1. SEPSIS INITIATIVE INFORMATIONAL WEB-EX May 7, 2015 James Guliano, MSN, RN-BC – Vice President, Quality Programs Rosalie Weakland, MSN, RN, CPHQ, FACHE – Sr. Director, Quality Programs Ryan Everett, BS, - Coordinator, Quality Integration Ellen Hughes, RN, ACA, LNC - Coordinator, Quality Integration

2. Ohio Hospital Association | CELEBRATING 100 YEARS | AGENDA Welcome OHA board-directed measure/metric Scope of the initiative Methodology Call to action 8 th Annual Quality Summit Question & Answers May 7, 2015 Sepsis Initiative Informational Session │ Statewide Web-Ex 2

3. Ohio Hospital Association | CELEBRATING 100 YEARS | SEPSIS IS….. Frequent –751,000 US cases annually Deadly –500 deaths in US DAILY (one every 3 minutes) Costly –Cost per case - $22,000 - $57,700 Increasing –Estimated increase 1.5% annually May 7, 2015 Sepsis Initiative Informational Session │ Statewide Web-Ex 3

4. Ohio Hospital Association | CELEBRATING 100 YEARS | SEVERE SEPSIS HOW COMMON – HOW DEADLY? † National Center for Health Statistics, 2001. § American Cancer Society, 2001. *American Heart Association. 2000. ‡ Angus DC et al. Crit Care Med. 2001 (In Press). AIDS*Colon Breast CHF † Cases/100,000 Incidence of Severe Sepsis Mortality of Severe Sepsis AIDS* Colon Breast Cancer Severe Sepsis ‡ AIDS* CHF † AMI † Breast Cancer Sepsis Initiative Informational Session │ Statewide Web-Ex May 7, 2015 4

5. Ohio Hospital Association | CELEBRATING 100 YEARS | OHA BOARD INITIATIVE Clinical Advisory Committee (CAC) Recommendation REF Board Recommendation OHA Board approved sepsis as the harm reduction metric May 7, 2015 Sepsis Initiative Informational Session │ Statewide Web-Ex 5

6. Ohio Hospital Association | CELEBRATING 100 YEARS | OUTCOME GOALS OHA Board goal: – 30% reduction in sepsis incidence – 30% reduction in sepsis mortality Sustainable evidence of change in practice May 7, 2015 Sepsis Initiative Informational Session │ Statewide Web-Ex 6

7. Ohio Hospital Association | CELEBRATING 100 YEARS | WHY ADDRESS SEPSIS? May 7, 2015 Sepsis Initiative Informational Session │ Statewide Web-Ex 7 OHA Board Call to Action Incidence increasingMortality not improving

8. Ohio Hospital Association | CELEBRATING 100 YEARS | SCOPE OF INITIATIVE Work with hospitals, physicians, nurses, and clinical teams for at least two years Gap analysis/action plan –Enlist all in a program to identify, track and report on patients with infection and severe sepsis Education – in person, webinars, etc. Coaching calls On-line tools, resources May 7, 2015 Sepsis Initiative Informational Session │ Statewide Web-Ex 8 Free OHA Quality Initiative

9. Ohio Hospital Association | CELEBRATING 100 YEARS | METHODOLOGY Outcome data (use OHA administrative database) –Mortality –Incidence –Length of stay Process data (hospitals to track and report) –Three hour bundle May 7, 2015 Sepsis Initiative Informational Session │ Statewide Web-Ex 9 Data

10. Ohio Hospital Association | CELEBRATING 100 YEARS | METHODOLOGY Initial education program – Quality Summit Education webinars – every other month Coaching calls – opposing months Incorporation into HEN 2.0 Integration into regional collaboratives Collaboration with Sepsis Alliance May 7, 2015 Sepsis Initiative Informational Session │ Statewide Web-Ex 10 Collaboration

11. Ohio Hospital Association | CELEBRATING 100 YEARS | CALL TO ACTION Gain hospital administration support –Sign letter of commitment –Engage willing physicians, nurses, clinical teams Attend Quality Summit on June 10, 2015 Complete gap analysis/identify area(s) of opportunity Implement plan of action –Willingness to adhere to protocols –Implementation of goal-directed sepsis therapy Submit baseline data –Collect compliance with 3 hour bundle and submit numerators & denominators to OHA May 7, 2015 Sepsis Initiative Informational Session │ Statewide Web-Ex 11

12. Ohio Hospital Association | CELEBRATING 100 YEARS | QUESTIONS? May 7, 2015 Sepsis Initiative Informational Session │ Statewide Web-Ex 12

13. OHA collaborates with member hospitals and health systems to ensure a healthy Ohio — Ohio Hospital Association 155 E. Broad St., Suite 301 Columbus, OH 43215-3640 T 614.221.7614 ohiohospitals.org James V. Guliano, MSN, RN-BC Vice President, Quality Programs james.guliano@ohiohospitals.org Rosalie Weakland, MSN, RN, CPHQ, FACHE Senior Director, Quality Programs rosalie.weakland@ohiohospitals.org