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Adult Inpatient Risk Adjusted Sepsis Mortality

CBE ID
3215
Endorsement Status
E&M Committee Rationale/Justification

Steward no longer seeking to maintain endorsement

1.0 New or Maintenance
1.1 Measure Structure
Previous Endorsement Cycle
Is Under Review
No
1.6 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 Specs
General Information
1.7 Measure Type
1.3 Electronic Clinical Quality Measure (eCQM)
1.8 Level of Analysis
1.20 Types of Data Sources