40% compliance here at a 400 bed Community hospital in the Northwest. -----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 ********************************************************************** Confidentiality Notice: The information contained in this email and any attachments may be legally privileged and confidential. If you are not an intended recipient, you are hereby notified that any dissemination, distribution, or copying of this email is strictly prohibited. If you have received this email in error, please notify the sender and permanently delete the email and any attachments immediately. You should not retain, copy, or use this email or any attachment for any purpose; nor disclose all or any part of the contents to any other person. _______________________________________________ Sepsisgroups mailing list [email protected] http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
