Jennifer, your interpretation is correct.  For patients presenting to the ED, 
triage time is time zero under the CMS measure.

Sean R. Townsend, M.D.
Vice President of Quality & Safety
California Pacific Medical Center
2330 Clay Street, #301
San Francisco, CA 94115
email [email protected]
office (415) 600-5770
fax (415) 600-1541

________________________________
From: Sepsisgroups [[email protected]] On Behalf Of 
Jennifer L Halligan [SJGH] [[email protected]]
Sent: Thursday, April 02, 2015 8:44 AM
To: [email protected]
Subject: [Sepsis Groups] CMS Abstraction for Severe Sepsis/Septic Shock 
PRESENTATION TIME


Question to the group. I have been and currently still am abstracting TRIAGE 
TIME for “time zero”. With the release of the new measure specification 
manual/abstraction guidelines I want to clarify that I will still abstract 
TRIAGE time as severe sepsis/septic shock PRESENTATION TIME even though ALL the 
criterion may NOT be met yet at the time of triage, i.e. for severe sepsis -1) 
documentation of suspected source of infection, 2) 2 SIRS criteria, and 3) 
organ dysfunction?


Thank you,
Jennifer

Jennifer Halligan, RN
Quality Review Nurse
San Joaquin General Hospital
Tel: 209-468-7471
Fax: 209-468-7011

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