1. GAPP Coaching Call Sepsis Working Session April 10, 2014 Denise Flook Lynne Hall Jean Allred

2. Learn. Act. Improve. Spread. Keep the Drum Beat Going. 2 AGENDA 1.Monthly Data Review 2.Spread of LEAPT Topics 3.Sepsis – what have we learned, where do we need to go next? 4.GAPP Updates 2

3. Learn. Act. Improve. Spread. Keep the Drum Beat Going. 3 Appreciative Moment Tell us one thing that you learned from your work on sepsis that you would want to spread to rest of HEN hospitals. 3

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13. Learn. Act. Improve. Spread. Keep the Drum Beat Going. 13 Individual Hospital Dashboards Ready for viewing Understand where you need to improve and focus 13

14. Learn. Act. Improve. Spread. Keep the Drum Beat Going. 14 The Spread CMS has asked us to spread beginning in June Introduction of spread challenge at Regional Meetings Presentation to CMS CMO and other CMS leaders May 30 Spread begins at Nurse Leadership Institute Jun 4 – 6 All LEAPT hospitals need to gear up now to address all topics 14

15. Learn. Act. Improve. Spread. Keep the Drum Beat Going. 15 Sepsis.. Forward Run! NIH Sepsis Study Key Lessons Learned – Small tests of change lead to rapid change – Front line staff are key to sustaining for every patient – Sepsis bundle implementation has to be validated and monitored – Opportunity lies in hospital onset, interfaces with Failure to Rescue – Lactic acid testing is a key component to implementation and patient outcomes – Saying sepsis out loud and in medical record changes outcomes – A Code Sepsis is an effective way to rapidly respond to suspected sepsis – Other? 15

16. Learn. Act. Improve. Spread. Keep the Drum Beat Going. 16 GAPP Updates Mandatory Meeting Attendance – Coaching Call and Sepsis Discussion Second Thursday of month. Must complete an evaluation – Second topic call (no evaluation) – If you miss a call you can listen to the recording within 1 week. Complete eval if applicable, and notify topic lead that you listened to get credit. – In person meeting: May 1, 1- 4 pm. after regional HEN meeting, Renaissance Concourse, Atlanta Airport Data Submission: – Due 3 rd or each month – send to Lynne Hall (lhall@gha.org)lhall@gha.org TOC (1 for sepsis and 1 for additional topic area) Checklist (1 per hospital) – Worker Safety Data (if in WS group) Send to Jean Allred (jallred@gha.org)jallred@gha.org due 15 th of month (about 45 days after end of reporting month). Next Coaching Call and Procedural Harm/Failure to Rescue Working Session April 17, 1 -2 pm 16