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      • The Centers for Medicare and Medicaid Services have enacted an executive branch rule (quality measure) known as SEP-1 that mandates the administration of a bundle that carefully prescribes precisely how patients with severe sepsis and septic shock must be treated in the early phases.
      www.emed.theclinics.com › article › S0733-8627(16)30076-1
  1. Applicable Clinical Episodes. The Severe Sepsis and Septic Shock: Management Bundle measure is included in the Alternate Quality Measures Set and applies to the following inpatient Clinical Episode59: • Sepsis (Inpatient): Medicare Severity–Diagnosis-Related Groups (MS-DRGs) 870, 871, and 872.

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  3. At the federal level, the Centers for Medicare and Medicaid Services (CMS) instituted a sepsis quality measure as part of its Hospital Inpatient Quality Reporting Program (IQRP) in October 2015 . This program, known as SEP-1, requires hospitals to report their compliance with a multicomponent 3- and 6-hour treatment and resuscitation bundle for ...

    • Ian J Barbash, Billie Davis, Jeremy M Kahn
    • 10.1097/CCM.0000000000003613
    • 2019
    • 2019/08
  4. Jul 30, 2019 · First, the Medicare inpatient quality reporting (IQR) program for its sepsis quality measure (called SEP-1) requires hospital quality departments use the National Quality Foundation's (NQF) severe management sepsis bundle (NQF #0500) for reporting, which is derived from the sepsis-2 definition of sepsis as systemic inflammatory response ...

  5. Oct 20, 2023 · The SEP-1 measure requires clinicians to provide a bundle of care to all patients with possible sepsis within three hours of recognition. The bundle includes drawing blood cultures, administering broad-spectrum antibiotics and other measures.

  6. May 13, 2021 · UnitedHealthcare has announced that, effective July 1, 2021, Medicare Advantage and commercial claims for sepsis-related treatment may be reviewed on a pre-payment or post payment basis. Claims will be reviewed using UnitedHealthcare’s Sepsis Clinical Guidelines, including use of Sepsis-3 criteria.

  7. Clinicians, patients, regulators, and quality improvement advocates recognize the necessity of doing more to prevent sepsis and improve sepsis outcomes. One of the highest-profile measures designed to improve sepsis outcomes is the Centers for Medicare & Medicaid Services (CMS) Severe Sepsis/Septic Shock Early Management Bundle (SEP-1).

  8. Aug 8, 2023 · The Centers for Medicare & Medicaid Services make SEP-1 sepsis care bundle a pay-for-performance measure. The inclusion of the Severe Sepsis and Septic Shock Management Bundle (SEP-1)...

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