qSOFA is not part of the definition of Sepsis in Sepsis 3  but merely 
intended as a screen to prompt the clinician to investigate further  for organ 
dysfunctions...I confirmed this with a email conversation with Dr  Seymour who 
was one of the lead investigators in the JAMA 2016 Sepsis 3  article.
 
RAC auditors are using Sepsis 3 criteria  (SOFA Score of  equal  to  or > 
2) to define sepsis as of March 2016 for non traditional  Medicare patients ( 
Medicare Advantange/ Complete and private insurance),  but not for 
Traditional Medicare (FFS Medicare)
 
Hope this helps
 
William E.  Haik, M.D., F.C.C.P., C.D.I.P.
AHIMA Approved ICD-10-CM/PCS  Trainer
Office: _(850) 863-2110_ (tel:(850)%20863-2110) 
Cell: _(850) 803-5854_ (tel:(850)%20803-5854) 
Fax: (850) 864-4438  

 
In a message dated 6/14/2016 10:07:08 A.M. Central Daylight Time,  
[email protected] writes:

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Today's Topics:

1. Re: qSOFA  (Shepherd,  Stacey)


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

Message:  1
Date: Mon, 13 Jun 2016 15:15:52 +0000
From: "Shepherd, Stacey"  <[email protected]>
To: "Thompson, Tyra"  <[email protected]>,
"[email protected]"
<[email protected]>
Subject: Re: [Sepsis Groups]  qSOFA
Message-ID:
<bl2pr02mb19703bcbc572e1bda44a7d20c5...@bl2pr02mb1970.namprd02.prod.outlook.
com>

Content-Type: text/plain; charset="us-ascii"

Good  Morning!

We discussed it but opted to not incorporate the qSOFA.   If I remember 
correctly the physicians thought there wasn't enough evidence  behind it to 
change.

Stacey Shepherd MSN, RN, ACNS-BC

From:  Sepsisgroups [mailto:[email protected]] On 
Behalf Of  Thompson, Tyra
Sent: Friday, June 10, 2016 12:58 PM
To:  [email protected]
Subject: [Sepsis Groups]  qSOFA

Greetings,

Have any facilities incorporated the new Sepsis  definition and guidelines 
into their practice and would you be willing to  share?

What were some of your "first steps" in preparing for your  transition?

Tyra Thompson, RN
Quality Management  Specialist
Putnam Hospital Center
670 Stoneleigh Avenue l Carmel, NY  10512 l (845)279-5711 Extension  4027
[email protected]<mailto:[email protected]>
[cid:[email protected]]


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