Sepsis Mortality - A Four-Year Improvement Initiative

Size: px
Start display at page:

Download "Sepsis Mortality - A Four-Year Improvement Initiative"

Transcription

1 Organization: Solution Title: Sinai Hospital of Baltimore Sepsis Mortality - A Four-Year Improvement Initiative Program/Project Description:What was the problem to be solved? How was it identified? What baseline data existed? What were the goals how would you know if you were successful? IDENTIFIED PROBLEMS 1. High mortality rate for DRG 416 /DRGs 870, 871, and 872 Sepsis, Severe Sepsis and Septic Shock. 2. Silo approach with focus on the inpatient services when analyzing the factors affecting the sepsis mortality.rate. 3. Inability to verify compliance with IHI Sepsis Resuscitation &/or Sepsis Management Bundles. BARRIERS TO EARLIER IDENTIFICATION: 1. Silos in care 2. Lack of evidence-based practice among the clinical services while caring for possible and/or ocnfirmed sepsis patient. BASELINE SEPSIS MORTALITY RATES % % % GOALS 1. Decrease sepsis mortality rate by 10% for CY 2009 discharges with yearly decreases by providing evidencebased care for all patients with suspected and/or confirmed sepsis. 2. Identify system issues affecting the timeliness of diagnosis and medical intervention. 2. Deploy and activate an integrated Emergency Department and Inpatient medical staff-approved CPOE Early Goal-Directed Therapy order set. 3. Identify medical staff-approved sepsis indicators for monitoring compliance with evidence-based sepsis management. BASELINE SEPSIS INDICATOR RESULTS (January 2010) 1. Serum lactate obtained when three SIRS criteria met - 60% 2. Two sets of blood cultures ordered and obtained in the ED when three SIRS criteria met - 92% 3. IV Antibiotics ordered and given within 4 hours of presentation and/or symptom presentation % 4. IV fluid resuscitation - 75% Process:What methodology or process was used to develop the Solution? A multidisciplinary team that included Nursing and Medical Staff representatives from the ICU, Emergency Department, Pharmacy, and the Chief of Internal Medicine was convened in August 2007 to develop an Early Goal-directed Therapy CPOE order set. The team reviewed the recommended Sepsis Resuscitation and Sepsis Management Bundles from the Institute of Healthcare Improvement and the 2008 International Guidelines for Management of Severe Sepsis and Septic Shock from AHRQ. Medical Staff approval of the Early Goal--directed Therapy order set in Cerner--occurred in October The approved order set and nursing protocol were

2 activated and made available in CPOE in February In November 2009, a computerized alert (see attached) prompted by vital sign measurements or the white blood count meeting three of the four SIRS criteria was deployed. The alert was designed to appear next to the patient's name within the ED physician's Cerner patient tracking list.and in the Patient Alert section in the patient's Cerner electronic medical record. The alert was designed as an order and would remain in the alert section of the electronic record and pop-up once every 24 hours when the record was opened until the "order" was discontinued by a physician. Solution:What Solution was developed? How was it implemented? 1. Created a CPOE order set for Early Goal-directed Therapy for Sepsis. 2. Created an electronic Sepsis alert prompt/order activated by any three of the vital signs and/or white blood cell count meeting three SIRS criteria.(see attached) 3. Identified four sepsis indicators for monitoring: Serum lactate ordered and obtained when three SIRS criteria met; Blood culture(s) obtained before IV antibiotic(s) administered; IV antibiotic(s) ordered and given within 4 hours of ED presentation when three SIRS present at presentation and/or within 4 hours of symptom presentation; and IV fluid resuscitation. 4. Serum lactate critical value (prompting call to the ED physician from the lab) changed from 4.9 to Decreasing the complications in patients with sepsis by requiring the use of ultrasound-guidance for central line insertions in the fall of 2009, following the IHI central line insertion bundle, and restricting insertion of Foley catheters to RNs only in November Measurable Outcomes:What are the results of implementing the Solution? Provide qualitative and/or quantitative results to data. (Please include graphs, charts, or tools as attachments.) Sinai Hospital has experienced a yearly decrease in the combined sepsis DRGs mortality rate since The 2010 combined DRGs sepsis mortality rate was 15.94%. Since beginning the sepsis initiative in August 2007, Sinai Hospital has achieved a 63.65% decrease in the combined sepsis DRGs mortality rate. The combined sepsis DRGs mortality rate for January 2011 through June 2011 is 12.73%. Since implementing sepsis specific indicator monitoring in CY 2010, compliance has improved in all of the Emergency Department sepsis management indicators.please see attached chart Sustainability:What measures are being taken to ensure that results can be sustained and spread? 1. The Emergency Department's Performance Dashboard and the Physician Contracted Service are linked to compliance with evidence-based practice. 2. Continued monitoring and providing compliance results timely on the established indicators. 3. Required reporting of the sepsis indicators by the ED at the Sinai Hospital's Performance Management Committee semiannually. 4. When greater than 95% compliance was consistently achieved for administering IV antibiotics within 4 hours of symptoms presentation in 2009, electively decreasing the time frame for administering IV antibiotics to 3 hours of symptom presentation in Role of Collaboration and Leadership:What role did teamwork and collaboration play in the Solution? What partners and participants were involved? Was the organization s leadership engaged and did they share the vision for success? How was leadership support demonstrated? Improvement required the cooperation of Information Services, Medical and Nursing leadership in the Emergency Department, the Emergency Department Advanced Practice Nurse, the ED Clinical IS Coordinator, the Respiratory Care Department, the Laboratory, the Pharmacy, Medical Leadership in the ICU, the Case Management Systems Administrator, and the Performance Improvement/Risk Management Department. The ED Medical Director and

