SPREADING LEAPTLynne 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 Legend038.0 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

Sepsis Mortality by Codes