The Past, Present, and Future of the Centers for Medicare and Medicaid Services Quality Measure SEP-1: The Early Management Bundle for Severe Sepsis/Septic Shock

Emerg Med Clin North Am. 2017 Feb;35(1):219-231. doi: 10.1016/j.emc.2016.09.006.

Abstract

SEP-1, the new national quality measure on sepsis, resulted from an undertaking to standardize care for severe sepsis and septic shock regardless of the size of the emergency department where the patient is being treated. SEP-1 does not necessarily follow the best current evidence available. Nevertheless, a thorough understanding of SEP-1 is crucial because all hospitals and emergency providers will be accountable for meeting the requirements of this measure. SEP-1 is the first national quality measure on early management of sepsis care. This article provides a review of SEP-1 and all its potential implications on sepsis care in the United States.

Keywords: CMS; Core measures; Early goal-directed therapy; Quality; Sepsis; Septic shock; Severe sepsis; Shared decision-making.

Publication types

  • Review

MeSH terms

  • Early Medical Intervention / standards
  • Emergency Service, Hospital / standards*
  • Emergency Service, Hospital / trends
  • Forecasting
  • Humans
  • Medicaid / standards*
  • Medicaid / trends
  • Medicare / standards*
  • Medicare / trends
  • Patient Care Bundles / standards*
  • Patient Care Bundles / trends
  • Quality Indicators, Health Care / standards*
  • Quality Indicators, Health Care / trends
  • Sepsis / therapy*
  • Shock, Septic / therapy*
  • United States