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Severe Sepsis and Septic Shock 2023 CMS Guidance

Severe Sepsis and Septic Shock: Management Bundle (Composite Measure) Severe Sepsis Present Data Element Version 5.14a Questions and Answers

Effective for July 1, 2023, through December 31, 2023

"Participants will be able to understand and interpret the guidance in Version 5.14a, effective for July 1, 2023, through December31, 2023 discharges, of the specifications manual, specific to the Severe Sepsis Present data element, to ensure successful reporting for the SEP-1 measure for the Hospital Inpatient Quality Reporting Program."

A few highlights from the document include:

To establish the presence of severe sepsis by clinical criteria, all three clinical criteria (a, b, and c) must be met within six hours of each other. The three clinical criteria do not need to be documented in any particular order. 

a. Documentation of an infection 

b. Two or more manifestations of systemic infection according to the Systemic Inflammatory Response Syndrome (SIRS) criteria 

c. Organ dysfunction

(Slide 10)


For evidence of acute respiratory failure:  Use the time when mechanical ventilation was started or the time when the mechanical ventilation changed from intermittent to continuous. (Slide 21)


link to document: Severe Sepsis and Septic Shock

https://www.qualityreportingcenter.com/globalassets/iqr-2023-events/iqr12523sep/december2023_sep_1_npc_vfinal508wp.pdf



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