Likewise, I didn't see, in the CMS core measure, clear definitions of elevated lactate or hypotension.
-Andy ________________________________ Andrew Markowski, MD, MPH Department of Emergency Medicine Johns Hopkins | Suburban Hospital 214-766-0665 Sent from my iPhone > On Apr 6, 2015, at 10:36 AM, Ryan Arnold <[email protected]> wrote: > > Sean, > There is no mention of ED triage time in the new CMS guidelines in my > reading. Do you have a specific reference you found within CMS that refers to > ED triage time? > The guidelines mention “presentation” of severe sepsis or septic shock, not > arrival or triage time. The only time based reference they use is whether the > patient has been hospitalized for ≤ 120 days. > > A patient who does not meet criteria for severe sepsis at ED triage does not > have severe sepsis at ED triage, and would thus not meet the criteria for the > CMS measure until they meet the clinical criteria for severe sepsis, whether > it is in the ED or inpatient days later. > > Ryan > > ________________________________ > Ryan Arnold, MD > Research Director, Department of Emergency Medicine > Clinical Investigator, Value Institute > Christiana Care Health System > Newark, DE > >> On Apr 3, 2015, at 9:23 PM, Townsend, Sean, M.D. <[email protected]> >> wrote: >> >> 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 >> >> <image001.gif>_______________________________________________ >> Sepsisgroups mailing list >> [email protected] >> http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org > > _______________________________________________ > Sepsisgroups mailing list > [email protected] > http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
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