All, Wanted to share this response from QNET regarding use of an elevated creatinine for an ESRD patient, in case you find it helpful.........
Subject Organ dysfunction criterion for Severe Sepsis presentation Discussion Thread Response Via Email (Deb Lindner) 12/31/2015 09:58 AM Kathleen, Currently the specifications manual does not account for conditions such as this, so it would not be considered organ dysfunction for purposes of the measure. Customer By Web Form (Kathleen Nelson) 11/18/2015 04:51 PM Patient with ESRD is admitted with a creatinine of 3.0. This patient normally maintains creatinine levels of 2.5. While we would not have used a creatinine result of 2.5 for this patient as one of the criteria to determine the presence of severe sepsis (as it is normal for this patient), would we use the fact that the result has now jumped to 3.0 to meet the organ dysfunction criteria for severe sepsis? Question Reference #151118-000143 Thanks! Kathy Nelson Manager, Public Data Center for Health Information Services Advocate Health Care 3075 Highland Parkway, Downers Grove, IL 60515 630.929.6782 (internal: 55-6782) [email protected]<mailto:[email protected]> [http://advocateonline.advocatehealth.com/img/signatures/icons/advocateLOGO.png]<http://www.advocatehealth.com/> [http://www.advocatehealth.com/images/twitter_NR.png]<https://twitter.com/AdvocateHealth>[http://www.advocatehealth.com/images/facebook_icoNR.png]<http://www.facebook.com/AdvocateHealthCare?v=wall> [http://www.advocatehealth.com/images/youtube_NR.png] <http://www.youtube.com/AdvocateHealthCare> [http://www.advocatehealth.com/images/pinterestEF-29x28.png] <http://pinterest.com/AdvocateHealth/> [googlePlus_icon.png] <https://plus.google.com/115863743590978184039/posts> This e-mail, and any attachments thereto, is intended only for use by the addressee(s) named herein and may contain legally privileged and/or confidential information. If you are not the intended recipient of this e-mail (or the person responsible for delivering this document to the intended recipient), you are hereby notified that any dissemination, distribution, printing or copying of this e-mail, and any attachments thereto, is strictly prohibited. If you have received this e-mail in error, please respond to the individual sending the message and permanently delete the original and any copy of any e-mail and any printout thereof.
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