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Monday, January 13, 2014
  Clinical Accuracy Spoken Here  

Sepsis Care Comes at a High Cost

Two additional sepsis related hospital associated infection (HAI) measures that will be included in the fiscal year (FY) 2015 CMS payment determinations beginning October 1, 2014 are:

  • MRSA Bacteremia
  • Clostridium difficile

The direct costs of caring for patients with sepsis have been shown to be 6-fold higher than caring for ICU patients without sepsis.

Indirect costs such as lost productivity have been estimated as two to three times higher than the direct costs!

[Reference: Sepsis Care and Resource Management, Module A, Prevalence and Economics]
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  Excellence in Case Mgmt  

Evidence-based Sepsis Care

Evidence-based clinical guidelines for managing patients with sepsis encompass recommendations which include:

  • Early identification and treatment of the underlying causative organism
  • Adequate and rapid hemodynamic resuscitation
  • Support of associated organ failure
  • Modulation of immune response

In addition to management of acute sepsis other intervention opportunities which cover the spectrum of sepsis care and prevention include identification of risk-factors and predispositions and follow-up for post sepsis sequelae.

After a patient has an acute episode of sepsis, CMs educate patients and caregivers, support other transdisciplinary team members and have proactive conversations with their CM counterparts.

[Reference: Sepsis Care and Resource Management, Module E, CM Role]
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  Improving Patient Care...  

Sepsis Treatment Bundles

The Sepsis Resuscitation Bundle describes five tasks that should begin immediately, but must be accomplished within the first 6 hours of presentation 100% of the time for patients with severe sepsis or septic shock.

The Sepsis Management Bundle for patients with severe sepsis requires that as many as four bundle elements be accomplished within the first 24 hours of presentation. Some items may not be completed if the clinical conditions described in the bundle do not prevail, but clinicians must assess for them.

[Reference: Sepsis Care and Resource Management, Module D, Prevention and Treatment]
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Tom RasmussenTom Rasmussen
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