MVC has added a new service line to the registry: Sepsis.

1. SepsisWorkgroup
February 4th, 2020
To improve the health of Michigan through sustainable, high-value healthcare

2. Agenda
 Introductions
 Data and Literature Review
 Discussion
 Wrap Up

3. Data and
Literature
Review

4. MVC
Introduces
NewService
Line:Sepsis Choose the Medical Service
Line
Choose Sepsis condition

5. AverageTotal
30-Day
Episode
Spend for
Sepsis
Patients Per
MVC Hospital
All Payers, 2014-2018
____________ = MVC average

6. Average 30-
Day
Readmission
Rate for
Sepsis
Patients Per
MVC Hospital
All Payers, 2014-2018
__________ = MVC average

7. Average 30-
Day Payment
Component
Breakdown
forSepsis
Patients Per
MVC Hospital
All Payers, 2014-2018

8. Average 30-
Day Post-
Discharge
Care Payment
Component
Breakdown
forSepsis
Patients Per
MVC Hospital
All Payers, 2014-2018

9. HowCan MVC
Help?
 According toThe SepsisAlliance, 12% of hospital readmissions
overall are sepsis patients.
 Combination of care after discharge may lower readmission rate.
 You are able to see your own facilities episode spend and
readmission data on the MVC registry.

10. Discussion
Overview
 Share current practices
 Analyze trends
 Brainstorm future practices and barriers

11. Discussion
 Is the data shown here surprising to you?
 Is this data you track within your facility?
 What type of data is your facility interested in for sepsis?
 How do you track your readmission rates related to sepsis?
 Do you utilize Skilled Nursing facilities (SNF) frequently for post
acute care in your sepsis population?
 What criteria do you use to determine post-acute care placement?
 What follow-up care do you provide to reduce readmissions?
 How do you work with the SNFs and home health agencies to
prevent readmissions?

12. NextSteps
 Next SepsisWorkgroup:Tuesday, April 7th
 Deliverable &Topic:TBD

13. Resources
 Gadre, S. K., Shah, M., Mireles-Cabodevila, E., Patel, B., & Duggal,
A. (2019). Epidemiology and Predictors of 30-Day Readmission in
PatientsWith Sepsis. Chest, 155(3), 483–490.
https://doi.org/10.1016/j.chest.2018.12.008
 SCCM | Adult Patients. (2016). Society of Critical Care Medicine
(SCCM).
https://www.sccm.org/SurvivingSepsisCampaign/Guidelines/Adult
-Patients
 Webinar – Empowering Antibiotic Stewardship:Understanding the
Use of Procalcitonin. (2020). Sepsis Alliance.
https://www.sepsis.org/news/early-home-health-interventions-
may-reduce-sepsis-readmission-rates/