We have worked with our quality and UR teams with this trying to meet core measures as well as adopting the new criteria. We adopted the Sepsis-3 definition as of May and are querying when clinical indicators are not met. MD's have been educated and continue to be educated. We got our first Sepsis-3 denial in May as well. Everyone is theoretically on board but of course this is complicated from a clinical perspective. It will be a long process, but i think we are well on our way.
I've met with our QI team a couple of times. Do you have CDI in the ER? It seems here that the biggest struggle they are having is the iv fluid requirement in the ER
at our facility our CDI team is not responsible for ensuring that the treatment associated with Core Measures is carried out. The Core Measures issue and Sepsis-3 are separate issues as the core measure is based off of Sepsis-2. Our QMRN's set up a team with pharmacy, nursing, MD's, ED dept, etc to develop a Care Process Model for the Core Measure. They have been incharge of education as well as developing care plans, order sets, etc to manage the core measure. I attend those meetings but mainly as a coding/documentation resource. That doesnt mean we are meating the Core Measure. As far as I know, the Core Measure compliance rate for bascailly all faciliites is very low. This is a very hard measure to meet.
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Katy
Katy