read, distribute, reproduce or use this e-mail message (or the attachments). Please delete the original and notify the sender of the mistaken transmission. Thank you. _______________________________________________ Sepsisgroups mailing list [email protected] http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
