In Version 5.4 they have added the new Data Element "Repeat Volume Status and
Tissue Perfusion Assessment Performed". With this the volume status and tissue
perfusion assessment must include any 1 of the following 3:
1. MD/APN/PA documentation that a Severe Sepsis/Septic Shock focused exam was
It is my understanding that the focused exam will all be rolled into one
question, not that is not necessary.
Suzette
-Original Message-
From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On
Behalf Of Conaway, Pamela
Sent: Wednesday, April 18, 2018 5:32 AM
To:
I was reviewing the 5.4 notes from CMS and I do not see that the focused exam
is being removed. The individual element requirement is but a requirement for
post fluid exam titled Repeat Volume Status and Tissue Perfusion Assessment
Performed, date and time. Remains as a required element for
The focused exam is still there in July 2018 Specs Manual. They have just
changed the name to Data Element Name: "Repeat Volume Status and Tissue
Perfusion Assessment Performed"
-Original Message-
From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On
Behalf Of
Our Sepsis protocol at HMH uses "Initiate Vasopressors for persistent
Hypotension <90 syst or MAP<65 after initial Fluid Resuscitation of 30 ml/kg".
Either measure meets the Bundle compliance Goals of therapy. Pam
From: Sepsisgroups [mailto:sepsisgroups-boun...@lists.sepsisgroups.org] On
We have set internal goals over the years based on the previous year's rate. We
try to reduce the rate by 5-10% each year.
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
We are a member of Vizient (UHC and VHA combined organization). We use their
risk stratified mortality index.
Gerri
Gerri A. Buss
Performance Excellence Consultant
Performance Excellence Department
Blessing Hospital
Quincy Il. 62301
gerri.b...@blessinghealthsystem.org
217-223-1200 Ext 6894
Be aware: [This message came from outside of Spartanburg Regional Network]
Good Afternoon,
It is my understanding the focus exam elements will now be incorporated in the
new element called: "Repeat Volume Status and Tissue Perfusion Assessment."
This can be found in the Data Dictionary of the
The focused exam is still necessary. They just rolled all the individual
components into a new question:
Was a repeat volume status and tissue perfusion assessment documented in the
appropriate time window?
Then you need either documentation of the physical exam or 5 out of 7 exam
elements
