SPREADING LEAPT Lynne Hall, RN, BSN Denise M. Flook, RN, MPH, CIC Jean Allred May 1, 2014

Framing What is LEAPT? What are topic areas for LEAPT Spreading the word What is the best way to spread?

LEAPT Leading Edge Advanced Practice Topics What makes this different: Innovation Reliable systems Best practices Rapid Cycle Improvement Frontline Staff involvement

11 LEAPT Topics Severe Sepsis and Septic Shock Clostridium Difficile Hospital-Acquired Acute Renal Failure Airway Safety Iatrogenic Delirium Procedural Harm Undue Exposure to Radiation Failure to Rescue Results Beyond 40/20 Aims on HACS and Readmissions Hospital Culture of Safety – including Worker Safety Cost Savings Calculations for HACs

5 Georgia Advanced Practice Program (GAPP) Topics Severe Sepsis and Septic Shock Clostridium Difficile Failure to Rescue Procedural Harm Hospital Culture of Safety – including Worker Safety

National All Georgia Hospitals Georgia HEN Hospitals Georgia GAPP Hospitals SPREAD

What is the best way to spread LEAPT topics across Georgia??

WHAT HAVE WE LEARNED SO FAR?

Sepsis What key lessons have you learned that led to success in reducing sepsis and sepsis mortality

C. difficle What is ready to share on c. diff? Significant findings

CMS Message We will be your voice at CMS on May 30 What key message would you like us to send to the leadership at CMS about LEAPT?

Sepsis and Readmissions

Septicemia Diagnosis ICD-9 Codes Legend Streptococcal septicemia Staphylococcal septicemia, unspecified Methicillin susceptible Staphylococcus aureus septicemia Methicillin resistant Staphylococcus aureus septicemia Other staphylococcal septicemia Pneumococcal septicemia [Streptococcus pneumoniae septicemia] Septicemia due to anaerobes Septicemia due to other gram-negative organisms Septicemia due to gram-negative organism, unspecified Septicemia due to hemophilus influenzae [H. influenzae] Septicemia due to escherichia coli [E. coli] Septicemia due to pseudomonas Septicemia due to serratia Other septicemia due to gram-negative organisms Other specified septicemias Unspecified septicemia

Sepsis Mortality by Codes