The vast majority, approximately 87 percent, of sepsis cases occur in the home and community setting, yet help comprise the top national expense in hospitals, the top cause of 30-day hospital readmissions, top cause of hospital deaths, and a U.S. hospital admission every 20 seconds.
Home health provides a critical venue for pre- and post-acute prevention and intervention. The high risks for sepsis are mirrored in the home health population, inclusive of pre-acute, post-acute, long-term and public health. The Home Care Association of New York State pioneered a sepsis screening and intervention tool and protocol that, since 2017, has been adopted by agencies serving nearly all of the state’s counties, and is currently being examined for use across service lines, settings and populations in agencies, health systems and health plans. In one example of impact of this sepsis tool and protocol, a study of over 7,000 patients and 30,000+ screens using this tool by a New York provider found that, of those meeting sepsis criteria, 69.2 percent were able to be collaboratively treated by the physician and home care clinicians, avoiding hospitalization. Another, ongoing study is finding that home care nursing combined with primary care significantly reduces hospital readmissions post-sepsis yet is identifying gaps in referral and discharge health information.
In this Hospital Quality Improvement Contractor (HQIC) Community of Practice call recorded on October 13, 2022, please join Al Cardillo, Director of this initiative for the Home Care Association of New York State, Thomas Caprio, MD, Chief Medical Officer, University of Rochester Medicine Home Care, and Chris Chimenti, MSPT, ACHH, Senior Director of Clinical Innovation, as they discuss the implementation of this pace-setting sepsis initiative and steps to further integrate sepsis intervention across the continuum.