Question posed by our physician leadership:

Is anyone else having a problem with their CMS bundles when it comes to a low 
MAP.  Our EMR captures every vital sign and if the auto-calculated MAP falls 
only momentarily to 64, it will trigger our data abstractors to establish a 
diagnosis of hypotension and put the patient into the severe sepsis category 
without necessarily having any of the other organ dysfunction criteria for the 
diagnosis.  This results in a fall out on the bundle and makes us non-compliant 
from CMS data collection purposes.  Has anyone else had a similar EMR issue and 
if so, how did you deal with it?

Thanks!

Kathy Nelson, MBA, CPHQ, RHIA
Public Data Manager
Advocate Health Care
Center for Health Information Services (CHIS)

3075 Highland Parkway, Suite 600
Downers Grove, IL 60515
P: 630- 929-6782 (Internal: 55-6782)
[email protected]

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