Sepsis: Awareness and Action Indiana State Nurses Association - PDF document

1/27/2020 Sepsis: Awareness and Action Indiana State Nurses Association Policy Conference January 29, 2020 Pam Pontones, MA Deputy Health Commissioner State Epidemiologist Cost of Sepsis • Human toll – 1.7 million people in US develop sepsis each year – Nearly 270,000 deaths each year—1 every 2 minutes – 1 in 3 patients who die in hospital have sepsis • Financial burden: Indiana – 2017: $417 million in inpatient charges – Average inpatient charge = $48,000 • Still need for improved education Photo courtesy of CDC 2 Sepsis Roundtable • ISDH convened roundtable of partners in December 2018 to discuss current data, outreach, and approaches to preventing and treating sepsis • Discussion outcomes – Need for targeted education for hospital providers, public, schools, EMS – Data challenges, especially laboratory results – Screening criteria – Conclusion: complex issue requiring multiple guidelines 3 1

1/27/2020 Legislation: HB 1275 • Drafted spring of 2019, effective July 1, 2019 • Provisions – Each hospital to implement and update evidence-based screening and treatment guidelines – State Health Commissioner to convene a task force of specified members 4 Task Force Charge • Develop/adopt/update guidelines and training for hospitals, LTC, home health, private providers, EMS, schools • Identify evidence-based guidelines for pediatric populations • Review national best practices, including training and public awareness • Research methodology to collect, analyze, distribute and release aggregate data • Develop/adopt training for medical providers and schools • Prepare report on findings for General Assembly 5 Workgroups Pediatric Schools Hospital Task EMS Data Force Office Long Term Physicians Care Home Health 6 2

1/27/2020 Task Force Timeline April 2020 October 1, 2020 April 2019 HEA 1275 September 2019 Workgroups present ISDH submits task final findings and force report and establishes Sepsis Awareness recommendations to recommendations to Sepsis Task Month and task force task force and General Assembly per Force awareness campaign workgroups statutory requirement June 2019 January 31, 2020 June 30, 2020 Sepsis Task Workgroups complete Initial work of task Force has first collaboration and force completed per official meeting submit draft material statutory requirement to task force 7 Public Awareness • IHA’s “See It, Stop It, Survive It’ campaign – Toolkits, levels of care, podcasts, webinars – Governor’s proclamation, sepsis definition • Partner newsletters, giveaways • Surveys at State Fair, Colts Blood Drive – Know: blood infection – Don’t know: signs/symptoms, development, risk factors, prevention • Social media • October Global Handwashing Day promotion • Ideas from other states 8 Next Steps • Workgroups finalizing presentations • Submit presentations to ISDH and share with full task force • ISDH will compile report including findings of each group to inform Legislature 9 3

1/27/2020 Future Activities • Post-sepsis syndrome • Population disparities • Patient-focused tools • Prevention education • Data quality • Clinical best practices/toolkits www.cdc.gov/sepsis 10 Thank You 11 4