3 the ED Advanced Practice Nurse were active participants in the development and deployment of the CPOE Early Goal-directed Therapy Order Set and the Sepsis Alert. The Chairman of the Emergency Department and the ED Advanced Practice Nurse addressed each case with a variation with the involved medical provider and/or nurse. Innovation:What makes this Solution innovative? What are its unique attributes? Use of technology to provide evidence-based practice thus creating an environment where the staff can do the right thing for "Every Patient - Every Time." Contact Person: Suzanne Butterbaugh Title: Performance Improvement/Risk Management Coordinator sbutterb@lifebridge Health.org Phone:

4 ANNUAL MORTALITY RATE January - June 2011 Combined Septicemia DRGs Mortality Rate 20% 20% 19% 13.6%* 16.5% 15.94% 12.73% * Significant increase in the total DC coded with Sepsis as a principle diagnosis compared to CY 2005, 2006, and EMERGENCY DEPARTMENT SEPSIS PERFORMANCE INDICATORS BASELINE 2008 CY 2010 JANUARY - JUNE 2011 Obtaining Serum Lactate with 3 SIRS present 45% 60% 91.9% Blood cultures before IV antibiotics 92% 92% 98.1% Antibiotics given within 4 hours of presentation Not available 82.4% Antibiotics given within 4 hours of presentation 87.6% IV fluid bolus given as indicated for systolic blood pressure < 90 Not available 73.4% 100%

5

6

7

Using Predictive Analytics to Improve Sepsis Outcomes 4/23/2014

Using Predictive Analytics to Improve Sepsis Outcomes 4/23/2014 Using Predictive Analytics to Improve Sepsis Outcomes 4/23/2014 Ryan Arnold, MD Department of Emergency Medicine and Value Institute Christiana Care Health System, Newark, DE Susan Niemeier, RN Chief Nursing

More information

APPLICATION FORM. Sepsis: A Health System s Journey Toward Optimal Patient Care & Outcomes. Director of Quality

APPLICATION FORM. Sepsis: A Health System s Journey Toward Optimal Patient Care & Outcomes. Director of Quality APPLICATION FORM Title of Entry: Sepsis: A Health System s Journey Toward Optimal Patient Care & Outcomes Division: Large Organizations Award: Excellence in Care Entrant s Name and Title: Maurita K. Marhalik,

More information

The Davies Award Is: The HIMSS Nicholas E. Davies Award of Excellence. Awarding IT. Improving Healthcare.

The Davies Award Is: The HIMSS Nicholas E. Davies Award of Excellence. Awarding IT. Improving Healthcare. The Davies Award Is: Since 1994, the Nicholas E. Davies Award of Excellence is HIMSS highest global recognition of hospitals, ambulatory practices and clinics, community health organizations, and public

More information

HealthONE Sepsis Program

HealthONE Sepsis Program HealthONE Sepsis Program Gary Winfield, MD Lindy Garvin, MPA, CPHRM June 12, 2017 0 0 This activity is jointly-provided by SynAptiv and the Colorado Hospital Association 1 1 Conflict of Interest Disclosure

More information

ACTION PLANS. OHA Statewide Sepsis Initiative. January 13, 2016

ACTION PLANS. OHA Statewide Sepsis Initiative. January 13, 2016 ACTION PLANS OHA Statewide Sepsis Initiative January 13, 2016 USING DRIVER DIAGRAMS FOR ACTION PLANS Used to organize theories and ideas in an improvement effort Visual display of why things are the way

More information

Saving Lives with Best Practices and Improvements in Sepsis Care

Saving Lives with Best Practices and Improvements in Sepsis Care Success Story Saving Lives with Best Practices and Improvements in Sepsis Care EXECUTIVE SUMMARY Although Thibodaux Regional Medical Center had achieved sepsis mortality rates below the national average,

More information

Sepsis Screening & Code Sepsis in Critical Care Units (Medical, Surgical, & CCU)

Sepsis Screening & Code Sepsis in Critical Care Units (Medical, Surgical, & CCU) Sepsis Screening & Code Sepsis in Critical Care Units (Medical, Surgical, & CCU) Kim McDonough BSN, Teresa Jackson BSN, Ryan LeFebvre MBA and Margaret Currie-Coyoy MBA Last Revision: October 2013 Course

More information

Saving Lives: EWS & CODE SEPSIS. Kim McDonough RN and Margaret Currie-Coyoy MBA Last Revision: August 2013

Saving Lives: EWS & CODE SEPSIS. Kim McDonough RN and Margaret Currie-Coyoy MBA Last Revision: August 2013 Saving Lives: EWS & CODE SEPSIS Kim McDonough RN and Margaret Currie-Coyoy MBA Last Revision: August 2013 Course Objectives At the conclusion of this training, you will be able to Explain the importance

More information

2014 Maryland Patient Safety Center s Call for Solutions

2014 Maryland Patient Safety Center s Call for Solutions Improving Sepsis Outcomes Through Coordinated Early Recognition, Assessment, and Treatment UM-CRMC Sepsis Survival Rate 100% 95% 90% 89.5% CRMC 85% 85.3% 86.1% 86.2% 81.8% 82.3% 85.7% 84.7% 86.1% MD Statewide

More information

Northwell Sepsis Collaborative Evidence Based Best Practice

Northwell Sepsis Collaborative Evidence Based Best Practice Northwell Sepsis Collaborative Evidence Based Best Practice M. Isabel Friedman, DNP, MPA, RN, BC, CCRN, CNN, CHSE Director of Clinical Initiatives Department of Clinical Transformation Nicholas DaCosta,

More information

Making the Stars Align When Time Matters: Leveraging Actionable Data to Combat Sepsis

