1. Re: I need some clarification and would appreciate some input (Cooke, Susan) The abstractors are technically correct. However, if the physician has stated that the patient had severe sepsis [which would trump just the criteria] then the case could be included.
Marie Pierce MSN, RN, CCDS Quality Specialist [email protected]<mailto:[email protected]> p 989.894.3881 fax 989.891.8198 [cid:[email protected]] McLaren confidentiality statement: "The information contained in this communication, including attachments, is confidential, may be privileged, and is intended only for the use of the named recipient(s). Unauthorized use, disclosure, forwarding or copying is strictly prohibited and may be unlawful. If you have received this communication in error, please notify me IMMEDIATELY at the phone number or pager listed above." From: Sepsisgroups <[email protected]> On Behalf Of [email protected] Sent: Tuesday, February 9, 2021 5:45 PM To: [email protected] Subject: [EXTERNAL] Sepsisgroups Digest, Vol 358, Issue 4 WARNING: External email. Exercise caution when clicking on links. This Message originated outside your organization. Send Sepsisgroups mailing list submissions to [email protected]<mailto:[email protected]> To subscribe or unsubscribe via the World Wide Web, visit http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org<http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org> or, via email, send a message with subject or body 'help' to [email protected]<mailto:[email protected]> You can reach the person managing the list at [email protected]<mailto:[email protected]> When replying, please edit your Subject line so it is more specific than "Re: Contents of Sepsisgroups digest..." Today's Topics: 1. Re: I need some clarification and would appreciate some input (Cooke, Susan) 2. Surviving Sepsis Campaign COVID-19 Guidelines Webcast (Lori Harmon) ---------------------------------------------------------------------- Message: 1 Date: Wed, 3 Feb 2021 22:01:34 +0000 From: "Cooke, Susan" <[email protected]<mailto:[email protected]>> To: "[email protected]<mailto:[email protected]>" <[email protected]<mailto:[email protected]>> Subject: Re: [Sepsis Groups] I need some clarification and would appreciate some input Message-ID: <sa2pr10mb452142d6ab23ed4046e83a018a...@sa2pr10mb4521.namprd10.prod.outlook.com<mailto:sa2pr10mb452142d6ab23ed4046e83a018a...@sa2pr10mb4521.namprd10.prod.outlook.com>> Content-Type: text/plain; charset="us-ascii" I'm sorry I mean to say the Abstractor said the patient did NOT have evidence of organ failure because CMS does not recognize AMS as organ dysfunction so they did not proceed with examining the case for compliance because it did not meet SEV-SEP criteria. They placed it in the Excluded column. Thanks 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 [email protected]@LCMChealth.org<mailto:[email protected]@LCMChealth.org<mailto:[email protected]@LCMChealth.org%3cmailto:[email protected]@LCMChealth.org>> umcno.org<https://www.umcno.org/<https://www.umcno.org>> From: Cooke, Susan Sent: Wednesday, February 3, 2021 10:41 AM To: [email protected]<mailto:[email protected]> Subject: I need some clarification and would appreciate some input 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 [email protected]@LCMChealth.org<mailto:[email protected]@LCMChealth.org<mailto:[email protected]@LCMChealth.org%3cmailto:[email protected]@LCMChealth.org>> umcno.org<https://www.umcno.org/<https://www.umcno.org/>> -------------- next part -------------- An HTML attachment was scrubbed... URL: <http://lists.sepsisgroups.org/pipermail/sepsisgroups-sepsisgroups.org/attachments/20210203/ce21a92b/attachment-0001.html<http://lists.sepsisgroups.org/pipermail/sepsisgroups-sepsisgroups.org/attachments/20210203/ce21a92b/attachment-0001.html>> ------------------------------ Message: 2 Date: Mon, 8 Feb 2021 22:12:15 +0000 From: Lori Harmon <[email protected]<mailto:[email protected]>> To: "[email protected]<mailto:[email protected]>" <[email protected]<mailto:[email protected]>> Subject: [Sepsis Groups] Surviving Sepsis Campaign COVID-19 Guidelines Webcast Message-ID: <dm6pr11mb32428f281481b244e773f1d3cb...