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

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Pam Pontones, MA Deputy Health Commissioner State Epidemiologist

Sepsis:

Awareness and Action

Indiana State Nurses Association Policy Conference January 29, 2020

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

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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

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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

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• 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

Task Force Charge

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Workgroups

Task Force

Pediatric Hospital Data Long Term Care Home Health Office Physicians EMS Schools

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April 2019 HEA 1275 establishes Sepsis Task Force June 2019 Sepsis Task Force has first

• fficial meeting

September 2019 Sepsis Awareness Month and task force awareness campaign January 31, 2020 Workgroups complete collaboration and submit draft material to task force April 2020 Workgroups present final findings and recommendations to task force and workgroups June 30, 2020 Initial work of task force completed per statutory requirement October 1, 2020 ISDH submits task force report and recommendations to General Assembly per statutory requirement

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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

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• 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

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Next Steps

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• Post-sepsis syndrome
• Population disparities
• Patient-focused tools
• Prevention education
• Data quality
• Clinical best

practices/toolkits

Future Activities

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www.cdc.gov/sepsis

Thank You

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