Title : SEP-1 compliance metrics following the sepsis tool implementation project, utilizing the epic 2.0 sepsis prediction model
Abstract:
Mayo Clinic Florida (MCF) was one of the early adopters of Epic’s 2.0 sepsis prediction tool nationwide. Beginning in early 2024, we launched the inpatient model, which included the implementation of an EHR integrated timer and checklist in July. These tools were deployed to support SEP-1 metric compliance as part of the Sepsis Tool Implementation Project (STIP).
SEP-1 is an all-or-nothing measure reflecting the organization’s ability to deliver timed interventions within either a three or six-hour window, depending on the intervention item, for patients who are at high risk of sepsis. Early results indicate that the EPIC Sepsis Toolkit has aided in earlier detection of sepsis as well as delivering just in time reminders to providers to complete appropriate interventions in the designated timeframes. We are in the process of quantifying adherence to the three and six hour time windows from 2024-2025 to measure clinician uptake/buy in to STIP and the ability of the checklist and timer to improve performance on SEP-1 and patient outcomes.
We used the predictive model to alert an initial manual screening, conducted by our Enhanced Critical Care Registered Nurses (RNs), followed by onsite bedside care for patients manually screened as “possible sepsis”. There have been updates to our previous sepsis order sets and panels to improve documentation of clinical exceptions, and other lessons learned from this implementation that will inform similar efforts. We have also developed dashboard and reporting tools for both real time and retrospective tracking. The SEP-1 compliance for MCF has improved substantially since the inception of the STIP project, achieving 74.6% compliance in quarter 3 of 2024. We look forward to being able to share additional findings from the checklist and timer components of the STIP intervention with this audience.