@dm6pr11mb3242.namprd11.prod.outlook.com<mailto:dm6pr11mb32428f281481b244e773f1d3cb...@dm6pr11mb3242.namprd11.prod.outlook.com>> Content-Type: text/plain; charset="iso-8859-1" [cid:[email protected]] Save the date: Surviving Sepsis Campaign COVID-19 Guidelines Therapeutics Update The Surviving Sepsis Campaign (SSC) has updated the previously released Guidelines on the Management of Critically Ill Adults with Coronavirus Disease 2019 (COVID-19)<https://journals.lww.com/ccmjournal/Abstract/9000/Surviving_Sepsis_Campaign_Guidelines_on_the.95371.aspx<https://journals.lww.com/ccmjournal/Abstract/9000/Surviving_Sepsis_Campaign_Guidelines_on_the.95371.aspx>>. In the newly released first evidence-based update of the SSC COVID-19 guidelines, the panel issued nine statements related to ICU patients with severe or critical COVID-19. Join our new COVID-19 webinar and learn more about the rapid clinical guidelines methodology and its application to public health emergencies on Thursday, February 18, 2021 at 1600-1700 hrs CET. No registration is required more information will be released on how to access the event shortly. For access to the guidelines and resources visit the Campaign website<http://www.survivingsepsis.org/<http://www.survivingsepsis.org>>. The experts Co-Presenters: Prof Flavia MACHADO - Head of the Intensive Care Section of the Anaesthesiology, Pain and Intensive Care Department and Professor of Intensive Care at the Federal University of S?o Paulo (BR). Current member of the Surviving Sepsis Campaign International Guidelines and the International Sepsis Forum (ISF) Council. Dr Marlies OSTERMANN - Consultant in Critical Care and Nephrology at Guy's & St Thomas' Hospital, London (UK). Current Chair of the ESICM AKI Section and Course Director of the Society's RRT State of the Art Master Class. Dr Laura GALARZA - Consultant in Intensive Care at Hospital General Universitario, Castell?n (ES). Current Deputy Chair of ESICM NEXT Committee. Moderators: Prof Maurizio CECCONI - Head of the Anaesthesia and Intensive Care Department at the Humanitas Research Hospital, Milan (IT) and Professor of Anaesthesia and Intensive Care at the Humanitas University, Milan (IT). Current ESICM President. Dr Laura EVANS - Director of Critical Care at University of Washington Medical Center, Seattle (US). Current SCCM Adult Guidelines Co-Chair, Member of the Society of Critical Care Medicine's Council. -------------- next part -------------- An HTML attachment was scrubbed... URL: <http://lists.sepsisgroups.org/pipermail/sepsisgroups-sepsisgroups.org/attachments/20210208/e8b10df8/attachment.html<http://lists.sepsisgroups.org/pipermail/sepsisgroups-sepsisgroups.org/attachments/20210208/e8b10df8/attachment.html>> -------------- next part -------------- A non-text attachment was scrubbed... Name: image001.jpg Type: image/jpeg Size: 5121 bytes Desc: image001.jpg URL: <http://lists.sepsisgroups.org/pipermail/sepsisgroups-sepsisgroups.org/attachments/20210208/e8b10df8/attachment.jpg<http://lists.sepsisgroups.org/pipermail/sepsisgroups-sepsisgroups.org/attachments/20210208/e8b10df8/attachment.jpg>> ------------------------------ Subject: Digest Footer _______________________________________________ Sepsisgroups mailing list [email protected]<mailto:[email protected]> http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org<http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org> ------------------------------ End of Sepsisgroups Digest, Vol 358, Issue 4 ******************************************** McLaren confidentiality statement: "The information contained in this communication, including attachments, is confidential, may be privileged, and is intended only for the use of the named recipient(s). Unauthorized use, disclosure, forwarding or copying is strictly prohibited and may be unlawful. If you have received this communication in error, please notify me IMMEDIATELY at the phone number or pager listed above."
_______________________________________________ Sepsisgroups mailing list [email protected] http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
