ACEP recently met with the Society of Critical Care Medicine (SCCM) to discuss the issues around the Sepsis-3 definitions of sepsis and the difficulties some emergency physicians are having with reimbursement and meeting quality measures. Many components of the Sepsis-3 definitions require laboratory values or time (response to fluids). Studies have shown that the Sepsis-3 definitions are not accurate in the emergency department, and the Centers for Medicare & Medicaid Services does not use Sepsis-3. ACEP has sent letters to the insurance companies that have used Sepsis-3 in denials. SCCM provided some language for that letter but declined to sign it with ACEP.
ACEP and SCCM also discussed the one-hour bundle. ACEP is working on a new guideline for early emergency care for septic patients. ACEP and SCCM agreed to look at joint research projects that would concentrate on early care of sepsis.