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September 7, 2017

Concise Critical Appraisal

mRNA Expression of CD74 and IL10

Education

Coding and Billing Webcast
Webcast on APP Onboarding
Register for Ultrasound Courses

SCCM News

Hurricanes Harvey and Irma
Sepsis Awareness Month
Raising Malnutrition Awareness
CDC Health Advisory
Preventing Legionnaires’ Disease
SCCM Journal Seeks Associate Editor
Antibiotics for Treating Sepsis
Call for Abstracts
mRNA Expression of CD74 and IL10

Intensive care unit-acquired infections (IAIs) result in increased hospital and intensive care unit stay, costs and mortality. To date, no biomarker has shown sufficient evidence and ease of application in clinical routine for the identification of patients at risk of IAI. Therefore, Peronnet et al evaluated the association of the systemic mRNA expression of two host response biomarkers, CD74 and IL10, with IAI occurrence in a large cohort of intensive care unit patients.

Their results suggest that two immune biomarkers, CD74 and IL10, could be relevant tools for the identification of IAI risk in intensive care unit patients.

Read the full Concise Critical Appraisal by logging into the SCCM eCommunity. Concise Critical Appraisal is a regular feature aimed at highlighting the best and most relevant literature from a variety of academic journals and encouraging discussion around recent studies and research.

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Coding and Billing Webcast

Participate in the Society of Critical Care Medicine’s (SCCM) webcast, Understanding How to Code and Bill for Critical Care Services, to be held on Thursday, September 14, 2017, at 1:00 p.m. Central Time.

Deb Grider, CPC, COC, CPC-1, CPC-P, CPMA, CEMC, CCS-P, CDIP, a nationally recognized coding and documentation expert from Karen Zupko & Associates, Inc., will review coding for critical care, what services can be reported separately, and how to prepare proper documentation which are important for the financial stability and overall success of the provider organization.

Register online today. The registration fee for this webcast is $30 for SCCM members and $40 for nonmembers.

Learning Objectives

  • Recognize the definition and required elements for critical care.
  • Define when to report Modifier 24 or 25 on the same day that critical care is provided.
  • Identify what services are not included in critical care and how to bill to report them separately.
  • Recognize the E/M modifiers and how to appropriately use them.
  • Review documentation examples common to critical care.

This webcast is intended for physicians, nurses, nurse practitioners, physician assistants, administrators, and all other professionals who are involved in coding and billing.

Please contact SCCM Customer Service at +1 847 827-6888 with questions.

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Webcast on APP Onboarding

Register today for the upcoming webcast, Processes that Maximize Advanced Practice Provider (APP) Onboarding and Competency, from the Society of Critical Care Medicine. This webcast will take place on Wednesday, September 20, 2017, at 1:00 p.m. Central Time.

Bringing new APPs, including nurse practitioners (NPs), physician assistants (PAs), and clinical nurse specialists (CNSs), onboard is a daunting task. Inconsistencies in training processes influence the development of acquired knowledge, skill sets, and professional interaction. Programs that enhance employee satisfaction can minimize attrition and can result in improved patient satisfaction, patient safety, and quality outcomes.

During this session, Vishal Bakshi, PA-C, Chief APP Intensivist of Emory Healthcare, and Deborah E. Stein, ACNP-BC, CCRN, Clinical Program Director, NP Fellowship, of Memorial Sloan Kettering Cancer Center, will focus on advanced practice provider (APP) onboarding strategies and maximizing competencies.

Learning Objectives

  • Discover the importance of a strong onboarding process
  • Articulate the importance of mentorship and collegial relationships
  • Introduce tracking methods that can be incorporated into performance metrics

This 60-minute webcast will be moderated by Roy H. Constantine, PhD, RPA-C, FCCM. The registration fee for this webcast is $30 for members ($40 for nonmembers). Register online today using your Customer ID and password.

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Register for Ultrasound Courses

Join the Society of Critical Care Medicine (SCCM) in San Antonio, Texas, USA, for the two-day critical care ultrasound courses. Critical Care Ultrasound: Adult and Critical Care Ultrasound: Pediatric and Neonatal will take place on February 28 and March 1, 2018, at the Marriott Rivercenter Hotel. Focused ultrasound examinations in the critical care setting have become an extension of the clinical assessment because of their rapid, precise detection capabilities. Assist in immediate patient management by learning or enhancing point-of-care skills during these comprehensive courses.

