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The Intensive Medicine Clinical Program was established in 2003 and now comprises seven Development Teams: Critical Care Medicine; Emergency Medicine; Trauma; Transport; Hyperbaric Medicine; Hospitalist Medicine; and Stroke. Teams in the Clinical Program share clinical and administrative strategies while promoting best practices through the use of evidence-based care processes.

Recent initiatives in the program include:

  • Reduction of ventilator-associated pneumonia (VAP) through compliance with the VAP bundle.
  • Improvement of care for patients with sepsis through use of the sepsis bundle.
  • Quick identification and early intervention for treatment of patients with stroke or near strokes called transient ischemic attacks (TIA).
  • Improvement of quality of care and clinical outcome, reduction of medical errors and in-patient cost through the use of standardized order sets enterprise wide
 

 IMCP 2012 Board Goal

 

Overview and Opportunity:

Severe Sepsis and Septic Shock are leading causes of mortality in hospitalized patients.  In-hospital mortality due to severe sepsis ranges from 25% to 60%.  Intermountain has successfully decreased mortality to around 9% for patients with severe sepsis or septic shock that are admitted directly to the ICU from the emergency department (ED). The Intensive Medicine Clinical Program (IMCP) has not formally developed goals or improvement programs focusing on patients who are admitted to a general hospital unit and then develop sepsis during hospitalization. Mortality for patients who develop severe sepsis on acute care inpatient settings and transfer to ICU can be as high as 40%.  The IMCP believes the greatest impact on hospital mortality for this population can be made by providing  education for early identification of sepsis and implementation of the sepsis bundle on acute care floors while continuing to improve the compliance of the sepsis bundle for patients admitted from the ED to the ICU.

Goal Statement:

The following measure will be accomplished:

1.        Develop and implement computer-based training (CBT) education for all acute care nursing staff to promote early sepsis recognition and appropriate care. Achieve 95% compliance to CBT.

2.       For patients who meet the criteria of severe sepsis  or septic shock as defined by the Surviving Sepsis Campaign and who are admitted to the ICU from either the ED  or an acute care floor the following measures will be accomplished:

a)      Increase in Sepsis Bundle Compliance from 24 % to 40% with 98% power to detect a statistically significant improvement

Relative decrease in Hospital Mortality in the board goal population by 10% (from 17% to 15.3%)

Goal Detail:

Baseline:  24% Bundle Compliance; 17% Mortality

Entry: Education (1) deployed to participating facilities

Target: Education + Compliance 2a) or Mortality (2b)

Stretch: Education (1) + Compliance (2a) + Mortality (2b)

 

Baseline Period: 1/1/2013 to 6/30/2013

Measurement Period: 6/1/2014 to 9/30/2014

 

 Intenstive Medicine Clinical Programs Contacts

 
NameTitlePhone
Christine Whipple Administrative Assistantstring;#801-442-3112
Danny Probst, RNData Managerstring;#801-442-3704
Lydia Dong, MD, MSStatistician/Outcome Analyststring;#801-442-3526
Nancy Nelson, RN, MSOperation Directorstring;#801-442-3505
Terry Clemmer, MDMedical Directorstring;#801-408-3661

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