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 pressure- and flow-based parameters to help you detect sepsis early, guide treatment evaluation, and comply with NQF/CMS bundle requirements.
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
The 6-hour bundle includes dynamic assessment of fluid responsiveness with either a fluid bolus or a passive
Hospitals that follow the CMS sepsis bundle guidelines have shown significantly lower mortality rates for patients diagnosed with severe sepsis and septic shock.
The ClearSight finger cuff offers access to continuous noninvasive blood pressure, as well as advanced hemodynamic parameters that provide valuable insight to help guide your detection of fluid responsiveness and make more informed volume administration decisions.
Edwards’ ClearSight finger cuff 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.
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.
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).
The following parameters can help provide real-time assessment of oxygen delivery and consumption.
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.
The parameters from the ClearSight system can help guide your detection of fluid responsiveness and help you make more informed volume administration decisions.
For A-line patients, the FloTrac sensor measures flow-based parameters continuously before and after a passive leg raise or fluid challenge.
Meet reassessment requirements with one device by utilizing Edwards oximetry central venous catheter for measurement of continuous ScvO2 and CVP.
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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