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Sepsis in Home Health Care: Screening, Education, and Rapid Triage
Chris Chimenti1, Geralyn Sears, Jack McIntyre
1HCR Home Care, Rochester, New York.
Background:
A majority of sepsis cases originate in the home and community. Home health clinicians play an important role in the early identification and timely treatment of sepsis.
Local Problem:
A home health care provider sought to prevent hospital readmissions due to sepsis by implementing a sepsis-screening protocol and quality improvement initiative.
Methods:
The provider conducted a retrospective chart review of 33 264 sepsis screens of 7242 patients.
Interventions:
A sepsis-screening protocol, clinician and patient/caregiver sepsis education, physician and emergency department communication, and emergency medical services collaboration procedure were implemented.
Results:
A majority (69.2%) of positive sepsis screens resulted in patients receiving early medical intervention and avoiding hospitalization.
Conclusions:
Having a formal sepsis-screening program in place prompts home health clinicians to communicate the patient's symptoms to their primary care provider, which can positively impact hospital readmission rates and associated medical costs.
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