Reduce Sepsis Mortality by 50% with
Electronic Surveillance and Accurate Alerts
Extensive Rules, Unmatched Precision
POC Advisor conducts real-time analysis of patient data using hundreds of rules based on patient-specific variations and medical evidence, including:
- Medication-specific rules
- to account for lab abnormalities due to prescriptions,
- Disease-specific rules
- to account for lab abnormalities due to liver disease, chronic renal disease, heart failure, and hundreds more,
- IHI Surviving Sepsis guidelines to maximize alert accuracy.
POC Advisor sends alerts directly to the point of care via mobile devices and clinical portals. Alerts fall into three categories:
- Surveillance diagnosis
- Real-time warnings identify possible cases of SIRS, sepsis, severe sepsis, severe sepsis with hypotension, and septic shock. Clinicians must acknowledge each alert by either agreeing or disagreeing.
- Treatment advice is tailored to specific comorbid conditions for each patient based on the latest medical evidence and IHI guidelines.
- To close the loop on patient treatment, every alert requires acknowledgement of care or escalation per site protocols.
While basic sepsis alerts can be built into the EMR, most hospitals do not have the capability to develop and maintain hundreds of extensive, patient-specific rules, leading to:
Poor sensitivity & specificity
Sepsis—Barriers to Improvement
Sepsis escalates rapidly, leading to organ failure and septic shock. Every hour without treatment raises the risk of death, making early identification crucial. However, early screening is problematic, as the initial presentation of sepsis is subtle and its common symptoms are shared by a multitude of conditions.
Over the last two decades, hospitals have averaged a 33% mortality rate for treating sepsis1. While mortality has declined in recent years2, providers continue to struggle with workflow issues that prevent improvements to sepsis care, including:
Inadequate cross-shift communication,
Diagnosis challenges in lower-acuity areas,
Lack of sepsis protocols and quality metrics.
In fact, the hospitals that adhere most often to the IHI Surviving Sepsis treatment bundles only comply with treatment 10-30% of the time3!
POC Advisor supports change management efforts to improve sepsis care by combining real-time analysis and highly accurate alerts with the latest medical evidence and treatment advice.
1) Stevenson, Elizabeth K., et al. "Two decades of mortality trends among patients with severe sepsis: a comparative meta-analysis." Critical care medicine 42.3 (2014): 625.
2) Wang et al., Hospital Variations in Severe Sepsis Mortality, American Journal of Medical Quality, 2015, 30 (4), p. 328
3) Levy, Mitchell M., et al. "The Surviving Sepsis Campaign: results of an international guideline-based performance improvement program targeting severe sepsis." Intensive care medicine 36.2 (2010): 222-231.
Improve Care, Increase Value
Studies have shown that a high compliance sepsis program can lead to a Length of Stay (LOS) reduction of up to 3 days1. At an average cost per day of $2,1042 for severe sepsis, LOS savings alone could reach more than $6 million a year per 1,000 sepsis cases.
An in-depth case review at the pilot site revealed that more than 15% of sepsis cases were not properly documented. These oversights were worth more than $2,800/case on average. By using POC Advisor to improve sepsis identification and documentation, hospitals could realize nearly $500K of revenue accretion per 1,000 cases!
1) Levy, Mitchell M., et al. “The Surviving Sepsis Campaign: results of an international guideline-based performance improvement program targeting severe sepsis.” Intensive care medicine 36.2 (2010): 222-231.
2) Walkey AJ1, Wiener RS. “Hospital Case Volume and Outcomes among Patients Hospitalized with Severe Sepsis