During each course, participants benefit from guided, focused skill stations and interactive presentations to reinforce key learning points. Additional course benefits include:

  • Immediate integration of learned skills into your clinical practice​​
  • Increased diagnostic skills and scanning proficiency
  • Continuing medical education credit hours available to physicians and nurses
  • A review from field experts on the latest strategies in ultrasound image interpretation and diagnostic challenges, as well as new innovations and procedures
  • High-quality education from prominent faculty, including nurse practitioners, physician assistants and more
  • A significant hands-on experience, ensured by a five-to-one attendee-to-faculty ratio

Both courses will follow SCCM’s 47th Critical Care Congress. Register online today with your customer ID and password. If you plan to attend an ultrasound course in conjunction with Congress, register at www.sccm.org/Congress. If you wish to attend an ultrasound course and not attend Congress, register at the Critical Care Ultrasound: Adult and Critical Care Ultrasound: Pediatric and Neonatal event registration page.

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Hurricanes Harvey and Irma

The Society of Critical Care Medicine (SCCM) continues to monitor all developments related to Hurricanes Irma and Harvey. Leadership is in contact with those in the affected regions and stands ready to assist and provide support. The Society has already distributed disaster response-related materials to those in the affected areas and is poised to send calls for volunteers should such requests be made.

The Society has posted a number of complimentary disaster-related resources helpful in the response to hurricanes at www.sccm.org/disaster. This site will be updated regularly as the situation develops as pertains to Hurricanes Harvey and Irma.

If you have information to share or need assistance, please know you may contact the Society at emergency@sccm.org.

If you are in the affected areas, please know that your ongoing efforts to ensure care for patients and families during these disasters are so very much appreciated! We will continue to monitor the situation and work with the remainder of SCCM’s community to support you as much as possible.

Our best wishes during this challenging situation.

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Sepsis Awareness Month

As part of Sepsis Awareness Month, the Global Sepsis Alliance and the World Health Organization are teaming up to host the World Sepsis Congress (WSC) Spotlight: Maternal and Neonatal Sepsis on September 12, 2017.

The WSC Spotlight is a free online congress in which 25 renowned experts from all around the world will give presentations on all aspects of maternal and neonatal sepsis, as well as give updates on sepsis in general.

For more information on the program, speakers, time zones, and to register for free, visit www.wscspotlight.org.

The U.S. Centers for Disease Control and Prevention (CDC) is also marking Sepsis Awareness Month, recently launching an initiative entitled Get Ahead of Sepsis that urges healthcare professionals, patients and caregivers to be alert to the symptoms, act fast if sepsis is suspected, and to prevent infections that can lead to sepsis. As part of this initiative, the CDC will be hosting the Get Ahead of Sepsis Twitter chat on September 12 at 12 p.m. ET. Join the conversation with #SepsisChat.

Also, if you have not already done so, you are also encouraged to review the new adult sepsis guidelines released earlier this year and to familiarize yourself with the Society of Critical Care Medicine’s Surviving Sepsis Campaign and its THRIVE initiative, which centers on addressing post-intensive care syndrome (PICS).

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Raising Malnutrition Awareness

You are encouraged to participate in the American Society for Parenteral and Enteral Nutrition’s (ASPEN) sixth annual Malnutrition Awareness Week™, which will take place September 18–22, 2017. The purpose of this week is to raise public awareness as pertains to malnutrition and encourage healthcare professionals to assess for malnutrition and intervene early if appropriate. Malnutrition is common in hospitalized patients in the United States and is associated with unfavorable outcomes, including higher infection rates, poor wound healing, longer lengths of stay, and higher frequency of readmission.

The 2017 week is scheduled to have five webinars:

Improving Standardization of Oral Nutrition Supplement Provision in Malnourished Patients – Monday, September 18 – 3 p.m. (CT)

A Multi-Disciplinary Approach to Increasing Awareness of Enteral Nutrition in the Pediatric Patient: A Provider and Parent Perspective – Tuesday, September 19 – 3 p.m. (CT)

On the Fast Track with the Enhanced Recovery After Surgery (ERAS) Protocol –  Wednesday, September 20 – 3 p.m. (CT)

Approaching an Audit through Accurate Documentation and Coding for Malnutrition Diagnosis – Thursday, September 21 – 3 p.m. (CT)

Electronic Clinical Quality Measures (eCQMs): A Malnutrition Quality Improvement Initiative – Friday, September 22 – 11 a.m. (CT)

Participants will receive continuing education credits for participating in the webinars. ASPEN is accredited to provide medical, pharmacy, nursing and dietetic credits.

