Good Afternoon, I am hoping to gain insight into how most other facilities are reporting their mortality to senior leadership, the board, etc. Depending on where we get our data from the mortality obviously varies greatly and it is not always clear what definitions or specifications are actually being used to garner the data!
I would be incredibly grateful to anyone willing to answer the following questions so I can make recommendations moving forward for our facility on how to best standardize and develop a "source of truth": * Are you using "Overall Sepsis mortality" that includes all of the ICD-10 CM codes identified to fit per the CMS SEP-1 measure file:///C:/Users/corth1/Downloads/Appendix_A.1_v5_3a%20(1).pdf<file:///C:\Users\corth1\Downloads\Appendix_A.1_v5_3a%20(1).pdf> ? * Or are you only reporting on "Severe Sepsis and Septic Shock" mortality which would be R6520 & R6521 similar to the grid below? Measure Name: Severe Sepsis/Septic Shock Mortality Rate Numerator: Patients with discharge status of expired Denominator: Patients with principle or secondary diagnosis of severe sepsis or septic shock Harm Prevented: Sepsis Death Multiplier: 100 Y-axis title: Sepsis mortality/100 sepsis diagnoses * Or are you using something entirely different? :) * Are you reporting a rate, a percentage, total number of deaths, ??? * Also is the mortality risk adjusted or not? Thank you in advance for your time and consideration to share! Sincerely, Claudia Orth, BSN, RN, CCRN-K Sepsis Coordinator Clinical Quality 1105 Sixth St. Traverse City, MI 49684 (231) 935-5692 voice (231) 935-6629 fax (231) 318-0394 pager [email protected]<mailto:[email protected]> [MMC_Blue-SigSize96dpi] Website<https://urldefense.proofpoint.com/v2/url?u=http-3A__www.munsonhealthcare.org_mmc&d=DwIFAg&c=NjMSpGk2_ZA7ZXEWULsqPkmhl_68_j_HpnUZ-YvUJ78&r=pSDnJFSP19PcIPYCugMuAA6W8De3hsh8Rlv69n9ifMnjcpLdmRTubxkg38lTVlXD&m=9ExZVPYmt6hp8oVk2M4jHEj_diAqWpHEp9bt7Y4uvq4&s=tntSET4pB8xZCYLLcMoVK15ecy1eWvZxSQY0TMB7vHE&e=> I Find a Physician<https://urldefense.proofpoint.com/v2/url?u=http-3A__www.munsonhealthcare.org_physician&d=DwIFAg&c=NjMSpGk2_ZA7ZXEWULsqPkmhl_68_j_HpnUZ-YvUJ78&r=pSDnJFSP19PcIPYCugMuAA6W8De3hsh8Rlv69n9ifMnjcpLdmRTubxkg38lTVlXD&m=9ExZVPYmt6hp8oVk2M4jHEj_diAqWpHEp9bt7Y4uvq4&s=3qLvgS2Qxw1KoaweXc8zC6XMpONCC4w97NWGnDCKQFI&e=> I Maps<https://urldefense.proofpoint.com/v2/url?u=http-3A__www.munsonhealthcare.org_maps&d=DwIFAg&c=NjMSpGk2_ZA7ZXEWULsqPkmhl_68_j_HpnUZ-YvUJ78&r=pSDnJFSP19PcIPYCugMuAA6W8De3hsh8Rlv69n9ifMnjcpLdmRTubxkg38lTVlXD&m=9ExZVPYmt6hp8oVk2M4jHEj_diAqWpHEp9bt7Y4uvq4&s=dwL6FBSy0qwbgAOaM7QMNAaL4O__w1MwE5aUVbLY2Xs&e=>
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