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This material was prepared by Alliant Quality, the quality improvement group of Alliant Health Solutions (AHS), the Hospital Quality Improvement Contractor (HQIC) under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy. Publication No. AHSHQIC-TO3H-21-486
Coaching Package
Sepsis
This quality improvement tool assists hospitals to identify interventions and document action plans associated with improving sepsis. Resources and professional associations are also provided for reference.
Facility/Hospital Name: Date Completed:
Top Interventions Action Plan
1Set up house-wide committee with physician champion (ED), hospitalist, and nurse champion, with support from administration.
2 Order sets updated and initiated in ED in timely manner.
3 Set up alerts in electronic medical record.
4Develop electronic solution for handoff of 3-hour sepsis bundle to place time zero for severe sepsis and septic shock.
5Conduct house-wide provider education and awareness including definition of sepsis and computer-based learning (CPL).
www.alliantquality.org
www.alliantquality.org
This material was prepared by Alliant Quality, the quality improvement group of Alliant Health Solutions (AHS), the Hospital Quality Improvement Contractor (HQIC) under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy. Publication No. AHSHQIC-TO3H-21-486
Top Interventions Action Plan
6 Distribute pocket cards and laminated badge cards (Hour 1 Bundle of Surviving Sepsis Campaign).
7 Establish Rapid Response Team for inpatient care to recognize sooner.
8 Review data with clinical staff and include on quality scorecard.
9 Real-time chart review of patients with sepsis.
10 Monitor readmission and mortality rates associated with sepsis.
11 Provide earlier recognition/awareness at outside facilities and EMS.
Links to Resources
Hospital Toolkit for Adult Sepsis Surveillance - CDC
Sepsis Early Recognition and Treatment Tool
Guidelines and Bundles for Adult Patients
Guidelines and Bundles for Pediatric Patients
Professional Association Websites
CDC Sepsis Clinical Information
Society of Critical Care Medicine – Surviving Sepsis Campaign
The Sepsis Alliance Institute
Subject Matter Expert Amy Ward, MS, BSN, RN, CIC Alliant Health [email protected]
