SPREADING LEAPT
Lynne 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 Legend
038.0 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