Making the Stars Align When Time Matters: Leveraging Actionable Data to Combat Sepsis Making the Stars Align When Time Matters: Leveraging Actionable Data to Combat Sepsis Licking Memorial Health Systems Patient Impact Where did we begin? EDUCATION EDUCATION EDUCATION EDUCATION EDUCATION

More information

Sepsis Screening Tools

Sepsis Screening Tools ICU Rounds Amanda Venable MSN, RN, CCRN Case Mr. H is a 67-year-old man status post hemicolectomy four days ago. He was transferred from the ICU to a medical-surgical floor at 1700 last night. Overnight

More information

Code Sepsis: Wake Forest Baptist Medical Center Experience

Code Sepsis: Wake Forest Baptist Medical Center Experience Code Sepsis: Wake Forest Baptist Medical Center Experience James R. Beardsley, PharmD, BCPS Manager, Graduate and Post-Graduate Education Department of Pharmacy Wake Forest Baptist Health Assistant Professor

More information

Greetings from Michelle & Katie QUALITY IMPROVEMENT DIVISION OF HOSPITAL MEDICINE

Greetings from Michelle & Katie QUALITY IMPROVEMENT DIVISION OF HOSPITAL MEDICINE IN THIS ISSUE: Create Raving Fans of Your Idea P. 1 Where is our waste? P. 1 Sepsis Update P. 3 Quality Updates P. 4 APeX quality tips P.5 Division Incentive Metrics P. 6 Focus Group Findings P. 2 The

More information

Stopping Sepsis in Virginia Hospitals and Nursing Homes Hospital Webinar #2 - Tuesday, March 21, 2017

Stopping Sepsis in Virginia Hospitals and Nursing Homes Hospital Webinar #2 - Tuesday, March 21, 2017 Stopping Sepsis in Virginia Hospitals and Nursing Homes Hospital Webinar #2 - Tuesday, March 21, 2017 Welcome and Introductions Today s objectives: Introduce Sepsis Practice Collaborative Model Tier 1

More information

Establishing an Emergency Department Sepsis Screen

Establishing an Emergency Department Sepsis Screen Establishing an Emergency Department Sepsis Screen Phelan Bailey, RN, CEN Emergency Department Nurse Manager St. Claire Regional Medical Center Kentucky 2 About Us St. Claire Regional Medical Center is

More information

Passage to Excellence Our Sepsis Journey

Passage to Excellence Our Sepsis Journey Passage to Excellence Our Sepsis Journey St. Catherine of Siena Medical Center October/November 2017 St. Catherine of Siena Medical Center 311 bed community hospital Voluntary medical staff leadership

More information

CRITICAL CARE OUTREACH TEAM AND THE DETERIORATING PATIENT

CRITICAL CARE OUTREACH TEAM AND THE DETERIORATING PATIENT CRITICAL CARE OUTREACH TEAM AND THE DETERIORATING PATIENT Outreach Objectives To avert or ensure more timely admission to DCCQ To ensure that patients discharged from Critical Care continue to progress

More information

Sepsis Care in the ED. Graduate EBP Capstone Project

Sepsis Care in the ED. Graduate EBP Capstone Project Sepsis Care in the ED Graduate EBP Capstone Project University of Mary EBP Graduate Capstone Project Members Alicia Vermeulen- Operations Manager, Avera McKennan Hospital Wendy Moore, RN- Ambulatory Nurse

More information

Sepsis The Silent Killer in the NHS

Sepsis The Silent Killer in the NHS Sepsis The Silent Killer in the NHS Kate Beaumont, Trustee, UK Sepsis Trust Nurse Director The Learning Clinic Director QGi Ltd Former Head of Patient Safety and lead for deterioration, National Patient

More information

2016 HCPro, a division of BLR. All rights reserved. These materials may not be duplicated without express written permission.

2016 HCPro, a division of BLR. All rights reserved. These materials may not be duplicated without express written permission. Surviving Sepsis: How CDI Can Improve Sepsis Core Measure Compliance Sarah Jackson, RN, BSN Clinical Documentation Specialist II Rush Oak Park Hospital Oak Park, IL 1 Learning Objectives At the completion

More information

Early Management Bundle, Severe Sepsis/Septic Shock

Early Management Bundle, Severe Sepsis/Septic Shock Early Management Bundle, Severe Sepsis/Septic Shock Audio for this event is available via INTERNET STREAMING. No telephone line is required. Computer speakers or headphones are necessary to listen to streaming

More information

Sepsis Interdisciplinary Team Bronx Lebanon Hospital Center

Sepsis Interdisciplinary Team Bronx Lebanon Hospital Center Sepsis Interdisciplinary Team Bronx Lebanon Hospital Center October/November 2017 Bronx Lebanon Hospital Center Bronx-Lebanon is the largest voluntary, not-for-profit health care system serving the South

More information

South Central HIINergy Partners

South Central HIINergy Partners South Central HIINergy Partners Six states partnering for quality and patient safety through the SEPSIS: Nursing and Front-Line Staff Empowerment for Early Identification and Prompt Treatment Welcome and

More information

Perioperative management of the higher risk surgical patient with an acute surgical abdomen undergoing emergency surgery

Perioperative management of the higher risk surgical patient with an acute surgical abdomen undergoing emergency surgery CLINICAL GUIDELINE Perioperative management of the higher risk surgical patient with an acute surgical abdomen undergoing emergency surgery CG10214-2 For use in (clinical areas): For use by (staff groups):

More information

Solution Title Impact on readmission rates of psychiatric patients following pharmacist discharge counseling in a community hospital

Solution Title Impact on readmission rates of psychiatric patients following pharmacist discharge counseling in a community hospital Organization Suburban Hospital Johns Hopkins Medicine Solution Title Impact on readmission rates of psychiatric patients following pharmacist discharge counseling in a community hospital Program/Project

