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 bridd...@upstate.edu "Leadership is not magnetic personality, that can just as well be a glib tongue. It is not "making friends and influencing people", that is flattery. Leadership is lifting a person's vision to higher sights, the raising of a person's performance to a higher standard, the building of a personality beyond its normal limitations." - Peter F. Drucker >>> <sepsisgroups-requ...@lists.sepsisgroups.org> 3/20/2018 10:09 AM >>> Send Sepsisgroups mailing list submissions to sepsisgroups@lists.sepsisgroups.org To subscribe or unsubscribe via the World Wide Web, visit http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org or, via email, send a message with subject or body 'help' to sepsisgroups-requ...@lists.sepsisgroups.org You can reach the person managing the list at sepsisgroups-ow...@lists.sepsisgroups.org When replying, please edit your Subject line so it is more specific than "Re: Contents of Sepsisgroups digest..." 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" <cor...@mhc.net> To: "sepsisgroups@lists.sepsisgroups.org" <sepsisgroups@lists.sepsisgroups.org> 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 cor...@mhc.net<mailto:cor...@mhc.net> [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=> -------------- next part -------------- An HTML attachment was scrubbed... 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