Society of Critical Care Medicine members can participate in the webinars for free by using discount code MAW-SCCM.

Visit the official Malnutrition Awareness Week™ site to register or for more information about the week.

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CDC Health Advisory

The U.S. Centers for Disease Control and Prevention (CDC), State and Local Health Departments, and the Food and Drug Administration (FDA) are investigating an increase in reported cases of cyclosporiasis.

Learn more by reading the CDC’s health advisory.

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Preventing Legionnaires’ Disease

Last month, the U.S. Centers for Disease Control and Prevention (CDC) announced the opening of a docket to obtain information on effective methods for achieving implementation of water management programs (WMPs) intended to reduce Legionella growth and transmission in buildings at increased risk. The information will inform CDC efforts to prevent Legionnaires’ disease in the United States.

You can find the notice on the website of the Federal Register. The comment period ends October 17, 2017.

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SCCM Journal Seeks Associate Editor

Research, teaching and clinical work in critical care medicine are increasingly reliant on data generated by many devices, accumulated in diverse databases, pre-processed according to unique study requirements, analyzed with sophisticated tools, and reported with composite outcomes. Readers of Critical Care Medicine rely on its reviewers and editors to evaluate manuscripts using very large datasets. The quality of the review process is intended to provide readers—clinicians and investigators alike—with reasonable assurance that the interpretations can be relied upon for integration into clinical practice. Such assurance increasingly relies upon effective application of data science and engagement of data scientists: command of the subject matter; expertise in sophisticated statistics; and advanced skills retrieving, visualizing and evaluating data (more colloquially, “hacker skills”).

Accordingly, the editorial leadership of Critical Care Medicine seeks nominations and applications for a new position: Associate Editor for Data Science (AEDS).

The AEDS will have several unique responsibilities. She/he will

  • act as the handling editor for manuscripts that are heavily dependent on complex manipulations of multiple databases. Handling editors select qualified reviewers, evaluate the reviews, make recommendations to the Editor-in-Chief about final disposition, and propose editorial commentaries;
  • work with authors of accepted manuscripts to make their data cubes (multidimensional data arrays) accessible to readers using contemporary front-end visualization tools similar to those commonly employed in the business and financial industries;
  • work with authors towards design, preparation, and publication of informational graphics synthesizing authors’ results that illuminate new insights and promote new actions; and
  • write and publish editorial commentaries on selected articles

Self-nominations and recommendations should be sent to the attention of the Editor-in-Chief of Critical Care Medicine, Timothy G. Buchman, PhD, MD, MCCM, at journals@sccm.org not later than October 6.

The journal will consider highly qualified individuals regardless of career stage. It is estimated that 10 hours per week will be required. As with all SCCM committee appointments, appointees must be active members of the Society of Critical Care Medicine. As with all Associate Editor appointments, the term is two years with option for renewal. Associate Editors are appointed to the journal by the Editor-in-Chief and such appointments are contingent on approval by SCCM Council.

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Antibiotics for Treating Sepsis

Liaisons from the Society of Critical Care Medicine, Infectious Diseases Society of America, American College of Emergency Physicians, and the Society of Hospital Medicine recently released recommendations for the use of antibiotics for the treatment of sepsis.

Titled “Sepsis National Hospital Inpatient Quality Measure (SEP-1): Multi-stakeholder Work Group Recommendations for Appropriate Antibiotics for the Treatment of Sepsis,” the material was published in Clinical Infectious Diseases.

In this article, the work group promotes the appropriate use of antimicrobials to combat antimicrobial resistance and provides recommendations for appropriate antibiotics for the treatment of sepsis.

For more sepsis resources, visit www.survivingsepsis.org.

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Call for Abstracts

The 45th Annual Meeting of the Japanese Society of Intensive Care Medicine (JSICM2018) is calling for abstracts for the English Sessions (oral presentation).

Applications will be accepted through September 30, 2017.

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