More information

Greater New York Hospital Association United Hospital Fund. STOP Sepsis Collaborative Toolkit. of Severe Sepsis in the Emergency Department

Greater New York Hospital Association United Hospital Fund. STOP Sepsis Collaborative Toolkit. of Severe Sepsis in the Emergency Department Greater New York Hospital Association United Hospital Fund STOP Sepsis Collaborative Toolkit A Protocol-Based Approach to Early Identification and Treatment of Severe Sepsis in the Emergency Department

More information

Organization: Frederick Memorial Hospital. Solution Title: We Found the Missing Piece to Our CLABSI Puzzle

Organization: Frederick Memorial Hospital. Solution Title: We Found the Missing Piece to Our CLABSI Puzzle Organization: Frederick Memorial Hospital Solution Title: We Found the Missing Piece to Our CLABSI Puzzle Program/Project Description: Hospitalized patients are at risk every day for contracting infections.

More information

Sepsis Management in Scotland. Calum McGregor Consultant Acute Medicine National Clinical Lead for Acute Care Healthcare Improvement Scotland

Sepsis Management in Scotland. Calum McGregor Consultant Acute Medicine National Clinical Lead for Acute Care Healthcare Improvement Scotland Sepsis Management in Scotland Calum McGregor Consultant Acute Medicine National Clinical Lead for Acute Care Healthcare Improvement Scotland Sepsis Management in Scotland Outline: Background on sepsis

More information

Results from Contra Costa Regional Medical Center

Results from Contra Costa Regional Medical Center Results from Contra Costa Regional Medical Center Karin Stryker, MBA DSRIP Manager, Health Services Administrator Chris Farnitano, MD Medical Director, Ambulatory Care High Impact Interventions Sepsis

More information

Kentucky Sepsis Summit. August 2016

Kentucky Sepsis Summit. August 2016 1 Kentucky Sepsis Summit August 2016 St. Elizabeth Healthcare About Us: - 7 facilities & over 1200 licensed beds - Serving the NKY/Cincinnati Region in: - Orthopedic Care - Heart and Vascular Institute

More information

19th Annual. Challenges. in Critical Care

19th Annual. Challenges. in Critical Care 19th Annual Challenges in Critical Care A Multidisciplinary Approach Friday August 22, 2014 The Hotel Hershey 100 Hotel Road Hershey, Pennsylvania 17033 A continuing education service of Penn State College

More information

Objectives 10/09/2015. Screen and Intervene: Improved Outcomes From a Nurse-Initiated Sepsis Protocol C935

Objectives 10/09/2015. Screen and Intervene: Improved Outcomes From a Nurse-Initiated Sepsis Protocol C935 Screen and Intervene: Improved Outcomes From a Nurse-Initiated Sepsis Protocol C935 2015 ANCC National Magnet Conference October 9, 2015 Kristin Drager MSN RN CNL CEN William S. Middleton Memorial Veterans

More information

NHS LOTHIAN Standard Operating Procedure: EHSCP Physiological Observations of Patients in the Community Setting

NHS LOTHIAN Standard Operating Procedure: EHSCP Physiological Observations of Patients in the Community Setting NHS LOTHIAN Standard Operating Procedure: EHSCP Physiological Observations of Patients in the Community Setting 1. Introduction To standardise the type and frequency of observations to be taken on adult

More information

Sepsis Management at Russell Medical

Sepsis Management at Russell Medical Sepsis Management at Russell Medical Sarah Beth Gettys V.P. Patient Services Russell Medical Dr. Michele Goldhagen MD, CMO, ED Medical Director Russell Medical Oct 3, 2017 1 Objectives List key success

More information

Documentation 101: CDI JULY 19, 2017

Documentation 101: CDI JULY 19, 2017 Documentation 101: CDI THE FIFTH NATIONAL PHYSICIAN ADVISOR AND UTILIZATION REVIEW BOOT CAMP JULY 19, 2017 Infirmary Health: About Us Infirmary Health is the largest non-governmental healthcare system

More information

2018 DOM HealthCare Quality Symposium Poster Session

2018 DOM HealthCare Quality Symposium Poster Session Winner - Outstanding Faculty Project Author Hillary Lum, MD, Faculty Division/Department Geriatric Medicine / Department of Medicine UCHealth Patient use of a Medical Power of Attorney via My Health Connection

More information

Preventing Sepsis Mortality

Preventing Sepsis Mortality Murray State's Digital Commons Scholars Week 2017 - Spring Scholars Week Preventing Sepsis Mortality Karli Tabers Follow this and additional works at: http://digitalcommons.murraystate.edu/scholarsweek

More information

Reducing Sepsis Mortality

Reducing Sepsis Mortality Reducing Sepsis Mortality NYC Health + Hospitals - Elmhurst October/November 2017 NYC Health + Hospitals - Elmhurst NYC Health + Hospitals/Elmhurst is part of an integrated health care system of hospitals,

More information

Meeting the NEW RCN Standards for Infusion Therapy in practice

Meeting the NEW RCN Standards for Infusion Therapy in practice Meeting the NEW RCN Standards for Infusion Therapy in practice sumanshrestha@nhs.net Suman Shrestha MSc BSc RN Advanced Nurse Practitioner Intensive Care Frimley Park Hospital suman_sr FRIMLEY PARK HOSPITAL

More information

Sepsis Kills: The challenges & solutions to reducing mortality

Sepsis Kills: The challenges & solutions to reducing mortality Sepsis Kills: The challenges & solutions to reducing mortality Kevin Rooney, Ahmed Labib & Brent Foreman Who are we? Declaration of Conflict of Interest We have no financial conflict of interest in presenting

