Live CDC Media Briefing — Strengthening survival and recovery rates for all sepsis patients
Live CDC Media Briefing — Strengthening survival and recovery rates for all sepsis patients
CDC provides hospitals with “core elements” for sepsis programs, to bring sepsis rates down and survival rates up. Join CDC Director, Dr. Mandy Cohen, and hear the real-life story of a teen sepsis survivor at a live media briefing. The briefing will provide new data on the state of sepsis programs in the U.S. and how hospitals can implement, monitor, and optimize high-quality sepsis programs to save lives.
Content
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126.5 -> this is the CDC television Studio
129.36 -> Welcome to our press briefing we will
131.22 -> begin in about three minutes for those
133.44 -> of you that need sign language
134.76 -> interpretation and if you click on the
136.92 -> interpretation button and activate the
139.26 -> sign language interpretation button
141 -> we'll have Candace our second language
142.86 -> interpreter will show up in a small
145.26 -> screen for you to use there is also
147.3 -> closed captioning available to turn on
148.98 -> closed captioning I also use that button
151.02 -> at the bottom of the screen we will
152.819 -> begin in about two and a half minutes
154.379 -> thank you
193.64 -> thank you
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213.54 -> foreign
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263.46 -> ladies and gentlemen our press briefing
265.74 -> will begin in one minute
267.84 -> stand by please
315 -> foreign
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342.919 -> I'd like to introduce Mr Ben Hayes he
345.72 -> will be our Master Ceremonies for
348.36 -> today's event uh Ben go ahead sir
398.4 -> foreign
426.419 -> good afternoon I'm Benjamin Haynes
428.58 -> director of cdc's division of media
430.44 -> relations thank you for joining us as
432.72 -> CDC launches the hospital sepsis program
435.12 -> core elements a new initiative to
437.34 -> provide hospitals with the blueprint to
439.259 -> save lives from a medical emergency
440.94 -> known as sepsis before we begin for
444.3 -> those of you watching via YouTube we are
446.4 -> providing closed captioning so please
448.319 -> use the feature at the bottom of your
450.12 -> screen to have access to those functions
452.539 -> reporters just a reminder we will take
455.28 -> your questions at the end of the
456.84 -> briefing please use the raised hand
459.18 -> feature and be sure to enter your name
461.22 -> and Outlet as your name on the zoom
463.5 -> meeting you can do this by
465.18 -> right-clicking on your name and using
467.099 -> the rename feature in Zoom now let's
469.5 -> begin the briefing I'm joined by several
472.139 -> speakers to illustrate the critical need
474.18 -> for a highly organized and high quality
476.46 -> sepsis program in all hospitals you will
479.4 -> hear from Dr Raymond Dante's CDC medical
482.22 -> advisor in one of the primary developers
484.38 -> of this new initiative
486.12 -> also with us is a sepsis Survivor 15
488.88 -> year old Alice Tapper and her mom
490.919 -> Jennifer who will share their story of a
493.199 -> race against the clock to beat sepsis
495.72 -> we are also joined by the American
498.06 -> Hospital association's senior vice
500.46 -> president and chief physician executive
502.319 -> Dr Chris darienzo who will talk about
505.259 -> the value obsessed of value of sepsis
507.9 -> programs for every patient in every U.S
510.18 -> hospital but first I'd like to introduce
512.88 -> CDC director Dr Mandy Cohen for opening
515.64 -> remarks
517.44 -> Buffalo thanks Ben thank
522.899 -> um Allison Jennifer chapper Dr Prescott
525.36 -> Dr D Lorenzo Dr Dantes for all of their
530.279 -> important contributions to this work and
532.56 -> thank you for joining us today as we
534.66 -> talk about sepsis now we know anyone can
537.899 -> get an infection and almost any
540.839 -> infection including covid-19 flu RSV can
545.459 -> lead to sepsis
547.5 -> we know that sepsis is when an infection
551.399 -> triggers a chain reaction through our
554.1 -> body and urgent medical care is
556.38 -> necessary to prevent organ damage and
558.779 -> even death
559.8 -> we all need to know the signs and
561.779 -> symptoms of sepsis survival and Recovery
564.779 -> depends on quick action on the part of
