RE: SIRS indicators - Surviving Sepsis Campaign
I have been meaning to ask about one of the presentations at the conference (Diagnostic Criteria 101 by Dr. Brundage) in which he had a page listing other indicators for sepsis due to infection. He indicated the Campaign said sepsis could be diagnosed if SOME of the 16 listed criteria were present.
Is anyone doing anything with this info or using it as a defense when the MD states sepsis but the classic indicators are not present?
Just curious...
Sharon Salinas, CCS
Health Information Management
Barlow Respiratory Hospital
2000 Stadium Way, Los Angeles CA 90026
Tel: 213-250-4200 ext 3336
FAX: 213-202-6490
ssalinas@barlow2000.org
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, June 24, 2015 7:30 AM
To: Salinas, Sharon
Subject: RE:[cdi_talk] SIRS indicators
We are going with the new national guidelines for "Surviving Sepsis" campaign. It is more for severe sepsis and septic shock; however. We currently use 38.
http://www.survivingsepsis.org/Resources/Pages/default.aspx
Deanne Wilk, BSN, RN, CCDS, CCS
AHIMA approved ICD-10-CM/PCS Trainer
Clinical Documentation Improvement and Inpatient Coding Manager
HIMS Department
Good Samaritan Health System
4th & Walnut Sts
Lebanon, PA 17042
dwilk@gshleb.org
Phone: 717-270-7582
Cell: 717-580-1436
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, June 24, 2015 10:23 AM
To: Wilk, Deanne L.
Subject: [cdi_talk] SIRS indicators
Good morning. Currently we are working on changing our SIRS/SEPSIS query to reflect upcoming changes in I-10 for these diagnosis. On our current query, we have the SIRS indicators with the temp of 38.0. Our SEPSIS coordinator informed us last week that starting June 15 the temperature for our screening tools for our sepsis initiative through the ED and with sepsis screening tools (for the floors) was being changed from 38.0 to 38.3 per recommendations from the new CMS guidelines for reporting sepsis.
Does anyone else currently use 38.0 as was suggested years ago by our consultant (from Merck), or are you changing to reflect the trend for the higher temp??
TIA
Juli
Juli Bovard RN CCDS
Certified Clinical Documentation Specialist
Clinical Effectiveness/Clinical Quality
Rapid City Regional Hospital
755-8426 (work)
786-2677 (cell)
"No Limit to Better......"
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Copyright 2013
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Is anyone doing anything with this info or using it as a defense when the MD states sepsis but the classic indicators are not present?
Just curious...
Sharon Salinas, CCS
Health Information Management
Barlow Respiratory Hospital
2000 Stadium Way, Los Angeles CA 90026
Tel: 213-250-4200 ext 3336
FAX: 213-202-6490
ssalinas@barlow2000.org
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, June 24, 2015 7:30 AM
To: Salinas, Sharon
Subject: RE:[cdi_talk] SIRS indicators
We are going with the new national guidelines for "Surviving Sepsis" campaign. It is more for severe sepsis and septic shock; however. We currently use 38.
http://www.survivingsepsis.org/Resources/Pages/default.aspx
Deanne Wilk, BSN, RN, CCDS, CCS
AHIMA approved ICD-10-CM/PCS Trainer
Clinical Documentation Improvement and Inpatient Coding Manager
HIMS Department
Good Samaritan Health System
4th & Walnut Sts
Lebanon, PA 17042
dwilk@gshleb.org
Phone: 717-270-7582
Cell: 717-580-1436
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, June 24, 2015 10:23 AM
To: Wilk, Deanne L.
Subject: [cdi_talk] SIRS indicators
Good morning. Currently we are working on changing our SIRS/SEPSIS query to reflect upcoming changes in I-10 for these diagnosis. On our current query, we have the SIRS indicators with the temp of 38.0. Our SEPSIS coordinator informed us last week that starting June 15 the temperature for our screening tools for our sepsis initiative through the ED and with sepsis screening tools (for the floors) was being changed from 38.0 to 38.3 per recommendations from the new CMS guidelines for reporting sepsis.
Does anyone else currently use 38.0 as was suggested years ago by our consultant (from Merck), or are you changing to reflect the trend for the higher temp??
TIA
Juli
Juli Bovard RN CCDS
Certified Clinical Documentation Specialist
Clinical Effectiveness/Clinical Quality
Rapid City Regional Hospital
755-8426 (work)
786-2677 (cell)
"No Limit to Better......"
[CCDS_pin_1inch]
________________________________
Regional Health is an integrated health care system with the purpose of helping patients and communities live well.
Note: The information contained in this message, including any attachments, may be privileged, confidential, or protected from disclosure under state or federal laws . If the reader of this message is not the intended recipient, or an employee or agent responsible for delivering this message to the intended recipient, you are hereby notified that any dissemination, distribution, or copying of this communication is strictly prohibited. If you have received this communication in error, please notify the Sender immediately by a "reply to sender only" message and destroy all electronic or paper copies of the communication, including any attachments.
---
CDI Talk is offered for networking purposes. For official rules and regulations related to documentation and coding, please refer to your regulatory source.
You are receiving this message as a member of CDI Talk as: DWilk@gshleb.org
If you would like to be removed from CDI Talk, please send a blank email to
leave-cdi_talk-20296367.cc59b71b1ce9213adb6d425d79548750@hcprotalk.com
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Copyright 2013
HCPro, Inc., 75 Sylvan Street, Danvers MA 01923
This Message is intended only for the use of the individual or entity to which it is addressed, and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If the reader of this message is not the intended recipient, you are hereby notified that any dissemination or copying of this message or the taking of any action in reliance on the contents of this message is strictly prohibited. If you have received this message in error, please notify us immediately and destroy the original message. Thank you.
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CDI Talk is offered for networking purposes. For official rules and regulations related to documentation and coding, please refer to your regulatory source.
You are receiving this message as a member of CDI Talk as: ssalinas@barlow2000.org
If you would like to be removed from CDI Talk, please send a blank email to
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Copyright 2013
HCPro, Inc., 75 Sylvan Street, Danvers MA 01923
Comments
Great attention to detail and great conversation- thanks for bringing this to the forum for discussion.
Paul Evans, RHIA, CCS, CCS-P, CCDS
Manager, Regional Clinical Documentation & Coding Integrity
Sutter West Bay
633 Folsom St., 7th Floor, Office 7-044
San Francisco, CA 94107
Cell: 415.412.9421
evanspx@sutterhealth.org