More information

Current Status: Active PolicyStat ID: Guideline: Sepsis Identification And Management in Adults GUIDELINE: COPY

Current Status: Active PolicyStat ID: Guideline: Sepsis Identification And Management in Adults GUIDELINE: COPY Current Status: Active PolicyStat ID: 1537683 Effective: 8/7/2015 Approved: 8/7/2015 Last Revised: 8/7/2015 Expires: 8/6/2018 Author: Chief Nursing Officer Document Area: Nursing Administration References:

More information

SEVERE SEPSIS & SEPTIC SHOCK CHANGE PACKAGE. Early Recognition and Treatment of Severe Sepsis and Septic Shock

SEVERE SEPSIS & SEPTIC SHOCK CHANGE PACKAGE. Early Recognition and Treatment of Severe Sepsis and Septic Shock SEVERE SEPSIS & SEPTIC SHOCK CHANGE PACKAGE Early Recognition and Treatment of Severe Sepsis and Septic Shock table of contents severe sepsis & septic shock change package overview...... 1 Background.......................................................

More information

OHA HEN 2.0 Partnership for Patients Letter of Commitment

OHA HEN 2.0 Partnership for Patients Letter of Commitment OHA HEN 2.0 Partnership for Patients Letter of Commitment To: Re: Request to Participate in the Ohio Hospital Association Hospital Engagement Contract Date: September 24, 2015 We have reviewed the information

More information

SEPSIS MANAGEMENT Using Simulation to Accelerate Adoption of Evidence-Based Sepsis Management

SEPSIS MANAGEMENT Using Simulation to Accelerate Adoption of Evidence-Based Sepsis Management SEPSIS MANAGEMENT Using Simulation to Accelerate Adoption of Evidence-Based Sepsis Management Medical Simulation Corporation is a healthcare performance improvement company, advancing clinical quality

More information

New York State Department of Health Innovation Initiatives

New York State Department of Health Innovation Initiatives New York State Department of Health Innovation Initiatives HCA Quality & Technology Symposium November 16 th, 2017 Marcus Friedrich, MD, MBA, FACP Chief Medical Officer Office of Quality and Patient Safety

More information

QUALIS HEALTH HONORS WASHINGTON HEALTHCARE PROVIDERS

QUALIS HEALTH HONORS WASHINGTON HEALTHCARE PROVIDERS LEADERSHIP IN IMPROVING HEALTHCARE Harborview Medical Center Code Sepsis: Improving Survival in Sepsis with Early Identification and Activation of a Critical Care Team Sepsis, one of the highest causes

More information

Interactive Trauma: Beyond the Moment of Impact

Interactive Trauma: Beyond the Moment of Impact , About the Speaker MSN, RN, CEN, CPEN, TCRN Bill is a dynamic and energetic speaker whose unique style not only provides insight to his audience but also to creates an engaging and fun atmosphere for

More information

Sepsis, An Interdisciplinary and Collaborative Approach. Bassett Medical Center October/November 2017

Sepsis, An Interdisciplinary and Collaborative Approach. Bassett Medical Center October/November 2017 Sepsis, An Interdisciplinary and Collaborative Approach Bassett Medical Center October/November 2017 Bassett Medical Center 180 bed acute care inpatient teaching facility in Cooperstown, New York is the

More information

SEPSIS RESEARCH WSHFT: THE IMPACT OF PREHOSPITAL SEPSIS SCREENING

SEPSIS RESEARCH WSHFT: THE IMPACT OF PREHOSPITAL SEPSIS SCREENING SEPSIS RESEARCH WSHFT: THE IMPACT OF PREHOSPITAL SEPSIS SCREENING Dr. Duncan Hargreaves QI Fellow Worthing Hospital Allied Health Sciences Network 2017 SEPSIS IMPROVEMENT AT WSHFT QUESTcollaboration ->

More information

Wisconsin Hospital Association 2016 Quality Report. Wisconsin Hospitals: Applying the Science of Improvement to Patient Care

Wisconsin Hospital Association 2016 Quality Report. Wisconsin Hospitals: Applying the Science of Improvement to Patient Care Wisconsin Hospital Association 2016 Quality Report Wisconsin Hospitals: Applying the Science of Improvement to Patient Care Front cover photo courtesy of Spooner Health System Table of Contents Introduction....

More information

Worth a Thousand Words: Telling a Story with Data

Worth a Thousand Words: Telling a Story with Data A5/B5 Worth a Thousand Words: Telling a Story with Data Ari Robicsek, MD Chief Medical Analytics Officer Providence St. Joseph Health Session Objectives Consider the challenges of representing patient

More information

Understand. Learning Objectives Module 1. Surviving Sepsis Campaign Sepsis e learn Module 1. Situation & Background. Sepsis e Learn: Module 1

Understand. Learning Objectives Module 1. Surviving Sepsis Campaign Sepsis e learn Module 1. Situation & Background. Sepsis e Learn: Module 1 Surviving Sepsis Campaign Sepsis e learn Module 1 Situation & Background Understand Learning Objectives Module 1 The impact sepsis has on patient mortality and healthcare costs. The importance of improving

More information

CNA SEPSIS EDUCATION 2017

CNA SEPSIS EDUCATION 2017 CNA SEPSIS EDUCATION 2017 WHAT CAUSES SEPSIS? Sepsis occurs when the body has a severe immune response to an infection Anyone who has an infection is at risk for developing sepsis Sepsis occurs when the

More information

Sepsis: Developing and Implementing a Housewide Sepsis Program Understanding the Four Tiers

Sepsis: Developing and Implementing a Housewide Sepsis Program Understanding the Four Tiers Sepsis: Developing and Implementing a Housewide Sepsis Program Understanding the Four Tiers Pat Posa, RN, BSN, MSA, FAAN Quality Excellence Leader St. Joseph Mercy Hospital Agenda Define Sepsis Establish

More information

ICU - Sepsis, CAUTI and CLABSI Less May Be Better. HRET HIIN ICU Virtual Event April 11, 2017

ICU - Sepsis, CAUTI and CLABSI Less May Be Better. HRET HIIN ICU Virtual Event April 11, 2017 ICU - Sepsis, CAUTI and CLABSI Less May Be Better HRET HIIN ICU Virtual Event April 11, 2017 1 Emily Koebnick, Program Manager, HRET WELCOME AND INTRODUCTIONS 2 Webinar Platform Quick Reference Mute computer

More information

The Kaiser Sunnyside Sepsis Story Care Improvement from EGDT through ProCESS and Beyond. Why the focus on Sepsis?