566.94 -> family members and caregivers as well as
569.399 -> Hospital staff
570.779 -> I know this firsthand my mom would have
574.019 -> died of sepsis nearly 20 years ago if
576.72 -> not for the incredible medical team at
579.24 -> the hospital that responded to her
580.98 -> emergency
582.36 -> CDC studies tell us that sepsis nearly
585.66 -> 87 percent of sepsis patients are
588.06 -> brought to the hospital with an
589.98 -> infection that's really just not getting
592.2 -> better
593.1 -> in a typical year 1.7 million adults in
597.36 -> America develop sepsis and at least 350
600.839 -> 000 adults unfortunately die during
603.36 -> their hospitalizations are or are moved
606 -> into hospice care
607.98 -> the care of patients with sepsis is
610.86 -> complex and I will say that as a
612.48 -> physician who has cared for those
614.04 -> patients it requires rapid coordination
616.92 -> between multiple hospital departments
619.08 -> and disciplines to respond and then
621.12 -> manage the recovery of the patient we
623.76 -> know that programs dedicated to the care
626.22 -> of patients with sepsis have been
628.019 -> successful in Saving more lives reducing
631.26 -> the amount of time patients need to stay
633.18 -> in the hospital and cutting health care
635.16 -> costs
636.24 -> the bottom line CDC believes sepsis
638.7 -> programs in every hospital regardless of
641.1 -> size location and resources can
643.38 -> strengthen the quality of care delivered
645.6 -> to these patients and ensure their
648.12 -> survival that's why CDC developed the
650.88 -> hospital
651.8 -> sepsis program core elements to put
655.26 -> providers in the best position possible
657.06 -> to deliver effective care for patients
659.04 -> with sepsis
660.3 -> here's what was reported through one of
663.06 -> our national surveys about U.S hospitals
665.22 -> that survey showed that about 73 percent
668.16 -> of hospitals had a sepsis team which is
670.86 -> good but only about 55 of those team
674.16 -> leaders are provided with dedicated time
676.32 -> to manage those sepsis programs
678.899 -> and only about half of the hospitals
681 -> reported that their teams integrated
683.339 -> their antibiotic antibiotic stewardship
686.279 -> experts into those sepsis programs so
688.98 -> more work to do here based on these
691.86 -> findings we know there's an opportunity
693.959 -> to improve the support and structure of
696.48 -> sepsis programs in hospitals across the
698.579 -> country and CDC is ready to help
700.92 -> hospitals measure the success of their
703.14 -> programs as they Implement these core
705.3 -> elements through our national Healthcare
708 -> Safety Network
710.1 -> before I go and leave it to the experts
713.16 -> here
714.12 -> um to talk more about sepsis as well as
716.82 -> this program for core elements I want to
719.399 -> remind you that many many infections can
721.92 -> lead to sepsis and they are also
723.899 -> preventable infections earlier I
726.72 -> mentioned covid-19 or flu or RSV could
730.26 -> cause infections and could cause sepsis
733.56 -> and we know these illnesses are starting
736.8 -> to circulate right now please consider
740.22 -> vaccination it is one of the best ways
743.04 -> to reduce your risk of infection protect
745.92 -> yourself and your family and when you
748.019 -> reduce the risk of infection you're
750.48 -> reducing your risk of sepsis okay with
753.3 -> that now I'll turn over to Dr Ray
756.06 -> Dante's for more on the fundamentals of
759 -> the hospital sepsis program core
760.62 -> elements thank you
764.04 -> thank you Dr Cohen
766.019 -> from the outset I would like to thank my
767.76 -> colleague and co-lead Dr Hallie Prescott
770.1 -> from the Department of internal medicine
771.56 -> at the University of Michigan
774.36 -> the sepsis core elements were developed
776.1 -> in collaboration with Dr Prescott and
778.079 -> her team from the University of Michigan
780.24 -> and the Michigan hospital medicine
782.339 -> safety Consortium
784.2 -> she will be on hand to answer questions
786.06 -> at the end of today's briefing
788.7 -> the sepsis core elements are intended to
790.56 -> be a manager's guide to organizing staff
793.139 -> and making the resources available to
795.48 -> improve sepsis care and bring survival
797.279 -> rates up
798.48 -> this approach was modeled after cdc's
