sepsis initiative informational web-ex may 7, 2015 james guliano, msn, rn-bc – vice president,...

SEPSIS INITIATIVE INFORMATIONAL WEB-EX

May 7, 2015

James Guliano, MSN, RN-BC – Vice President, Quality Programs

Rosalie Weakland, MSN, RN, CPHQ, FACHE – Sr. Director, Quality Programs

Ryan Everett, BS, - Coordinator, Quality Integration

Ellen Hughes, RN, ACA, LNC - Coordinator, Quality Integration

Ohio Hospital Association | CELEBRATING 100 YEARS | 2

AGENDA

• Welcome• OHA board-directed measure/metric• Scope of the initiative• Methodology• Call to action • 8th Annual Quality Summit• Question & Answers

May 7, 2015Sepsis Initiative Informational Session │ Statewide Web-Ex


SEPSIS IS…..

• Frequent– 751,000 US cases annually

• Deadly– 500 deaths in US DAILY (one every 3 minutes)

• Costly– Cost per case - $22,000 - $57,700

• Increasing– Estimated increase 1.5% annually


Ohio Hospital Association | CELEBRATING 100 YEARS |

SEVERE SEPSISHOW COMMON – HOW DEADLY?

†National Center for Health Statistics, 2001. §American Cancer Society, 2001. *American Heart Association. 2000. ‡Angus DC et al. Crit Care Med. 2001 (In Press).

AIDS* Colon Breast0

50

100

150

200

250

300

CHF†

Cas

es/1

00,0

00

Incidence of Severe Sepsis

0

50,000

100,000

150,000

200,000

250,000

De

ath

s/Y

ea

r

Mortality of Severe Sepsis

AIDS* Colon Breast Cancer

Severe Sepsis‡

Severe Sepsis‡

AIDS*

CHF†

AMI†Breast Cancer

Sepsis Initiative Informational Session │ Statewide Web-Ex May 7, 2015 4


OHA BOARD INITIATIVE

• Clinical Advisory Committee (CAC) Recommendation

• REF Board Recommendation• OHA Board approved sepsis as the harm

reduction metric



OUTCOME GOALS

• OHA Board goal:

– 30% reduction in sepsis incidence

– 30% reduction in sepsis mortality

• Sustainable evidence of change in practice



WHY ADDRESS SEPSIS?


OHA Board Call to Action

Incidence increasing

2010/1

2010/2

2010/3

2010/4

2011/1

2011/2

2011/3

2011/4

2012/1

2012/2

2012/3

2012/4

2013/1

2013/2

2013/3

2013/4

2014/1

2014/2

2014/30

0.01

0.02

0.03

0.04

0.05

0.06

0.07

0.08

Ohio Sepsis Incidence Rate

2010/1

2010/3

2011/1

2011/3

2012/1

2012/3

2013/1

2013/3

2014/1

2014/30

0.02

0.04

0.06

0.08

0.1

0.12

0.14

0.16

0.18

0.2

Ohio Sepsis Mortality Rate

Mortality not improving


SCOPE OF INITIATIVE

• Work with hospitals, physicians, nurses, and clinical teams for at least two years

• Gap analysis/action plan– Enlist all in a program to identify, track and

report on patients with infection and severe sepsis

• Education – in person, webinars, etc.• Coaching calls• On-line tools, resources


Free OHA Quality Initiative


METHODOLOGY

• Outcome data (use OHA administrative database)

– Mortality– Incidence– Length of stay

• Process data (hospitals to track and report)

– Three hour bundle


Data


METHODOLOGY

• Initial education program – Quality Summit• Education webinars – every other month• Coaching calls – opposing months• Incorporation into HEN 2.0• Integration into regional collaboratives• Collaboration with Sepsis Alliance


Collaboration


CALL TO ACTION• Gain hospital administration support

– Sign letter of commitment– Engage willing physicians, nurses, clinical teams

• Attend Quality Summit on June 10, 2015• Complete gap analysis/identify area(s) of opportunity• Implement plan of action

– Willingness to adhere to protocols– Implementation of goal-directed sepsis therapy

• Submit baseline data– Collect compliance with 3 hour bundle and submit

numerators & denominators to OHA



QUESTIONS?


OHA collaborates with member hospitals and health systems to ensure a healthy Ohio

—Ohio Hospital Association 155 E. Broad St., Suite 301Columbus, OH 43215-3640

T 614.221.7614 ohiohospitals.org

James V. Guliano, MSN, RN-BC

Vice President, Quality Programs

[email protected]

Rosalie Weakland, MSN, RN, CPHQ, FACHE

Senior Director, Quality Programs

[email protected]

sepsis initiative informational web-ex may 7, 2015 james guliano, msn, rn-bc – vice president,...

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