New Sepsis Definition: Evolving Clinical, Documentation, and Coding Challenges

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Presented on:
July 27, 2016
1:00–2:30 p.m. Eastern

Presented by:
Richard D. Pinson, MD, FACP, CCS

It’s not your routine definition of sepsis anymore. In February, the Journal of the American Medical Association published the Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3). Noting the “inadequate specificity and sensitivity of the systemic inflammatory response syndrome (SIRS) criteria,” Sepsis-3 discards the concept of sepsis as SIRS due to infection—a radical change to the diagnostic standard of the last 25 years.

Clinical documentation specialists, coders, and clinicians alike need to come together now to develop policies and processes for dealing with the complexities and consequences of these new criteria while maintaining compliance with existing National Quality Foundation, ICD-10, and Official Guidelines for Coding and Reporting requirements.

During this program, expert speaker Richard D. Pinson, MD, FACP, CCS, will offer insight into the changing medical thinking regarding the clinical criteria of this important diagnosis and discuss an approach to help CDI professionals unite key stakeholders around effective and compliant processes.

At the conclusion of this program, participants will be able to:

Identify the Sequential (Sepsis-Related) Organ Failure Assessment points contained in the Sepsis-3 definition
Explain the differences between the Sepsis-2 and Sepsis-3 clinical criteria
Incorporate new clinical criteria into existing processes
Explain key coding and quality documentation requirements associated with sepsis-related diagnoses
Compose effective queries related to the new definitions
Describe recommendations from the Surviving Sepsis campaign

Meet the Speaker

Richard D. Pinson, MD, FACP, CCS, a principal of HCQ Consulting, has more than 12 years of experience improving coding and clinical documentation practices and educating thousands of coders, documentation specialists, and physicians. He is a recognized CDI authority who co-authored the CDI Pocket Guide published by ACDIS, co-developed ACDIS’ CDI for the Clinician eLearning program for hospitals, and has written the monthly Coding Corner of the ACP Hospitalist magazine for over four years.

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