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Case Studies: Health System Maintains Sepsis Bundle Performance Throughout COVID-19 Pandemic

Case Study

Health System Maintains Sepsis Bundle Performance Throughout COVID-19 Pandemic

hospital location A 12-facility health system region spanning from the Florida Panhandle to Central Florida

hospital challenges Hospital Challenges

From 2017-2019, this region’s emergency medicine and hospital medicine teams achieved outstanding improvement in sepsis bundle compliance and sepsis mortality as part of a joint initiative between Envision and this region’s health system. However, these facilities experienced the same challenges that all healthcare facilities have faced since early 2020. Three pandemic surges placed unprecedented stress on clinical and clinical support personnel at these facilities, leading to sizable shortages in coverage and a reliance on traveling and PRN clinicians that made buy-in for quality improvement measures difficult to obtain.

Envision recognized that boosting clinician engagement and improving data insights across the emergency department and hospital floor were key to maintaining quality.

RESULTS

57.5% → 70.2% → 72.6%
Increase
in 3-hour sepsis bundle compliance

25% → 60% → 61.6%
Increase
in first-hour to ABX

29% septic shock mortality

3.8% severe sepsis mortality

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