Early Recognition and Management of Sepsis for HHS

1. Early Recognition and Management of Sepsis for HHS Meeting 4 Pat Posa RN, BSN, MSA, CCRN-K, FAAN Quality Excellence Leader SJMHS

2. Early Recognition and Management of Sepsis • Welcome • Program design • Evidence-based and best practice education and training on protocols and tools necessary for early recognition of sepsis • Interactive and integrated team approach with all health professionals • Case-based approach • Utilizes Performance Improvement Plan • Includes home health agencies and discharging facility • Required data collection over the period of the improvement project and beyond and includes how to track and trend the data

3. Early Recognition and Management of Sepsis • Results: participating agencies implementing a sepsis protocol such that: • Improved screening and identification of septic patients receiving home health services • Improved identification of patients with sepsis • Improved early interventions for patients with sepsis • Reduced admission or readmission (30 and 90 days) • Reduce the severity of sepsis when admission is required • Assessment of current infection prevention practices for pneumonia, UTI’s and wounds • Implement one infection prevention practice to close the gap between current state and best evidenced based practice for each infection • Reduce mortality rates for those with sepsis (save lives) • Agency Expectations: • Implement sepsis screening tool and treatment protocols as provided in Early Recognition and Management of Sepsis Program • Participate in monthly learning sessions • Participate in a coaching call between session 1 and 2 • Submission of process data

4. Program overview • Pre-work prior to first session (watch a video) • 3 in-person 90 minute session (consecutive months) • 1 virtual 60 minute session • One coaching call between session 1 and 2

5. What We Did Last Meeting • Review homework related to implementation and auditing of sepsis screening • Discuss infection prevention strategies for PNA, UTI and wounds • Reviewed homework: • Perform current state assessment on PNA, UTI and wound infection prevention • Complete sepsis screening audits

6. Agenda for Today’s Meeting • Review results of the current state assessment on PNA, UTI and wound infection prevention • Discuss how the sepsis screening implementation is going and the results of the sepsis screening audits • Review ongoing data submission process

7. Wound: Current State Assessment *Recommended but not required

8. Current State Assessment related to PNA Prevention Practices

9. Current State Assessment Related to UTI/CAUTI Prevention Practices

10. Round Robin • Review results of the current state assessment on PNA, UTI and wound infection prevention • What gaps did you identify? What are your strategies to close the gaps? • Discuss how the sepsis screening implementation is going and the results of the sepsis screening audits

11. Ongoing Data Submission Process • Submit excel spread sheet to MPRO on the 15th of the month for the prior month’s audits • Use this email address _______________

12. Sepsis Early Recognition Action Plan

13. Sepsis patient education toolkit

14. Sepsis Audit

15. Thank you for your hard work and dedication to preventing infection and sepsis in the people we care for