Yes we are seeing this. I have been teaching our nurses to recheck vital signs if a low MAP is recorded. Upon recheck many of these MAPs are WNL. I do hope CMS looks at this parameter.
Jeanie Bollinger MSN,RN, ACCNS-AG, CCRN Clinical Nurse Specialist Acute Medicine Mission Health 509 Biltmore Avenue Asheville, NC 28801 Office: 828-213-7171 Cell: 828-400-1194 -----Original Message----- From: Sepsisgroups [mailto:[email protected]] On Behalf Of [email protected] Sent: Monday, April 17, 2017 12:38 PM To: [email protected] Subject: Sepsisgroups Digest, Vol 243, Issue 1 WARNING: This email originated outside of Mission Health email system DO NOT CLICK links or attachments unless you recognize the sender and know the content is safe. 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. Re: [**External**] One low MAP can trigger Severe Sepsis presentation (Barnes-Daly, Mary Ann, MS, RN, CCRN, DC) ---------------------------------------------------------------------- Message: 1 Date: Fri, 14 Apr 2017 15:45:59 +0000 From: "Barnes-Daly, Mary Ann, MS, RN, CCRN, DC" <[email protected]> To: "Nelson, Kathy" <[email protected]>, "[email protected]" <[email protected]> Subject: Re: [Sepsis Groups] [**External**] One low MAP can trigger Severe Sepsis presentation Message-ID: <by1pr11mb0391ee92d056127b349208b6f3...@by1pr11mb0391.namprd11.prod.outlook.com> Content-Type: text/plain; charset="us-ascii" Yes, I have feedback that occurs and it is problematic. We need to bring this to CMS. I would suggest that in the same way 2 consecutive BPs are required to identify SEPTIC SHOCK after fluids, the same should be true to signify the onset of hypotension. 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 From: Sepsisgroups [mailto:[email protected]] On Behalf Of Nelson, Kathy Sent: Friday, April 07, 2017 12:43 PM To: [email protected] Subject: [**External**] [Sepsis Groups] One low MAP can trigger Severe Sepsis presentation 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. 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]<mailto:[email protected]> This e-mail, and any attachments thereto, is intended only for use by the addressee(s) named herein and may contain legally privileged and/or confidential information. 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