I expect that compliance will be very low, 30% at best for most facilities. Some facilities will be 15-20%. This I also will reach 50% by 6-12 months experience with this metric, but getting there will not be easy.
Remember, however, CMS will report performance as a benchmark with deciles of performance. If 30% is the best anyone can do, that will be P90. That said, changes will be sharp -- P50 may be 27%. All metrics accomplish one thing -- they focus facilities on improving the metric. This will create conversations, meetings, collaborations, arguments, disagreements, settlements, etc. And it's all good -- it means people will improve. Probably with pain as well as pleasure in accomplishment. This is a tough measure. Very very tough. But if you focus your energies on the patient and trying to work with it, it will pay off. The first SSC paper I think is most illustrative. Compliance went from low 30's to mid 30's on an all or nothing basis, but mortality dropped 7%. So, small gains with this measure result in tangible benefits. It just doesn't "feel" good while it's happening. See: Levy MM, Dellinger RP, Townsend SR et al, The Surviving Sepsis Campaign: results of an international guideline-based performance improvement program targeting severe sepsis, Crit Care Med. 2010 Feb;38(2):367-74. doi: 10.1097/CCM.0b013e3181cb0cdc. On Oct 2, 2015, at 12:50 PM, Brown, Sheree <[email protected]<mailto:[email protected]>> wrote: Does anyone know if CMS has established an expected minimal rate of compliance with the Sep-1 measure? Or if not, is there is a reported compliance rate with the SSC 3 hr and 6 hr bundles? Thanks, Sheree Sheree Brown MSN, RN, CNL Manager, Performance Excellence Phone: 517 205-4209 ext. 4209 Pager: 517 534-0127 Fax: 517 788-4715 [email protected]<allegiancehealth.org> [cid:[email protected]] _______________________________________________ Sepsisgroups mailing list [email protected]<mailto:[email protected]> http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
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