CMS Issues Sepsis Measure Update
While many sepsis cases are due to unknown organisms and broad spectrum antibiotic selection is appropriate, Centers for Medicare and Medicaid Services (CMS) is releasing an update to the Severe Sepsis and Septic Shock: Management Bundle measure to allow for organism specific antibiotic administration when there is clinician documentation that indicates the causative organism and susceptibility are known. The specification update also allows for organism specific antibiotic treatment of C. difficile suspected sepsis.
The measure update is included in version 5.2 of the Hospital Inpatient Quality Reporting (IQR) Manual in the section on sepsis. Version 5.1 of the Hospital Inpatient Quality Reporting (IQR) Manual was posted on QualityNet in December 2015 and is available here:https://www.qualitynet.org/
dcs/ContentServer?c=Page& pagename=QnetPublic%2FPage% 2FQnetTier3&cid=1228775436944. Version 5.1 becomes effective July 1, 2016, so the changes to the Sepsis measure also affect this version.
CDC and CMS believe that antibiotic stewardship and optimal sepsis management are complimentary efforts that both serve to improve patient care. For more information on sepsis: www.cdc.gov/sepsis.