Since CMS doesn't recognize AMS as organ dysfunction, if there were no other 
organ dysfunction criterion, then I would exclude the case as well. The 
guidelines are looking for severe sepsis. If the pt didn't have any organ 
dysfunction as listed by CMS, or documentation of severe sepsis/septic shock by 
a physician/PA/NP,  then according to their definition it's not severe sepsis.
And this is in the guidelines regarding discharge note:



Disregard any documentation of SIRS criteria, organ dysfunction, an infection, 
severe sepsis, or septic shock in a discharge note, discharge summary, or 
documented after the time of discharge.


[Logo, company name  Description automatically 
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KAREN BELFI, RN, MSN
Pronouns: she, her
Quality Outcomes Coordinator
Lankenau Medical Center
100 E. Lancaster Avenue
Wynnewood, PA 19094
215-805-2594 cell |  [email protected]
[cid:[email protected]]<http://mainlinehealth.org/beseen>



From: Sepsisgroups <[email protected]> On Behalf Of 
Cooke, Susan
Sent: Wednesday, February 03, 2021 11:41 AM
To: [email protected]
Subject: [EXTERNAL] [Sepsis Groups] I need some clarification and would 
appreciate some input


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Hi everybody,

I am going round and round with our Abstracting company related to a UTI sepsis 
case. Patient came to ED meeting SIRS criteria and a change in mental status 
which was reported as definitely improved after antibiotic administration. The 
Bundle elements were met. The coding was for Sepsis and UTI with a primary of 
Altered Mental Status. All were POA.  The Abstractors excluded the case because 
they say the patient did have evidence of organ dysfunction because CMS does 
not recognize Altered Mental Status as Organ dysfunction (but SCCM does).

  1.  Is this correct that the case should be excluded even though the patient 
clearly had sepsis. Improved with antibiotics and it was coded as such by the 
physician?
  2.  In my email to the Abstractor I had mentioned (because I'm somewhat new 
to this level of detail and didn't realize the altered mental status wasn't an 
organ dysfunction) that it was clearly stated in the Discharge Summary that the 
patient had Altered Mental Status that improved with Antibiotics and the source 
was a UTI. I was told that -Also,any documentation in the discharge summary is 
not to be used to determine the presence of severe sepsis/septic shock. Is this 
true? Isn't the entire chart a possible source for a sepsis diagnosis?



Any insight to this type of scenario would be so helpful!!




Thanks  so much.

Sue

Susan Cooke MSN RN NEA-BC
Sepsis Program Coordinator

University Medical Center New Orleans
2000 Canal Street
New Orleans, LA 70112

O 504.702.2924
F 504.702.2119

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