Sepsis Management

SEPSIS MANAGEMENT

SEPSIS
MANAGEMENT

Sepsis Facts

TAKE ACTION TO REDUCE THE DEADLY TOLL OF SEPSIS

one million plus a year hospitalized with sepsis in the U.S.
Up to one half of all hospital deaths are sepsis related
Sepsis patients are eight times more likely to die during their hospitalization
In the United States Sepsis kills more than prostate cancer, breast cancer and AIDS combined

Early detection and management of sepsis patients is critical to improving survival and reducing the economic burden of sepsis.
Edwards Lifesciences hemodynamic monitoring solutions offer advanced fluid-based parameters to help you detect sepsis early, guide treatment evaluation, and comply with NQF/CMS bundle requirements.

CMS/NQF Guidelines

SEVERE SEPSIS AND SEPTIC SHOCK: MANAGEMENT BUNDLE MEASURE (NQF #0500)

The Centers for Medicare & Medicaid Services (CMS) now require hospitals participating in Inpatient Quality Reporting (IQR) Program to collect data for the Severe Sepsis and Septic Shock: Management Bundle Measure (NQF #0500).5 With the implementation of this measure, CMS will be able to gauge if care of severe sepsis and septic shock patients is improving. Compliance with this measure will determine payment starting Fiscal Year 2017.5

NQF Guidelines timeline

CLARITY TO MAKE PROACTIVE DECISIONS AND ASSESS TREATMENT

The 6-hour bundle was recently updated to include the dynamic assessment of fluid responsiveness with either a fluid bolus or a passive leg-raise fluid challenge.5 With a dynamic assessment, cardiac output or stroke volume must be known in advance and after the maneuver to calculate the percent volume responsiveness. Edwards offers noninvasive and minimally invasive monitoring solutions with critical dynamic and fluid-based parameters to help you make proactive clinical decisions, while also meeting the NQF #0500 requirements.

Sepsis Criteria

early recognition is critical for timely intervention

It is critically important that patients are diagnosed as soon as possible, as mortality increases if the patient does not receive the appropriate, intensive care. 

Recognition of Sepsis

Initiating Advanced Hemodynamic Monitoring

The noninvasive ClearSight finger cuff offers access to advanced hemodynamic parameters that provide valuable insight to help guide your detection of fluid responsiveness and make more informed volume administration decisions.


Noninvasive ClearSight Finger Cuff

Noninvasive ClearSight Finger Cuff

Parameters: SV | SVV | SVR | CO | cBP

The simplicity of the ClearSight finger cuff extends the benefits of hemodynamic monitoring for a broader patient population.


Severe Sepsis Criteria

The Center for Medicare and Medicaid Services (CMS) required reporting begins with the 3-hour bundle for patients with severe sepsis

Recognition of Severe Sepsis

View the Sepsis bundle Guidelines Overview

Request a copy of the Sepsis bundle guidelines overview

Hemodynamic Monitoring during the 3-hour bundle

Edwards’ ClearSight finger cuff and/or FloTrac sensor can be used to measure flow-based parameters continuously prior to, during, and after the fluid administration portion of the 3-hour bundle.


Noninvasive ClearSight Finger Cuff

Noninvasive ClearSight Finger Cuff

Parameters: SV | SVV | SVR | CO | cBP

The simplicity of the ClearSight system gives you access to automatic, up-to-the-minute hemodynamic information for a broader patient population, including elderly or obese patients in whom an arterial catheter would not typically be placed.

flotrac

Minimally-invasive FloTrac Sensor

Parameters: SVV | SVR | CCO

The FloTrac sensor has been chosen by clinicians more than any other minimally-invasive volume management solution to monitor over 2.5 million patients worldwide.*

* Data on file

Septic Shock Criteria

The Center for Medicare and Medicaid Services (CMS) required reporting continues with the 6-hour bundle for patients with sepTIC shock

The 6-hour bundle includes dynamic assessment of fluid responsiveness with a passive leg raise or fluid challenge as noted below. In a recent CMS educational program, it was noted that a dynamic assessment requires more than these passive maneuvers. To calculate percent volume responsiveness, cardiac output or stroke volume must be known in advance and after these maneuvers.

