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Adult Inpatient Risk Adjusted Sepsis Mortality

CBE ID
3215
Endorsed
New or Maintenance
Is Under Review
No
Measure Description

Annual risk adjusted inpatient mortality rate for adult patients (aged 18 and over) admitted to acute care hospitals with diagnosis of severe sepsis or septic shock. The measure includes patients in acute care hospital settings over one year timeframe who had, either on admission, or during their hospital stay, a clinical diagnosis of severe sepsis (now referred to as ´sepsis´) or septic shock using criteria described in the International Sepsis Definitions (Sepsis-2)

Hospitals were required to submit a protocol for early identification and treatment of severe sepsis or septic shock. Subsequent to protocol submission, hospitals were required to submit 100% of their patient cases to a data collection portal using a standardized data dictionary (see relevant sections for details). Numerous data elements including patient demographics and comorbidities among other patient care details were reported. A random sample of the data submissions were validated for accuracy. The full adult data for discharges within calendar year 2015 was used to generate statewide and hospital-specific risk adjusted mortality rates for the calendar year.

  • Measure Type
    Electronic Clinical Quality Measure (eCQM)
    Level Of Analysis
    MAT output not attached
    Attached
    Data dictionary not attached
    No
    Numerator

    Outcome is risk adjusted inpatient mortality rate for adult patients (18 and over) admitted to an acute care hospital with a diagnosis of severe sepsis or septic shock or who develop severe sepsis or septic shock during their hospital stay.

    Denominator

    All adult patient discharges (18 and over) in a calendar year with a diagnosis of severe sepsis or septic shock on admission or at any time during their hospital stay. This may include multiple admissions of the same patient during the measurement year. Denominator includes all cases identified using any means (administrative, registry, electronic health records, billing data, etc.), either prospectively, retrospectively, or both, that meet the International consensus definition (Sepsis- 2) of severe sepsis or septic shock.

    Exclusions

    Patients with advanced directives in place prior to episode of sepsis which specifically restrict any hospital specific sepsis protocol interventions or who decline (or their proxy declines) treatment for sepsis. Patients who have been transferred from one acute care hospital to another are excluded.

    All information required to stratify the measure results
    Off
    All information required to stratify the measure results
    Off
  • Risk Adjustment
    Risk adjustment approach
    Off
    Risk adjustment approach
    Off
    Conceptual model for risk adjustment
    Off
    Conceptual model for risk adjustment
    Off
  • Most Recent Endorsement Activity
    Endorsed Infectious Disease Project 2016-2017
    Initial Endorsement
    Next Planned Maintenance Review
    Fall 2023
    Endorsement Status
    E&M Committee Rationale/Justification

    Steward no longer seeking to maintain endorsement

    Last Updated
    Removal Date
  • Detailed Measure Specifications
    No
    Logic Model
    Off
    Impact and Gap
    No
    Feasibility assessment methodology and results
    No
    Address health equity
    No
    Measure’s use or intended use
    No
    508 Compliance
    Off
    If no, attest that all information will be provided in other fields in the submission.
    Off