Claudia,
New York State Department of Health (NYSDOH) mandates all
hospitals report metrics on Severe Sepsis and Septic Shock. This would be
congruent with CMS SEP-1, and federal reporting measures. I would steer you
away from reporting Sepsis (SSC 2013 guidelines definition), otherwise this
dilutes your overall mortality rate. FYI - NYS average Severe Sepsis/Septic
Shock mortality rate is approximately 25.5%, just to give you a reference point.
Thanks,
Gregory RN
Gregory Briddick, Jr BSN, RN, CCRN, TCRN
Sepsis Program Coordinator
SUNY Upstate University Hospital
750 East Adams St, UH-1112
Syracuse NY 13210
Phone: 315-464-1556
[email protected]
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person's performance to a higher standard, the building of a personality beyond
its normal limitations." - Peter F. Drucker
>>> <[email protected]> 3/20/2018 10:09 AM >>>
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Today's Topics:
1. "Sepsis" Mortality vs. "Severe Sepsis" & Septic Shock
Mortality (Orth, Claudia)
----------------------------------------------------------------------
Message: 1
Date: Fri, 16 Mar 2018 20:34:57 +0000
From: "Orth, Claudia" <[email protected]>
To: "[email protected]"
<[email protected]>
Subject: [Sepsis Groups] "Sepsis" Mortality vs. "Severe Sepsis" &
Septic Shock Mortality
Message-ID:
<b482f481b7b4d745be676ceff55ec9406f802...@mmc-exchmbs03.ad.mhc.net>
Content-Type: text/plain; charset="us-ascii"
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
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