The Kaiser Sunnyside Sepsis Story Care Improvement from EGDT through ProCESS and Beyond. Why the focus on Sepsis? The Kaiser Sunnyside Sepsis Story Care Improvement from EGDT through ProCESS and Beyond Lauren Bridge, RN, MN NEA-BC Why the focus on Sepsis? Mortality, Intensity of Resources, Risk of Readmission Compared

More information

Antimicrobial stewardship in Scotland: quality improvement agenda

Antimicrobial stewardship in Scotland: quality improvement agenda Antimicrobial stewardship in Scotland: quality improvement agenda Dr Jacqueline Sneddon Project Lead Scottish Antimicrobial Prescribing Group Background Scottish Antimicrobial Prescribing Group (SAPG)

More information

Inpatient Quality Reporting Program

Inpatient Quality Reporting Program The Clinician Perspective on Sepsis Care: Early Management Bundle for Severe Sepsis/Septic Shock Presentation Transcript Moderator: Candace Jackson, RN Inpatient Quality Reporting (IQR) Program Lead, Hospital

More information

A Survey of Sepsis Treatment Protocols in West Virginia Critical Access Hospitals

A Survey of Sepsis Treatment Protocols in West Virginia Critical Access Hospitals A Survey of Sepsis Treatment Protocols in West Virginia Critical Access Hospitals Joshua Dunn, Pharm.D. Anne Teichman, Pharm.D. School of Pharmacy University of Charleston Charleston WV Corresponding author:

More information

Inpatient Quality Reporting (IQR) Program

Inpatient Quality Reporting (IQR) Program SEP-1 Early Management Bundle, Severe Sepsis/Septic Shock: v5.2 Measure Updates Presentation Transcript Moderator: Candace Jackson, RN Project Lead, Hospital IQR Program Hospital Inpatient Value, Incentives,

More information

COMPREHENSIVE EARLY GOAL DIRECTED THERAPY IN SEPSIS ROCHESTER GENERAL. Sepsis Treatment Order Sets Sepsis Treatment Order Sets

COMPREHENSIVE EARLY GOAL DIRECTED THERAPY IN SEPSIS ROCHESTER GENERAL. Sepsis Treatment Order Sets Sepsis Treatment Order Sets Publication Year: 2013 COMPREHENSIVE EARLY GOAL DIRECTED THERAPY IN SEPSIS ROCHESTER GENERAL Summary: An organized accepted approach to sepsis recognition, early management in the ED including specific

More information

Customizations of the EHR that Ensure Quality and Safety

Customizations of the EHR that Ensure Quality and Safety Customizations of the EHR that Ensure Quality and Safety Barry Aaronson MD FACP SFHM Hospitalist and Associate Medical Director for Clinical Informatics Virginia Mason Medical Center Clinical Associate

More information

Sepsis Bundled Care - An Early Goal Directed Therapy Application Study

Sepsis Bundled Care - An Early Goal Directed Therapy Application Study University of Arkansas, Fayetteville ScholarWorks@UARK The Eleanor Mann School of Nursing Undergraduate Honors Theses The Eleanor Mann School of Nursing 12-2013 Sepsis Bundled Care - An Early Goal Directed

More information

5/9/2015. Disclosures. Improving ICU outcomes and cost-effectiveness. Targets for improvement. A brief overview: ICU care in the United States

5/9/2015. Disclosures. Improving ICU outcomes and cost-effectiveness. Targets for improvement. A brief overview: ICU care in the United States Disclosures Improving ICU outcomes and cost-effectiveness CHQI grant, UC Health Travel support, Moore Foundation J. Matthew Aldrich, MD Associate Clinical Professor Interim Director, Critical Care Medicine

More information

Strategy/Driver Prevention Strategies Action Strategies

Strategy/Driver Prevention Strategies Action Strategies I. Hospital executive leadership commitment to prevention of surgical site infections 1. Establish Surgical Site Infection prevention as a strategic priority 2. Develop and implement business/strategic

More information

Improving the Identification, Delivery of Care, and Outcomes of Hospital-Acquired Sepsis

Improving the Identification, Delivery of Care, and Outcomes of Hospital-Acquired Sepsis University of Kentucky UKnowledge DNP Projects College of Nursing 2016 Improving the Identification, Delivery of Care, and Outcomes of Hospital-Acquired Sepsis Nicholas James Welker University of Kentucky,

More information

PSI-15 Lafayette General Health 2017 Nicholas E. Davies Enterprise Award of Excellence

PSI-15 Lafayette General Health 2017 Nicholas E. Davies Enterprise Award of Excellence PSI-15 Lafayette General Health 2017 Nicholas E. Davies Enterprise Award of Excellence Rachel Brunt, RN, BSN, MBA-HCA, CIC, CPHQ, Director Quality Jessie Hanks, BS, RHIA, Director HIM Lafayette General

