I would also like to know this. Thank you Lori Bly, RN Quality Management Department ACMH Hospital One Nolte Drive Kittanning, PA 16201 Extension: 8459
email: b...@acmh.org<mailto:b...@acmh.org> Confidentiality Notice: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. [cid:image004.jpg@01D38496.171354A0] <http://mcaonline.org/pastorkent/wp-content/uploads/2013/12/bigstock-Christian-Christmas-Nativity-S-15738236.jpg> From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On Behalf Of Wightman, Mary Sent: Tuesday, January 02, 2018 11:55 AM To: 'Boyer, Suzette K'; Mary Draper; DHILLON, ROOPINDER; sepsisgroups@lists.sepsisgroups.org Subject: Re: [Sepsis Groups] [External] Sepsis Validation Happy New Year, Has any hospital removed their skip logic for sepsis abstraction? If so, could you provide me with the pros/cons of doing so. Many thanks- Mary Mary Wightman, MAOM, CPHQ Senior Quality Manager, Quality & Operations Improvement Wellness Innovator Wexner Medical Center Hospital East 181 Taylor Avenue Hawthorne House, Room 114 Columbus, OH, 43203 614-257-2821 Office 614-257-2234 Fax mary.wight...@osumc.edu<mailto:mary.dr...@osumc.edu> We are committed to improving people's lives through personalized health care. P Please consider the environment before printing this e-mail This information is confidential per Ohio Revised Code Sec 2305.25 and may not be shared discussed, or distributed outside of the quality process. If the reader of this communication is not an intended recipient, you are hereby notified that any dissemination, distribution or copying of this communication is strictly prohibited. "Sometimes you gotta create what you want to be a part of." ― Geri Weitzman<http://www.goodreads.com/author/show/2114680.Geri_Weitzman> From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On Behalf Of Boyer, Suzette K Sent: Wednesday, December 27, 2017 10:12 AM To: Mary Draper; DHILLON, ROOPINDER; sepsisgroups@lists.sepsisgroups.org<mailto:sepsisgroups@lists.sepsisgroups.org> Subject: Re: [Sepsis Groups] [External] Sepsis Validation We have been in validation and CMS is validating the sepsis cases. They are part of the compliance score. They do the branch logic. If the patient doesn't meet the measure early in the algorithm -the validators continue the abstraction per branch logic. We have sent several cases back for education review and they have agreed with our assessment on several of them, although it does not change your score. From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On Behalf Of Mary Draper Sent: Wednesday, December 20, 2017 2:16 PM To: DHILLON, ROOPINDER <roopinder.dhil...@uhhospitals.org<mailto:roopinder.dhil...@uhhospitals.org>>; sepsisgroups@lists.sepsisgroups.org<mailto:sepsisgroups@lists.sepsisgroups.org> Subject: Re: [Sepsis Groups] [External] Sepsis Validation 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:image005.png@01D38496.171354A0][cid:image006.png@01D38496.171354A0] "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<mailto: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<https://urldefense.proofpoint.com/v2/url?u=http-3A__www.UHhospitals.org&d=DwMFAg&c=Pwu_a0G_ObmG9m2oOJ2UZcJw-xcSMajL85khUUJ_xq4&r=QQWoOsRlDnnB5vBZCiOpdLAUehjGc5CmkgIPJsfz_xU&m=m7wel4_KUqPHa_OdrGbKc57yNNVdg4KkUyk4fTCvR8w&s=cCTRDXN7-gBBwrIzBay1ORRJtq-KcR8keYFSnwNJma8&e=>. 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