HCPro, JustCoding Inpatient - 2016 Issue 32 (August)
CMS responds to new Sepsis-3 definition
August 23rd, 2016
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Article Overview
This article reviews CMS’s public response to the proposed Sepsis-3 definition and explains why the agency said it would not change the sepsis terminology used in its inpatient quality measure at that time. It is relevant for CDI, coding, quality reporting, and clinical documentation professionals who follow sepsis definitions, measure development, and national guidance. The discussion also summarizes the broader controversy around the proposed definition and the reasons CMS cited for maintaining the current framework while further research continues.
Why This Topic Matters
Sepsis definitions affect documentation, quality measurement, and hospital performance reporting. Understanding CMS’s position helps professionals interpret how national quality programs may align—or not align—with newer clinical terminology.
What You Will Learn
- How CMS responded publicly to the proposed Sepsis-3 definition
- Why the existing inpatient sepsis quality measure was kept in place
- What broader concerns were raised about changing sepsis terminology
- How the issue relates to clinical evidence, validation, and quality improvement
Who Should Read This
- Medical coders
- Clinical documentation integrity specialists
- Quality improvement staff
- Hospital compliance teams
- Physicians involved in documentation and sepsis care
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