Recognition of Septic Shock

View the Sepsis bundle guidelines overview

Request a copy of the Sepsis bundle guidelines overview

6-hour bundle and dynamic assessment of fluid responsiveness


Presep Oximetry Catheter

PreSep Oximetry Catheter

Parameters: ScvO2 | CVP

Meet reassessment requirements with one device by utilizing Edwards’ PreSep oximetry catheter for measurement of continuous ScvO2 and CVP.

flotrac

Minimally-invasive FloTrac Sensor

Parameters: SVV | SV | CCO

For A-line patients, the FloTrac sensor measures flow-based parameters continuously before and after a passive leg raise or fluid challenge.


Make A Difference

YOUR HOSPITAL CANNOT AFFORD TO WAIT

Medicare paid 7.2 billion in 2013 to treat sepsis
about two thirds of sepsis patients are medicare patients
Sepsis hospitalizations more than doubled from 2000 to 2008
Medicare patient population will increase from 54 million today to over 80 million in 2030
Contact your local sales representative for more information

The Sepsis Bundle Guidelines as presented above were published by CMS on August 4, 2014 and are presented for informational purposes only. This information does not constitute reimbursement or medical advice. Edwards makes no representation or warranty regarding this information or its completeness, accuracy or timeliness. It is not intended to make a recommendation regarding clinical practice. Laws, regulations, and payer policies concerning reimbursement are complex and change frequently; service providers are responsible for all decisions relating to clinical services, coding and reimbursement submissions. Accordingly, Edwards strongly recommends consultation with CMS, payers, reimbursement specialists and/or legal counsel regarding guidelines, coding, coverage, and reimbursement matters.

Contact a Sales Rep

References:
  1. Statistics, National Center For Health. NCHS Data Brief, Number 62, June 2011 (n.d.): n. pag. Www.CDC.gov . Centers for Disease Control, June 2011. Web. 6 Apr. 2016.
  2. Liu, Vincent, Gabriel J. Escobar, John D. Greene, Jay Soule, Alan Whippy, Derek C. Angus, and Theodore J. Iwashyna. "Hospital Deaths in Patients With Sepsis From 2 Independent Cohorts." Jama 312.1 (2014): 90. Web.
  3. Statistics, National Center For Health. NCHS Data Brief, Number 62, June 2011 (n.d.): n. pag. Www.CDC.gov . Centers for Disease Control, June 2011. Web. 6 Apr. 2016.
  4. World Sepsis Day Sepsis Fact Sheet, 2015.
  5. Centers for Medicare and Medicaid Services, CMS to Improve Quality of Care during Hospital Inpatient Stays. Available at: www.cms.gov Accessed March 21, 2016.
  6. qSofa.org
  7. Hospital IQR Specifications Manual Version 5.1
  8. National Quality Forum. NQF Revises Sepsis Measure. Available at: www.qualityoforum.org . Accessed March 21, 2016.
  9. Chen, Caroline, and Doni Bloomfield. "Deadly Infections Drive Billions in Hospital Bills to Medicare." Bloomberg.com . Bloomberg, 15 June 2015. Web. 06 Apr. 2016
  10. Statistics, National Center For Health. NCHS Data Brief, Number 62, June 2011 (n.d.): n. pag. Www.CDC.gov . Centers for Disease Control, June 2011. Web. 6 Apr. 2016.
  11. Statistics, National Center For Health. NCHS Data Brief, Number 62, June 2011 (n.d.): n. pag. Www.CDC.gov . Centers for Disease Control, June 2011. Web. 6 Apr. 2016.
  12. Report to Congress: Medicare and the Health Care Delivery System, June 2015.

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