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- This program, known as SEP-1, requires hospitals to report their compliance with a multicomponent 3- and 6-hour treatment and resuscitation bundle for patients with sepsis, which includes antibiotic and fluid administration, blood culture and lactate measurement, the use of vasopressors for fluid-refractory hypotension, and the bedside evaluation of a patient’s response to treatment.
www.ncbi.nlm.nih.gov › pmc › articlesNational performance on the Medicare SEP-1 sepsis quality measure
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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.
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
- Sep-1 Compliance Improves Patient Outcomes
- Challenges with Sepsis Management, No Second-Guessing
- The Financial Upside to Effective Sepsis Management
- The Future of Sepsis Management: What's Next with VBP and Sep-1?
- Public Reporting Via Hospital Compare
Peer-reviewed studies have concluded that compliance with the sepsis protocol produces better patient and financial outcomes. Studies show that patients who receive care according to the steps and timing described in the bundle have: 1. 17% shorter median length of stay when care was compliant 2. 6% reduction in 30-day mortality 3. 5% decrease in r...
As most hospitals know all too well, there is a range of issues involved in sepsis management – from the complexity of diagnosis to siloed data and documentation issues. Then, there is the CMS sepsis bundle itself. SEP-1 compliance requires the completion of multiple components within a short window of time and involves a multidisciplinary team bey...
Beyond the obvious, a positive impact on patient health is a financial implication for more effective sepsis management. According to the Agency for Healthcare Research and Quality (AHRQ), sepsis is consistently the most expensive hospital stay, costing the U.S. healthcare system approximately $38 million annually, and those costs have been rising ...
Now that CMS is including SEP-1 in its VBP Program, the stakes are higher than ever. VBP Program participation is mandatory, and quality results can affect hospital payments. Hospitals that perform well receive a bonus funded by the hospitals that do poorly. Results are publicly reported via Medicare.gov.Hospitals must have access to tools that hel...
As part of the public reporting, CMS posts a rolling-years’ worth of data on Medicare’s public portal Hospital Compare. The data reflects SEP-1 scores and is updated quarterlyin January, April, July, and October each year. At the start of each new quarter, another quarter’s worth of information is released, and the oldest quarter will be removed.Ac...
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.
Aug 9, 2020 · Objectives: The Centers for Medicare and Medicaid Services requires hospitals to report compliance with a sepsis treatment bundle as part of its Inpatient Quality Reporting Program. We used recently released data from this program to characterize national performance on the sepsis measure, known as SEP-1.
- Ian J Barbash, Billie Davis, Jeremy M Kahn
- 2019
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.
The Centers for Medicare and Medicaid Services requires hospitals to report compliance with a sepsis treatment bundle as part of its Inpatient Quality Reporting Program. We used recently released data from this program to characterize national performance on the sepsis measure, known as SEP-1.
