Sepsis Chatter – Severe Sepsis & Septic Shock Exclusions

Avatar photo

Susan VonBosse

RN Quality Consultant

Welcome to the July 2022 Edition of Sepsis Chatter!

Our newest video presentation is titled: Sepsis Chatter- Severe Sepsis and Septic Shock Exclusions: COVID-19, Administrative Contraindication to Care, Directive for Comfort Care, and Palliative Care.

This presentation begins with a review of the current CMS abstraction guidance to determine if an encounter is excluded due to one of the following scenarios:

  • Documentation that Covid-19 is diagnosed or suspected
  • Documentation that qualifies as Administrative Contraindication to Care
  • Documentation of a Directive for Comfort Care or Palliative Care

Each of these covered topics will include specific abstraction guidance that is defined in the current CMS Specifications Manual for National Hospital Inpatient Quality Measures. We will review the application of these guidelines by using examples and providing rationale.

*This presentation is based on the information included in the most current version of the Specifications Manual for National Hospital Inpatient Quality Measures version 5.12 (Discharges July 1 through December 31, 2022) *For the most accurate guidance, please refer to the version of the Specifications Manual that corresponds to the Discharge Date(s) that are being reviewed.