Hello,

In response to this question:

The answer is just "Sepsis focused exam completed."  Or "I performed a 
reassessment of perfusion (or volume) status." You don't even need to provide 
vitals.

This QNet webpage offers further guidance if needed.

https://cms-ip.custhelp.com/app/answers/detail/a_id/165223

The NQF and CMS Measure Stewards


________________________________
From: Sepsisgroups <[email protected]> on behalf of 
Rutherford, Richard <[email protected]>
Sent: Friday, June 9, 2017 12:17 PM
To: [email protected]
Cc: Vasquez, Ashley
Subject: [Sepsis Groups] Sepsis Focused Reexamination


Hello All,


We are struggling with compliance with the focused sepsis reexamination and 
struggling with the interpretation of the rule changes in v5.2.  I would 
appreciate advice on the minimal acceptable documentation to pass this element 
for septic shock patients.  We would like the standardize this documentation 
for our providers.  Would the following be acceptable?


VS  BP 120/60  HR 110  RR 18  T 98.6

Sepsis Focused Exam Completed.


Or do the individual components need to be documented:


VS  BP 120/60  HR 110  RR 18  T 98.6

Capillary refill evaluation complete

Peripheral pulse examination complete

Skin examination complete


Or do the actual results need to be recorded


VS  BP 120/60  HR 110  RR 18  T 98.6

Capillary refill evaluation complete:  Cap refill 2 seconds

Peripheral pulse examination complete:  radial pulses strong and symmetric

Skin examination complete:  skin pink warm dry


Thank you,


Rick Rutherford, M.D.



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