Sepsis Readmissions

As mortality following sepsis continues to decline, more lives are being saved, there are more lives at risk for readmissions. The window of opportunity is wide open to improve discharge planning and sepsis care coordination across the continuum.

A review of national readmissions data indicates that sepsis is a leading contributor to readmissions. HAP HIIN recognized a need and developed the ExSEPSIS – Exiting with Excellent Care! initiative to develop best practices for preventing a readmission following a sepsis discharge.

Speaker at HAP's 2019 Sepsis Symposium

In year one of ExSEPSIS – Exiting with Excellent Care! hospitals identified gaps in current practices for readmissions following a sepsis discharge by using:

  • ExSEPSIS action tools
  • Sepsis Fact Sheets
  • The Roadmap for Preventing Readmission Following a Sepsis Discharge

In year two of ExSEPSIS, hospitals targeted:

  • Work with the patient and caregiver
  • Acute care work towards a successful discharge
  • Partnerships in post-acute care

Year three of ExSEPSIS work will focus on:

  • Optimizing the discharge process and planning for sepsis survivors
  • Continuing to forge partnerships in post-acute care
  • Better understanding of readmission trends following a severe sepsis/septic shock discharge
    • Introducing ExSEPSIS ExPRESS pilot for mapping the post-discharge care transitions of the sepsis survivor

 

Participating hospitals receive quarterly 7- and 30-day all-cause sepsis readmission data and have access to HAP’s Person and Family Engagement Advisory Council, dedicated project advisors, educational webinars, and individual coaching calls.

Case: Patients with severe sepsis or septic shock identified on initial discharge coding (in any position) with a subsequent hospital readmission within 30 days for any cause

Goal: Reduce 7-day and 30-day all-cause, all payor, readmissions following a severe sepsis or septic shock discharge by 6 percent

Physician advisor: Mark Mikkelsen, MD, MSCE 

HAP Contacts

For more information, contact Maggie Miller, sepsis project manager, or Beth Murray, readmissions reduction project manager.
 

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