Take action to reduce the deadly toll of sepsis
Early detection and management of sepsis patients
Edwards Lifesciences hemodynamic monitoring solutions offer advanced
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
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
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.
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
The simplicity of the ClearSight finger cuff extends the benefits of hemodynamic monitoring for a broader patient population.
ClearSight finger cuff parameters
The following parameters can help guide your detection of fluid responsiveness help you make more informed volume administration decision.
The Center for Medicare and Medicaid Services (CMS) required reporting begins with the 3-hour bundle for patients with 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
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.
Minimally-invasive FloTrac Sensor
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.*
FloTrac sensor parameters
The following parameters can help guide your fluid administration decisions, serce as a an accurate marker of patient status on the Frank-Starling curve as well as help monitor and optimize oxygen delivery (with fluid and inotropic in combination with SaO2 and hemoglobin).
Edwards oximetry central venous catheter
The following parameters can help provide real-time assessment of oxygen delivery and consumption.
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.
View the sepsis bundle guidelines overview
Request a copy of the sepsis bundle guidelines overview
6-hour bundle and dynamic assessment of fluid responsiveness
Edwards oximetry central venous catheter
Meet reassessment requirements with one device by utilizing Edwards oximetry central venous catheter for measurement of continuous ScvO2 and CVP.
Minimally-invasive FloTrac sensor
For A-line patients, the FloTrac sensor measures flow-based parameters continuously before and after a passive leg raise or fluid challenge.
Your hospital cannot afford to wait
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.
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- 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.
- 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.
- 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.
- World Sepsis Day Sepsis Fact Sheet, 2015.
- 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.
- qSofa.org
- Hospital IQR Specifications Manual Version 5.1
- National Quality Forum. NQF Revises Sepsis Measure. Available at: www.qualityoforum.org . Accessed March 21, 2016.
- Chen, Caroline, and Doni Bloomfield. "Deadly Infections Drive Billions in Hospital Bills to Medicare." Bloomberg.com . Bloomberg, 15 June 2015. Web. 06 Apr. 2016
- 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.
- 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.
- Report to Congress: Medicare and the Health Care Delivery System, June 2015.