More information

AHA/HRET HEN 2.0 SEPSIS WEBINAR: TIPS & TRICKS FOR SEPSIS RECOGNITION, BUNDLES & DATA. July 26 th, :00 a.m. 12:00 p.m. CDT

AHA/HRET HEN 2.0 SEPSIS WEBINAR: TIPS & TRICKS FOR SEPSIS RECOGNITION, BUNDLES & DATA. July 26 th, :00 a.m. 12:00 p.m. CDT AHA/HRET HEN 2.0 SEPSIS WEBINAR: TIPS & TRICKS FOR SEPSIS RECOGNITION, BUNDLES & DATA July 26 th, 2016 11:00 a.m. 12:00 p.m. CDT 1 WELCOME AND INTRODUCTIONS Mallory Bender, MA, LCSW, Program Manager, HRET

More information

Recognising a Deteriorating Patient. Study guide

Recognising a Deteriorating Patient. Study guide Recognising a Deteriorating Patient Study guide Recognising a deteriorating patient Recognising and responding to clinical deterioration Background Clinical deterioration can occur at any time in a patient

More information

Building Evidence-based Clinical Standards into Care Delivery March 2, 2016

Building Evidence-based Clinical Standards into Care Delivery March 2, 2016 Building Evidence-based Clinical Standards into Care Delivery March 2, 2016 Charles G. Macias MD, MPH Chief Clinical Systems Integration Officer, Texas Children's Associate Professor of Pediatrics, Section

More information

The Power of the Pyramid:

The Power of the Pyramid: The Power of the Pyramid: A Proven Sepsis Implementation Program for Saving Lives SepsisSolutionsInternational 2011 Kathleen Vollman MSN, RN, CCNS, FCCM, FAAN Clinical Nurse Specialist, Educator, Consultant

More information

CAUTI Prevention Case Study

CAUTI Prevention Case Study CAUTI Prevention Case Study University of Missouri Health One Hospital Drive Columbia, Missouri 65212 Primary Contact: Linda S. Johnson, RN, MSN, CIC Manager, Infection Prevention and Control University

More information

For audio, join by telephone at , participant code #

For audio, join by telephone at , participant code # For audio, join by telephone at 877-594-8353, participant code 56350822# Your line is OPEN. Please do not use the hold feature on your phone but do mute your line by dialing *6. If you are having technical

More information

ASCO s Quality Training Program

ASCO s Quality Training Program ASCO s Quality Training Program Project Title: Treatment of febrile neutropenia at the University of Virginia Presenter s Name: Tri Le, MD, Tanya Thomas, RN, Michael Keng, MD Institution: University of

More information

Surviving Sepsis. Legacy Meridian Park Medical Center Legacy Mount Hood Medical Center

Surviving Sepsis. Legacy Meridian Park Medical Center Legacy Mount Hood Medical Center Surviving Sepsis Legacy Meridian Park Medical Center Legacy Mount Hood Medical Center May 5, 2011 Maria Kulla RN, BSN, CCRN, ICU Nurse Sarah Barsotti RN, BSN, ICU Nurse Project Teams Legacy Mount Hood

More information

Driver Diagrams & MUSIQ

Driver Diagrams & MUSIQ Oregon Health Authority Improvement Science in Action: Driver Diagrams & MUSIQ Jonathan Merrell April 30, 2014 Objectives 1. Describe the components and utility of a Driver Diagram 2. Evaluate your Driver

More information

Stampede Sepsis: A Statewide Collaborative

Stampede Sepsis: A Statewide Collaborative Stampede Sepsis: A Statewide Collaborative Kentucky Sepsis Summit August 24, 2016 T E R I H U L E T T, R N, B S N, C I C, F A P I C P R O G R A M M A N A G E R, I N F E C T I O N P R E V E N T I O N CHA

More information

National Provider Call: Hospital Value-Based Purchasing

National Provider Call: Hospital Value-Based Purchasing National Provider Call: Hospital Value-Based Purchasing Fiscal Year 2015 Overview for Beneficiaries, Providers, and Stakeholders Centers for Medicare & Medicaid Services 1 March 14, 2013 Medicare Learning

More information

IMPACT OF RN HYPERTENSION PROTOCOL

IMPACT OF RN HYPERTENSION PROTOCOL 1 IMPACT OF RN HYPERTENSION PROTOCOL Joyce Cheung, RN, Marie Kuzmack, RN Orange County Hypertension Team Kaiser Permanente, Orange County Joyce.m.cheung@kp.org and marie-aline.z.kuzmack@kp.org Cell phone:

More information

The curriculum is based on achievement of the clinical competencies outlined below:

The curriculum is based on achievement of the clinical competencies outlined below: ANESTHESIOLOGY CRITICAL CARE MEDICINE FELLOWSHIP Program Goals and Objectives The curriculum is based on achievement of the clinical competencies outlined below: Patient Care Fellows will provide clinical

More information

Assessing Medical Technology- Are We Being Told the Truth. The Case of CPOE. David C Classen M.D., M.S. FCG and University of Utah

Assessing Medical Technology- Are We Being Told the Truth. The Case of CPOE. David C Classen M.D., M.S. FCG and University of Utah Assessing Medical Technology- Are We Being Told the Truth. The Case of CPOE David C Classen M.D., M.S. FCG and University of Utah August 21, 2007 FCG 2006 Slide 1 November 2006 CPOE Adoption Growing Despite

More information

Keep watch and intervene early

Keep watch and intervene early IntelliVue GuardianSoftware solution Keep watch and intervene early The earlier, the better Intervene early, by recognizing subtle signs Clinical realities on the general floor and in the emergency department

More information

Submission Form Deadline: November 9, 2015

Submission Form Deadline: November 9, 2015 Submission Form Deadline: November 9, 2015 Organization: Sinai Hospital Contact Person: Pat Moloney-Harmon, MS, RN, CCNS, FAAN Title: Clinical Outcomes Specialist, Children s Services Address: 2401 W.

