Evidence Underpinning the Centers for Medicare &amp; Medicaid Services' Severe Sepsis and Septic Shock Management Bundle (SEP-1)
Authors: Sean R. Townsend, Lemeneh Tefera, Emanuel P. Rivers
Journal: Annals of Internal Medicine (2018)

Letters17 April 2018Evidence Underpinning the Centers for Medicare & Medicaid Services' Severe Sepsis and Septic Shock Management Bundle (SEP-1)Sean R. Townsend, MD, Lemeneh Tefera, MD, MSc, and Emanuel P. Rivers, MD, MPHSean R. Townsend, MDCalifornia Pacific Medical Center, San Francisco, California (S.R.T.)Search for more papers by this author, Lemeneh Tefera, MD, MScBerkeley, California (L.T.)Search for more papers by this author, and Emanuel P. Rivers, MD, MPHHenry Ford Hospital, Detroit, Michigan (E.P.R.)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/L18-0139 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:As the measure stewards for the Centers for Medicare & Medicaid Services' (CMS') Severe Sepsis and Septic Shock Early Management Bundle (SEP-1) measure (S.R.T. and E.P.R.) and a former policy advisor for CMS (L.T.), we were alarmed by Pepper and colleagues' (1) inaccuracies and misrepresentations about the role of SEP-1 in CMS quality reporting programs. The Severe Sepsis and Septic Shock Early Management Bundle is a measure in the Inpatient Quality Reporting (IQR) Program that requires hospitals to report measure data to CMS (2). As long as a hospital reports its data—even if none of its patients ...References1. Pepper DJ, Jaswal D, Sun J, Welsh J, Natanson C, Eichacker PQ. Evidence underpinning the Centers for Medicare & Medicaid Services' Severe Sepsis and Septic Shock Management Bundle (SEP-1). A systematic review. Ann Intern Med. 2018;168:558-68. [PMID: 29459977]. doi:10.7326/M17-2947 LinkGoogle Scholar2. Centers for Medicare & Medicaid Services. Hospital Inpatient Quality Reporting Program. Updated 9 September 2017. Accessed at www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/HospitalQualityInits/HospitalRHQDAPU.html on 22 February 2018. Google Scholar3. Centers for Medicare and Medicaid Services (CMS), HHS. Medicare program; hospital inpatient prospective payment systems for acute care hospitals and the long-term care hospital prospective payment system and policy changes and fiscal year 2017 rates; quality reporting requirements for specific providers; graduate medical education; hospital notification procedures applicable to beneficiaries receiving observation services; technical changes relating to costs to organizations and medicare cost reports; finalization of interim final rules with comment period on LTCH PPS payments for severe wounds, modifications of limitations on redesignation by the medicare geographic classification review board, and extensions of payments to MDHs and low-volume hospitals. Final rule. Fed Regist. 2016;81:56761-7345. [PMID: 27544939] MedlineGoogle Scholar4. The Joint Commission. Joint Commission Online. 2 September 2015. Accessed at www.jointcommission.org/assets/1/23/jconline_September_2_2015.pdf on 22 February 2018. Google Scholar5. The Joint Commission. 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Google Scholar Author, Article, and Disclosure InformationAffiliations: California Pacific Medical Center, San Francisco, California (S.R.T.)Berkeley, California (L.T.)Henry Ford Hospital, Detroit, Michigan (E.P.R.)Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=L18-0139.This article was published at Annals.org on 15 March 2018. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoEvidence Underpinning the Centers for Medicare & Medicaid Services' Severe Sepsis and Septic Shock Management Bundle (SEP-1) Dominique J. Pepper , Dharmvir Jaswal , Junfeng Sun , Judith Welsh , Charles Natanson , and Peter Q. Eichacker Evidence Underpinning the Centers for Medicare & Medicaid Services' Severe Sepsis and Septic Shock Management Bundle (SEP-1) Dominique J. Pepper , Charles Natanson , and Peter Q. Eichacker Correction: Severe Sepsis and Septic Shock Management Bundle Metrics Cited by50 Years of Sepsis Investigation/Enlightenment Among Adults—The Long and Winding RoadInfectious Diseases Society of America Position Paper: Recommended Revisions to the National Severe Sepsis and Septic Shock Early Management Bundle (SEP-1) Sepsis Quality MeasureSepsis Alerts in Emergency Departments: A Systematic Review of Accuracy and Quality Measure ImpactClosed-loop hemodynamic management 17 April 2018Volume 168, Issue 8Page: 609-610KeywordsDisclosureHemodynamicsInpatientsInterquartile rangeMedicarePerformance measuresResearch designSepsisShockUltrasound imaging ePublished: 17 April 2018 Issue Published: 17 April 2018 Copyright & PermissionsCopyright © 2018 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...