Session ID: 
81

Reducing Sepsis Mortality: Going Above and Beyond

4:15pm - 5:15pm Tuesday, March 10
Orlando - Orange County Convention Center
W208C

Description

Implementing standardized EHR content, including order sets, have the potential to produce more favorable clinical outcomes for patients. However, standardizing care and aligning EHR functionality across multiple distinct platforms over a large geographically diverse national health system poses significant challenges. Moreover, assessing the impact of change efforts itself poses unique challenges. As part of a larger change management effort, we implemented standardized EHR content across a large multi-hospital national healthcare organization with the aim of rapidly assessing and treating patients at risk for sepsis. We found that the use of standardized order sets was strongly and independently associated with a reduced mortality, LOS, and cost after adjusting for potential confounders. The lessons learned from this experience highlight the need for leadership driven, tech enabled, and flexible, yet coordinated efforts, across multiple leaders and internal stakeholders to achieve success.

Learning Objectives

  • Explain the process improvement steps taken by the team to implement an effective clinical intervention using standardized EHR content
  • Identify potential barriers and strengths that could limit or enable large complex clinical initiatives and the role of the EHR in the process
  • Design and integrate evaluation steps into change management efforts to provide ongoing feedback and final assessment of performance to engaged associates
  • Design flexible governance processes that can enable rapid decision making without alienating stakeholders
  • Identify the specific role of leadership in achieving successful change and outcomes

Speaker(s)

Senior Director Of Clinical Quality Analytics,
Ascension
Senior Director of Health Economics and Clinical Effectiveness,
Ascension

Continuing Education Credits

ABPM
1.00
CAHIMS
1.00
CME
1.00
CNE
1.00
CPHIMS
1.00

Audience

CMIO/CMO
CNIO/CNO
Management Engineer and Process Improvement Prof.

Level

Intermediate