More information

Family Practice Clinic

Family Practice Clinic Family Practice Clinic FNP Job Description (Hospital Privileges) General: The Family Nurse Practitioner (FNP) assesses, plans and provides comprehensive patient care independently or in autonomous collaboration

More information

Leveraging EHR Data to Evaluate Sepsis Guidelines

Leveraging EHR Data to Evaluate Sepsis Guidelines Leveraging EHR Data to Evaluate Sepsis Guidelines Bonnie L. Westra, PhD, RN, FAAN, FACMI Beverly Christie, DNP, RN; Connie W. Delaney, PhD, RN, FAAN, FACMI; Grace Gao, DNP, RN; Steven G. Johnson, MS; Anne

More information

Admissions with neutropenic sepsis in adult, general critical care units in England, Wales and Northern Ireland

Admissions with neutropenic sepsis in adult, general critical care units in England, Wales and Northern Ireland Admissions with neutropenic sepsis in adult, general critical care units in England, Wales and Northern Ireland Question What were the: age; gender; APACHE II score; ICNARC physiology score; critical care

More information

Cognitive Level Certified Professional in Patient Safety Detailed Content Outline Recall. Total. Application Analysis 1.

Cognitive Level Certified Professional in Patient Safety Detailed Content Outline Recall. Total. Application Analysis 1. Cognitive Level Certified Professional in Patient Safety Detailed Content Outline Recall Application Analysis Total 1. CULTURE 2 12 4 18 A. Assessment of Patient Safety Culture 1. Identify work settings

More information

Improving the Delivery of Troponin Results to the Emergency Department using Lean Methodology

Improving the Delivery of Troponin Results to the Emergency Department using Lean Methodology Organization: Anne Arundel Medical Center Solution Title: Improving the Delivery of Troponin Results to the Emergency Department using Lean Methodology Program/Project Description, Including Goals: What

More information

Kansas Heart and Stroke Collaborative

Kansas Heart and Stroke Collaborative Sepsis in the Long Term Care Facility Aligning with Requirements of Participation Dr. Bob Moser, MD F.A.A.F.P Executive Director, Kansas Heart & Stroke Collaborative University of Kansas Health System

More information

Tools & Resources for QI Success

Tools & Resources for QI Success Tools & Resources for QI Success Pediatric Hospital Medicine National Conference Kiran Kulkarni, MD Cynthia Castiglioni, MD, MS (HQPS) Sangeeta Schroeder, MD, MS (HQPS) Anu Subramony, MD MBA July 22, 2017

More information

Quality Improvement in the ICU: A Way Forward

Quality Improvement in the ICU: A Way Forward Quality Improvement in the ICU: A Way Forward Ognjen Gajic M.D. Mayo Clinic Rochester MN, USA Multidisciplinary Epidemiology and Translational Research in Intensive Care, Emergency and Perioperative Medicine

More information

Solution Title: Meeting the Challenge of Health Care Change

Solution Title: Meeting the Challenge of Health Care Change Organization: Western Maryland Health System Solution Title: Meeting the Challenge of Health Care Change Program/Project Description, including Goals: What was the problem to be solved? How was it identified?

More information

Focus on Action, Performance Leadership and Setting Expectations

Focus on Action, Performance Leadership and Setting Expectations Focus on Action, Performance Leadership and Setting Expectations Pennsylvania Health Care Association May 22, 2018 Brenda Grant Chief Strategy Officer Charleston Area Medical Center Health System CHANGE

More information

IHI Expedition Treating Sepsis in the Emergency Department and Beyond Session 2

IHI Expedition Treating Sepsis in the Emergency Department and Beyond Session 2 Thursday, September 26 These presenters have nothing to disclose IHI Expedition Treating Sepsis in the Emergency Department and Beyond Session 2 John D Angelo, MD, FACEP Andy Odden, MD Diane Jacobsen,

More information

Medicare Value Based Purchasing August 14, 2012

Medicare Value Based Purchasing August 14, 2012 Medicare Value Based Purchasing August 14, 2012 Wes Champion Senior Vice President Premier Performance Partners Copyright 2012 PREMIER INC, ALL RIGHTS RESERVED Premier is the nation s largest healthcare

More information

Rapid Response Team Building

Rapid Response Team Building Nicole Sardinas BSN, RN, CCRN Clinical Educator- Critical Care Ext.2703 Mabel LaForgia MSN, RN, CCRN, CNL Clinical Nurse Leader- Critical Care Ext.4149 201-978- 6423 355 Grand Street «AddressBlock», NJ

More information

2015 Executive Overview

2015 Executive Overview An Independent Licensee of the Blue Cross and Blue Shield Association 2015 Executive Overview Criteria for the Blue Cross and Blue Shield of Alabama Hospital Tiered Network will be updated effective January

More information

Infusion Therapy Learning Exercise: Infusion Documentation

Infusion Therapy Learning Exercise: Infusion Documentation Infusion Therapy Learning Exercise: Infusion Documentation INFUSION OF DOCUMENT IN DOCUMENT PERIPHERAL PICC LINE BLOOD TRANSFUSION SPINAL EPIDURAL CLPNA Infusion Therapy: Infusion Documentation Exercise

More information

CMS and NHSN: What s New for Infection Preventionists in 2013

CMS and NHSN: What s New for Infection Preventionists in 2013 CMS and NHSN: What s New for Infection Preventionists in 2013 Joan Hebden RN, MS, CIC Clinical Program Manager Sentri7 Wolters Kluwer Health - Clinical Solutions Objectives Define the current status of

More information