We are using ICD-9 codes
                Severe Sepsis    995.92
                Septic Shock       785.52

I inquired about this when we started inputing data into the SSC database. From 
the responces I got back, we went ahead with the current plan.

To the best of my knowledge, the inclusion population it is not defined in 
black and white on the SSC site. It is important that we align with what SSC 
who works with the NQF for future e-measures. Please let me know if you have 
further information.


Barbara Carlson RN, BAN, CPHQ
Performance Improvement
St Elizabeth Regional Medical Center
P 402-219-7332
F 402-219-8992

From: [email protected] 
[mailto:[email protected]] On Behalf Of Crutchfield, 
Cheryl A
Sent: Tuesday, April 22, 2014 9:42 PM
To: '[email protected]'
Subject: Re: [Sepsis Groups] DRG identification

Can anyone share DRGs utilized in data evaluation in your organization? Are 
there other DRG’s that should be in Sepsis evaluation?

DRGs 870,871 and 872:
870 Septicemia or severe sepsis w MV + 96 hours
871 Septicemia or severe sepsis w/o MV 96+hours w MCC
872 Septicemia or severe sepsis W/O mv 96+ HOURS W/O MCC
720 with code assignment 995.92

Any input would be appreciated.
Thanks, Cheryl
Cheryl Crutchfield, BSN, MHA
Director, Critical Care Program Development
Novant Health Corporate
108 Providence, Charlotte, NC 28233
980-721-9098
[email protected]<mailto:[email protected]>




From: 
[email protected]<mailto:[email protected]>
 [mailto:[email protected]] On Behalf Of Dr.Sunil T 
Pandya
Sent: Wednesday, April 16, 2014 9:32 PM
To: Boros, Candi
Cc: Pfeifer, Carol; Johns, Christine; 
[email protected]<mailto:[email protected]>
Subject: Re: [Sepsis Groups] Point of care lactate testing

Routinely we do POC lactate in an ABG with I Stat blood gas analyser and moment 
central line is inserted, ScVO2 with lactate is done. We have correlated with 
lab values....quite sensitive. Lab reporting often is delayed, hence trending 
becomes difficult. POC gives us near accurate report in two minutes.
The reducing trend indicates quality resuscitation. As the values of venous 
(high) and arterial lactate are different, the trend analysis has to be done in 
either arterial or venous lactate only!
If arterial line is not indicated, we usually assess venous lactate trend.
Gd day,
Sunil

------------

Dr.Sunil T Pandya

Hon. Secretary, Association of Obstetric Anaesthesiologists, India 
(www.aoaindia.com<https://urldefense.proofpoint.com/v1/url?u=http://www.aoaindia.com&k=ue53gggFYo7IFJPl%2Foa3oQ%3D%3D%0A&r=ukpCG3h70GiQvYKS5AJk%2FMr0%2BDhBypAdbiRUnn5UL8k%3D%0A&m=rqx783dlA5PIhAMak7iHuDAaCXkWJsWpn%2BtF5RN1zZs%3D%0A&s=ceb0e73abb3734c620d76cfd4b87e4582e163dd2831cb72f9a3b93444ed2f874>)
Hon. Secretary, Society of Obstetric Medicine, India
EC member, Obstetric Anaesthesia Society Asia Oceania (OASAO)
EC member, Academy of Regional Anaesthesia, India 
(www.aoraindia.com<https://urldefense.proofpoint.com/v1/url?u=http://www.aoraindia.com&k=ue53gggFYo7IFJPl%2Foa3oQ%3D%3D%0A&r=ukpCG3h70GiQvYKS5AJk%2FMr0%2BDhBypAdbiRUnn5UL8k%3D%0A&m=rqx783dlA5PIhAMak7iHuDAaCXkWJsWpn%2BtF5RN1zZs%3D%0A&s=bc8896211f8a70df6551c7c5985d5d008a9c549239b8679a69af90266d66fcf7>)

Programme director, Post doctoral fellowship in Anaesthesia for High risk 
Obstetrics,
Head, Dept. of Anaesthesia, Critical care and Pain medicine,
Fernandez Hospital (Health care for Women and the Newborn), 
www.fernandezhospital.com<https://urldefense.proofpoint.com/v1/url?u=http://www.fernandezhospital.com&k=ue53gggFYo7IFJPl%2Foa3oQ%3D%3D%0A&r=ukpCG3h70GiQvYKS5AJk%2FMr0%2BDhBypAdbiRUnn5UL8k%3D%0A&m=rqx783dlA5PIhAMak7iHuDAaCXkWJsWpn%2BtF5RN1zZs%3D%0A&s=18cfb70f30b9a28cfe2cd91baa20d54c431ef7a71cb32ef682376b91eeb8675b>

Director, Prerna Anaesthesia and Critical Care Services Pvt Ltd 
(www.prernaanaesthesia.com<https://urldefense.proofpoint.com/v1/url?u=http://www.prernaanaesthesia.com&k=ue53gggFYo7IFJPl%2Foa3oQ%3D%3D%0A&r=ukpCG3h70GiQvYKS5AJk%2FMr0%2BDhBypAdbiRUnn5UL8k%3D%0A&m=rqx783dlA5PIhAMak7iHuDAaCXkWJsWpn%2BtF5RN1zZs%3D%0A&s=f8fa8985218a36cf387265a0fca5d73b91b2e8070e35aaab0917f3dd2ce2eab0>)
Hyderabad, India.


On Tue, Apr 15, 2014 at 9:22 PM, Boros, Candi 
<[email protected]<mailto:[email protected]>> wrote:
Good Morning,

Can anyone share their experience with point of care lactate testing?  We are 
currently evaluating our processes and examining the pros and cons associated 
with various techniques (venous draw to lab vs ABG vs POC).

Thank you!

-Candi

Candi Boros, RN, BSN
Sepsis Clinical Coordinator
Alexian Brothers Health System
[email protected]<mailto:[email protected]>


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