801.48 -> core elements of antibiotic stewardship
803.579 -> which have proven to be impactful
806.459 -> resource for to protect patients from
809.16 -> the harms caused by unnecessary and
811.26 -> inappropriate antibiotic use
813.959 -> the sepsis core elements were created
815.7 -> with the expectation that all hospitals
817.98 -> and their patients would benefit from
819.959 -> this resource
821.399 -> let's look at each of the Seven Elements
824.639 -> the first core element is leadership
826.579 -> sepsis programs require the necessary
828.959 -> human financial and information
830.94 -> technology resources to be successful
834.36 -> number two is accountability it's
836.82 -> important for sepsis programs to appoint
838.5 -> a leader responsible for the program
840.8 -> outcomes and to set concrete program
843.36 -> goals
845.339 -> number three is multi-professional
847.32 -> expertise
848.82 -> sepsis care spans the Continuum of the
851.1 -> hospitalization and requires
852.72 -> coordination of many services and
854.16 -> disciplines
855.48 -> it is critical to engage those key
857.459 -> Partners throughout the organization
858.839 -> such as the emergency department the
861 -> Intensive Care units Awards Physicians
863.82 -> and nurses Specialists and those caring
866.279 -> for distinct populations such as
867.899 -> Pediatrics or labor and delivery
871.32 -> the fourth core element is action
873.899 -> this core element describes how to
875.579 -> implement structures and processes to
878.04 -> improve the identification of management
880.38 -> of and recovery from sepsis
883.68 -> these recommendations complement
885.3 -> clinical guidelines for early
887.16 -> recognition and early management and
889.26 -> provide additional guidance for
890.579 -> supporting patients recovering from
892.139 -> sepsis
894.12 -> number five is tracking this core
896.579 -> element provides a guide for measuring
898.26 -> sepsis progress towards those program
900 -> goals and the impact of sepsis
902.399 -> initiatives
904.139 -> number six is reporting this core
906.66 -> element describes how to provide usable
908.339 -> feedback on sepsis care to healthcare
910.26 -> providers and usable data to relevant
912.54 -> partners
914.339 -> the seventh and final core element is
916.26 -> education
917.399 -> this core element describes resources
919.56 -> for providing ongoing sepsis education
921.839 -> to healthcare professionals as well as
924.42 -> patients and their caregivers
927.24 -> we are very excited to share the
929.1 -> hospital sepsis program core elements
930.959 -> and we think Hospital leadership and
932.88 -> their Hospital sepsis Champions will
934.92 -> find this a useful resource to ensure
937.139 -> their staff are able to provide optimal
939.36 -> care for patients with sepsis
942.66 -> in a moment you will hear from Dr Chris
944.459 -> darienzo the American Hospital
946.56 -> Association senior vice president and
948.959 -> chief physician executive but first we
951.48 -> have with us Alice Tapper and her mother
953.279 -> Jennifer Tapper they graciously agreed
956.16 -> to share a story of how sepsis impacted
958.74 -> their lives not too long ago
960.6 -> I'll turn it over to Alice
963.66 -> hello my name is Alice Tapper I'm a
966.3 -> substance Survivor Patient Advocate I'm
968.82 -> a junior in high school and I live in
970.38 -> Washington DC I'm very honored to be
972.72 -> here in November 2021 I got sick with
976.44 -> severe abdominal pain a fever of 102
978.839 -> degrees and vomiting my parents took me
981.42 -> to a hospital where they ran tests and
983.279 -> found I had a rapid pulse of 135 in a
986.76 -> very white high blood cell count of
988.32 -> twenty thousand they offer me fluids but
990.779 -> could not figure out what was wrong with
992.339 -> me my condition did not improve so I was
995.22 -> transferred to another hospital where I
997.68 -> was admitted and diagnosed with severe
999.8 -> gastroenteritis we were told this was a
1002.42 -> viral infection in that we essentially
1004.16 -> needed to wait it out my parents
1006.8 -> consulted with multiple doctors about
1008.66 -> what could be done and asked about
1010.459 -> possible treatments and more tests but
1013.1 -> we're told that none were needed at the
1015.56 -> time we didn't know enough to ask the
1017.3 -> question the CDC recommends could this
