New Sepsis Definition: Evolving Clinical, Documentation, and Coding Challenges -
July 27, 2016
Richard D. Pinson, MD, FACP, CCS
Original broadcast Thursday, April 14 2016.
It’s not your routine definition of sepsis anymore. In February, the Journal of the American Medical Association published the Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3). Noting the “inadequate specificity and sensitivity of the systemic inflammatory response syndrome (SIRS) criteria,” Sepsis-3 discards the concept of sepsis as SIRS due to infection—a radical change to the diagnostic standard of the last 25 years.
Clinical documentation specialists, coders, and clinicians alike need to come together now to develop policies and processes for dealing with the complexities and consequences of these new criteria while maintaining compliance with existing National Quality Foundation, ICD-10, and Official Guidelines for Coding and Reporting requirements.
During this program, expert speaker Richard D. Pinson, MD, FACP, CCS, will offer insight into the changing medical thinking regarding the clinical criteria of this important diagnosis and discuss an approach to help CDI professionals unite key stakeholders around effective and compliant processes.
At the conclusion of this program, participants will be able to:
- Identify the Sequential (Sepsis-Related) Organ Failure Assessment points contained in the Sepsis-3 definition
- Explain the differences between the Sepsis-2 and Sepsis-3 clinical criteria
- Incorporate new clinical criteria into existing processes
- Explain key coding and quality documentation requirements associated with sepsis-related diagnoses
- Compose effective queries related to the new definitions
- Describe recommendations from the Surviving Sepsis campaign
Who should listen?
- CDI specialists
- CDI directors and managers
- HIM directors and managers
- Inpatient coders
- Quality and safety staff
- Physician advisors
- Other medical staff
- Deconstruction of sepsis’ clinical evolution
- Septic shock
- Systemic inflammatory response syndrome (SIRS)
- Sepsis-related organ failure
- Sepsis syndrome
- Surviving Sepsis campaign
- The Third International Consensus Definitions for Sepsis and Septic Shock
- The new definition
- Sequential (Sepsis-Related) Organ Failure Assessment (SOFA) score
- Quick SOFA (qSOFA), bedside screening tool
- Coding and documentation conundrums
- ICD-10 and ICD-10-CM Official Guidelines for Coding and Reporting conflicts
- Organ dysfunction “associated with” sepsis
- Audit risks
- Surviving Sepsis campaign
- Definitions of sepsis, severe sepsis, and septic shock
- Response to Sepsis-3 (March 1, 2016)
- Quality-related measures and difficulties
- CMS Hospital Inpatient Quality Reporting (IQR)
- National Quality Forum (NQF) severe sepsis and septic shock management bundle
- Collaborative responses
- Workgroup analysis
- Process and procedure revision
- Educational efforts
- Query collaboration and creation
American Health Information Management Association (AHIMA)
The live program has been approved for 1 continuing education unit for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA). Granting prior approval from AHIMA does not constitute endorsement of the program content or its program sponsor. (CEU’s for this webcast expire on: 4/13/2017
Association of Clinical Documentation Improvement Specialists (ACDIS)
The live program has been approved for 1.5 continuing education unit towards fulfilling the requirements of the Certified Clinical Documentation Specialist (CCDS) certification, offered as a service of the Association of Clinical Documentation Improvement Specialists (ACDIS). (CEU’s for this webcast expire on: 4/13/17)
Accreditation Council for Continuing Medical Education (ACCME)
HCPro is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
HCPro designates the live version of this educational activity for a maximum of 1 AMA PRA Category 1 CreditsTM. Physicians should only claim credit commensurate with the extent of their participation in the activity.
(CEU’s for this webcast expire on: 4/13/17)
Commission for Case Manager Certification (CCMC)
The live program has been pre-approved by The Commission for Case Manager Certification to provide continuing education credit to CCM® board certified case managers. The course is approved for 1.5 CE contact hour(s). Activity code: I00020939 Approval Number: 160001731 (Continuing education credits for this program expire on 4/14/2017)
Meet the Speaker
Richard D. Pinson, MD, FACP, CCS, a principal of HCQ Consulting, has more than 12 years of experience improving coding and clinical documentation practices and educating thousands of coders, documentation specialists, and physicians. He is a recognized CDI authority who co-authored the CDI Pocket Guide published by ACDIS, co-developed ACDIS’ CDI for the Clinician eLearning program for hospitals, and has written the monthly Coding Corner of the ACP Hospitalist magazine for over four years.
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