No one to date that I know of has been validated by CMS. I don't think it matters if you use branch logic or not. Once a metric isn't met the abstraction stops there.
Mary Draper RN BSN Coordinator Quality Improvement Peer Review Support CV/CT JMH Quality Management Office (925) 674-2045 Cell (925) 451-8792 Fax (925) 674-2373 mary.dra...@johnmuirhealth.com<mailto:mary.dra...@johnmuirhealth.com> [cid:image001.png@01D37994.A64189B0][cid:image002.png@01D37994.A64189B0] "O, let us always have a mountain within our soul, with a peak so high that we never quite reach the top... For then we will always strive for greater things and will not be content with merely climbing hills." Ardath Rodale From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On Behalf Of DHILLON, ROOPINDER Sent: Friday, December 15, 2017 7:34 AM To: sepsisgroups@lists.sepsisgroups.org Subject: [External] [Sepsis Groups] Sepsis Validation ________________________________ Caution: This email originated outside JMH. Do not open attachments or click on links if you do not recognize the sender. ________________________________ Hi, I wanted to know if any hospital has been validated by CMS for Core Measure SEP-1. My question is, are we supposed to use branching logic for abstraction? For example, if we answer 'Yes' to Severe sepsis, but we don't have an Initial Lactate collected and we say 'No' to Initial Lactate question; do we stop at that point or do we have to still go ahead and answer the rest of the questions? If anyone has been validated, what did you do? If you used branching logic (did not answer rest of the questions) was it taken against the hospital and considered as 'wrong' abstraction? Thank you, Roopa Dhillon MBBS, MBA Clinical Quality Analyst I Quality Improvement/Clinical Outcomes University Hospitals Elyria Medical Centre 630 East River Elyria, Ohio 44035 T 440-329-4959 F 440-329-5971 Roopinder.Dhillon@UHhospitals<mailto:Roopinder.Dhillon@UHhospitals> .org Quality Assurance/Peer Review Privileged Pursuant to Ohio Rev. Code secs. 2305.24, 2305.25, 2305.251, 2305.252 and 2305.253 [UH-Master-RGB-v1] Visit us at www.UHhospitals.org<http://www.UHhospitals.org>. The enclosed information is STRICTLY CONFIDENTIAL and is intended for the use of the addressee only. University Hospitals and its affiliates disclaim any responsibility for unauthorized disclosure of this information to anyone other than the addressee. Federal and Ohio law protect patient medical information, including psychiatric_disorders, (H.I.V) test results, A.I.Ds-related conditions, alcohol, and/or drug_dependence or abuse disclosed in this email. Federal regulation (42 CFR Part 2) and Ohio Revised Code section 5122.31 and 3701.243 prohibit disclosure of this information without the specific written consent of the person to whom it pertains, or as otherwise permitted by law.
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