Consultant Spotlight: Nicole “Nikki” Maddox, RN

Nicole “Nikki” Maddox started working with Registry Partners, Quality Services Division, as a part-time Project Specialist in March of 2016 in preparation for her full time transition to Project Manager with an initial focus on Core Measure and Trauma Registry projects. Prior to joining Registry Partners, Nikki worked as a Core Measure Specialist and Emergency Room Nurse for Rio Grande Regional Hospital in Texas where she…

Posted on Dec. 7, 2016 in Spotlight

Persistent Hypotension

Persistent Hypotension is determined by hypotension that persists in the hour after the conclusion of the 30 ml/kg Crystalloid Fluid Administration: The end time of the fluid administration must be determined. This may be clearly documented in the chart or may need to be calculated by the abstractor. Review the systolic blood pressure readings and mean arterial pressure readings (MAP) beginning at the end time of…

Posted on Oct. 21, 2016 in How Should I Code This?

Septic Shock Present Based on Lactate Level

As with Severe Sepsis, Septic Shock presentation can be determined based on provider documentation OR on clinical indicators. To determine the presentation of septic shock:  First you MUST have Severe Sepsis Second you MUST have EITHER An Initial Lactate Level >=4 {if the lactate level is the last indicator use result time} OR Hypotension prior to crystalloid fluid administration and hypotension that persists within one hour…

Posted on Oct. 12, 2016 in How Should I Code This?

How to Perform a Quick, Self-Audit

Performing a security audit on your facility or organization working in healthcare is vitally important. So important, in fact, that HHS requires a risk assessment to be done by the Final Rule. While these formal security audits and assessments are best left to technical professionals that can accurately test for proper safeguards and create appropriate documentation, average users hold a great deal of power over the…

Posted on Oct. 4, 2016 in Corporate Security