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

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

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

4. 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. 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

6. National All Georgia Hospitals Georgia HEN Hospitals Georgia GAPP Hospitals SPREAD

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

8. WHAT HAVE WE LEARNED SO FAR?

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

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

11. 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?

12. Sepsis and Readmissions

13. Septicemia Diagnosis ICD-9 Codes Legend 038.0 Streptococcal septicemia 038.10 Staphylococcal septicemia, unspecified 038.11 Methicillin susceptible Staphylococcus aureus septicemia 038.12 Methicillin resistant Staphylococcus aureus septicemia 038.19 Other staphylococcal septicemia 038.2 Pneumococcal septicemia [Streptococcus pneumoniae septicemia] 038.3 Septicemia due to anaerobes 038.4 Septicemia due to other gram-negative organisms 038.40 Septicemia due to gram-negative organism, unspecified 038.41 Septicemia due to hemophilus influenzae [H. influenzae] 038.42 Septicemia due to escherichia coli [E. coli] 038.43 Septicemia due to pseudomonas 038.44 Septicemia due to serratia 038.49 Other septicemia due to gram-negative organisms 038.8 Other specified septicemias 038.9 Unspecified septicemia

16. Sepsis Mortality by Codes