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2 months ago

Decisio White Paper

ABSTRACT Sepsis is a

ABSTRACT Sepsis is a leading cause of death and one of the costliest condition among hospitalized patients in the United States. The Society of Critical Care Medicine & the European Society of Intensive Care Medicine’s Surviving Sepsis Campaign has resulted in greater emphasis on early goal-directed therapy and the initiation of 3- hour and 6-hour sepsis bundles that have been proven to reduce mortality 1 . Yet early identification of sepsis and attempts to institute bundle compliance consistently have been ambiguous, and reports in the scholarly literature about institutional best practices are sparse. In this white paper, we report the results of a 2017 implementation of DECISIOInsight ® , a clinical surveillance data visualization system, at an academic medical center in the United States. Collaborating with strong clinical partners, we achieved success across four main areas: 1. We improved the health of hospitalized patients by identifying sepsis in its earliest stages and promptly administering antibiotics to reduce its severity, and mortality. 2. We improved patient experience by reducing overall hospital length of stay by 22%. 3. We helped our clinical partners save an estimated $28.2 million dollars per year. 4. We achieved high clinician satisfaction. March 2018 DECISIO | decisiohealth.com 2

TABLE OF CONTENTS ABSTRACT .............................................................................................................................................. 2 TABLE OF CONTENTS ............................................................................................................................ 3 BACKGROUND ........................................................................................................................................ 4 SOLUTION............................................................................................................................................... 5 Figure 1. DECISIOInsight ® Dashboard ................................................................................................... 5 POPULATION HEALTH ........................................................................................................................... 6 EXPERIENCE OF CARE ........................................................................................................................... 9 COST OF CARE ..................................................................................................................................... 10 CLINICIAN EXPERIENCE ...................................................................................................................... 12 CONCLUSION ....................................................................................................................................... 14 REFERENCES ........................................................................................................................................ 15 ADDITIONAL INFORMATION ............................................................................................................... 16 March 2018 DECISIO | decisiohealth.com 3

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