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Published on: January 15, 2017
Achieving SEP-1 Compliance: Common Pitfalls and Pearls from the Emergency Department
Leon Z Jia1,2, Eric C Hyder1,2, Michael N Cocchi2
1Department of Emergency Medicine, Harrington Hospital, Southbridge, MA, USA.
Summary
The Centers for Medicare & Medicaid Services links financial incentives to Severe Sepsis and Septic Shock Early Management Bundle (SEP-1) compliance. This guide offers strategies for emergency departments to improve SEP-1 performance.
Area of Science:
- Emergency Medicine
- Healthcare Quality Improvement
- Sepsis Management
Background:
- The Centers for Medicare & Medicaid Services (CMS) now links financial incentives to Severe Sepsis and Septic Shock Early Management Bundle (SEP-1) compliance.
- This policy increases pressure on hospitals to improve performance in sepsis care.
- Community emergency departments face unique challenges in meeting these stringent quality metrics.
Purpose of the Study:
- To review the operational mechanics of the SEP-1 bundle.
- To provide a focused guide on best practices for improving SEP-1 compliance.
- To offer strategies tailored for US-based community emergency departments.
Main Methods:
- Review of SEP-1 bundle requirements and common failure points.
- Analysis of strategies for enhancing compliance in an emergency department setting.
- Focus on practical implementation through multidisciplinary engagement, education, workflow adjustments, and EHR optimization.
Main Results:
- Identifying common areas of non-compliance within the SEP-1 bundle.
- Highlighting key strategies that can significantly improve SEP-1 performance.
- Demonstrating the potential impact of targeted quality improvement initiatives.
Conclusions:
- Improving SEP-1 compliance requires a focused approach addressing specific failure points.
- Multidisciplinary collaboration, staff education, workflow redesign, and EHR optimization are crucial.
- Implementing these strategies can lead to enhanced performance on this critical healthcare metric.
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