Well then you have done well! Our OFIs are the repeat Lactate and a complete physical exam for volume status and tissue perfusion assessment in the Septic shock patient.
Mary Draper RN BSN Coordinator Quality Improvement Peer Review Support CV/CT Quality Management JMH Office (925) 674-2045 Cell (925) 451-8792 Fax (925) 674-2373 [email protected] "O, let us always have a mountain within our soul, with a peak so high that we never quite reach the top... For then we will always strive for greater things and will not be content with merely climbing hills." Ardath Rodale -----Original Message----- From: Sepsisgroups [mailto:[email protected]] On Behalf Of Nielsenshultz, Yara Sent: Thursday, January 28, 2016 11:14 AM To: [email protected] Subject: Re: [Sepsis Groups] Bundle compliance rates Back in October, Dr. Townsend stated he expected a bundle compliance rate of 30-50% (see below). Does this estimate seem congruent with your experience with this measure? We're seeing a wide range in compliance rates at our various locations. Thank you, YARA NIELSENSHULTZ, RN, BSN, MS Clinical Quality Manager EmCare, North Division Direct: (215) 442-5122 [email protected] www.EmCare.com -----Original Message----- From: Sepsisgroups [mailto:[email protected]] On Behalf Of Townsend, Sean, M.D. Sent: Saturday, October 03, 2015 1:29 AM To: Brown, Sheree Cc: [email protected] Subject: Re: [Sepsis Groups] Bundle compliance rates 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 _______________________________________________ Sepsisgroups mailing list [email protected] http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org _______________________________________________ Sepsisgroups mailing list [email protected] http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
