Sepsis 2.5: Bridging the Gap Between Definitions and Outcomes on Patient Care and Denials - On-Demand

Available ON-DEMAND

Presented on: Thursday, June 23, 2022

Presented by: Stacia Gandee, RHIA, CCS; Alexis Wells, MSN, RN, CCDS

Sepsis 2.5. It’s what the CDI program at JPS Health Network named its sepsis criteria—merging early identification of CMS’ core bundle measures for sepsis (SEP-1) with Third International Consensus Definitions for Sepsis and Septic Shock criteria for denial mitigation. Sepsis denials have risen over the years due to conflicting clinical, CMS, coding, and quality measures as organizations struggle to bridge these concerns and develop a working solution.

During this 60-minute presentation, JPS Health Network’s Stacia Gandee, RHIA, CCS, CDI manager, and Alexis Wells, MSN, RN, CCDS, CDI quality assurance auditor, explain their organization’s method for focusing on SEP-1 early identification at the beginning of the stay, while focusing on Sepsis-3 denial mitigation at patient discharge. Attendees will identify the difference in definitions and how to adapt JPS’ methods. Plus, they’ll learn what worked for JPS and what didn’t during this epic change management project.

At the conclusion of this program, participants will be able to:

• Explain two clinical definitions associated with sepsis
• Identify two coding rules and guidelines that can be applied to sepsis
• List two factor to consider when determining the best sepsis definition for your organization

Agenda

• Complexity of sepsis/changing definitions
• Infection
• Sepsis
• Severe sepsis
• Septic shock
• SIRS
• Inflammatory parameters
• Hemodynamic parameters
• Tissue perfusion parameters
• Sepsis-2 vs. Sepsis-3
• SEP-1 core measure
• PSI-90 composite
• Sepsis algorithm
• Tip to providers
• Sepsis and reimbursement
• Denial trends
• Case examples & query opportunities
• Q&A

Who Should Listen?

• CDI directors and managers
• CDI staff
• HIM/coding directors and managers
• Coding staff
• Revenue integrity directors and managers
• Revenue integrity staff
• Denials and appeals staff CDI staff

Meet the Speakers

	Stacia Gandee, RHIA, CCS, CDI manager at JPS Health Network in Fort Worth, Texas, has worked in CDI since 2017, having been recognized by executives and board members for her work on the HAC/PSI task force, an organizational goal in FY 2019–2022. A member of the sepsis committee, Gandee has attended national conferences to ensure her CDI staff are optimizing outcomes in patient care, documentation, and sepsis coding.
	Alexis Wells, MSN, RN, CCDS, CDI quality assurance auditor for JPS Health Network in Fort Worth, Texas, has worked in nursing since 2008 in cardiovascular, neurovascular, medical/surgical, and trauma ICUs, as well as within home hospice and telemetry, providing a solid foundation for her transition to CDI in 2015. Early in her career, she established the role of the CDI provider coordinator before moving to a quality role. A part of the sepsis committee at JPS, Wells also serves as a member of the local sepsis task force.

Continuing Education

ACDIS
This program has been approved for 1 continuing education units 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).

Ability to claim this credit expires on: 6/22/2023

AHIMA
This program has been approved for continuing education unit(s) (CEUs) for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA). Granting of Approved CEUs from AHIMA does not constitute endorsement of the program content or its program provider.”

Ability to claim credits for this webinar expires on: 6/22/2023

ANCC
HCPro is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation. This educational activity for 1 nursing contact hours is provided by HCPro. 

Ability to claim this credit expires on: 6/22/2023

NAHRI
This program has been approved for 1 continuing education units towards fulfilling the requirements of the Certification in Healthcare Revenue Integrity (CHRI), offered as a service of the National Association of Healthcare Revenue Integrity (NAHRI).

Ability to claim this credit expires on: 6/22/2023

Instructions

Webinar system requirements and program materials: 
To fully benefit from the webinar experience, please note you will need a computer equipped with the following:

Browser: Microsoft Internet Explorer or Edge, Firefox, Chrome, or Safari, with JavaScript enabled 
Internet: Internet connection (high-speed connection recommended) 
Streaming: Access audio/video streaming from any browser on a computer, mobile, or tablet device

Prior to the webinar, you will receive an email with detailed system requirements, your login information, presentation slides, and other materials that you can print and distribute to all attendees at your location. 

CAN'T LISTEN LIVE? 
No problem. The On-Demand version will be available. Use it as a training tool at your convenience—whenever your new or existing staff need a refresher or need to understand a new concept. Play it once or dozens of times. A $229 value! 

PLEASE NOTE 
Participation in the webinar is just $229 per site. All materials must be retrieved from the Internet.

Call your customer service representative toll-free 800-650-6787 or email customerservice@hcpro.com if you have questions.