1019.399 -> infection be leading to sepsis
1022.04 -> over the course of 32 hours my condition
1024.74 -> worsened I was weak in pain and quickly
1027.62 -> fading away
1028.939 -> at one point my mother begged the
1030.98 -> doctors to do more for me but they kept
1032.78 -> insisting I had a bad stomach virus I
1035.48 -> was losing so much weight and could
1037.04 -> barely stay awake luckily my dad was
1039.679 -> very persistent and determined he found
1041.78 -> a health care professional who took
1043.22 -> additional steps he made sure I got an
1045.5 -> x-ray that led to a sonogram and surgery
1047.78 -> I had a perforated appendicitis and a CT
1050.9 -> scan showed I had fluid leaking
1052.7 -> throughout my abdomen I was rushed to
1054.919 -> the ICU I was septic and the appendix
1057.74 -> was too inflamed to be removed and my
1060.02 -> body was in hypervolemic shock that's
1062.6 -> when the heart is unable to pump enough
1064.1 -> blood to the body so many organs stopped
1066.32 -> functioning my story ends on a positive
1068.78 -> note but not before several additional
1070.7 -> surgical procedures including getting my
1073.1 -> appendix out and a long procedure to
1074.96 -> repair my bowels I had fully recovered
1077.539 -> I'm healthier and stronger than ever and
1079.7 -> have become a high school athlete and
1081.799 -> now I'm on a mission to tell my story
1083.539 -> and encourage hospitals to listen to
1086.299 -> patients even if they are young and to
1088.34 -> parents if appendicitis had been taken
1090.919 -> seriously and the signs and symptoms of
1093.02 -> sepsis had been acknowledged my course
1095.179 -> of care would not have resulted in weeks
1097.28 -> in a hospital and a long recovery at
1099.26 -> home I missed so much school in so much
1101.66 -> of my life and I lost a lot of my trust
1103.7 -> in adults now I'm speaking out for
1106.28 -> others who do not have a voice I'm so
1108.5 -> grateful for the CDC asking to share my
1110.66 -> story and a special thank you to Dr
1112.76 -> Manny Cohen your leadership on this
1114.44 -> issue will save lives I hope others will
1117.02 -> act fast and if they see the signs and
1118.94 -> symptoms of sepsis and get medical care
1121.16 -> immediately together we can save lives
1123.74 -> by listening to patients families and
1125.539 -> caregivers and improving sepsis care
1128.72 -> and my name is Jennifer Tepper and I'm
1131.419 -> the proud mother of Alice and wife of
1133.4 -> Jake Tepper my heart was breaking and I
1135.799 -> was losing my daughter and I couldn't
1137.299 -> get anyone to listen this was my reality
1139.7 -> one horrible Tuesday night in November
1141.62 -> 2021 and I never want anyone to go
1144.44 -> through what we had to go through my
1146.539 -> husband Jake and I are so grateful that
1148.64 -> Alice survived but we are also angry
1151.46 -> that her infection was missed and that
1153.62 -> she could have died as a result patients
1156.26 -> families caregivers and the medical
1158.299 -> community need to come together to
1160.28 -> improve sepsis diagnosis and care it is
1163.52 -> not okay that any hospital and the
1165.98 -> greatest and wealthiest Nation on Earth
1167.66 -> missed the signs of symptoms and
1169.94 -> symptoms of sepsis what we saw our child
1173.36 -> go through was agonizing the question we
1176.48 -> still ask sense sepsis is so common why
1180.32 -> was it so difficult to get the Urgent
1182.72 -> Care that Alice needed it breaks our
1185 -> heart to think of the other families
1186.919 -> that have had similar experiences and
1189.62 -> those that had different outcome
1192.32 -> since going public with Alice's Health
1194.299 -> struggle we have heard from dozens of
1196.46 -> families who suffered because of delayed
1198.14 -> diagnosis of sepsis which continues to
1200.78 -> be a problem we just heard from another
1202.88 -> family this summer A desperate dad
1205.4 -> reaching out to Jake and Alice on
1207.5 -> Instagram for help every parent should
1210.44 -> know the signs and symptoms of sepsis
1212.66 -> moms and dads be on the lookout for one
1215.78 -> or more of these symptoms a high heart
1218.179 -> rate or a weak pulse fever shivering
1222.14 -> feeling very cold like cold hands and
1225.14 -> feet confusion or disorientation
1227.679 -> shortness of breath extreme pain or
1231.14 -> discomfort and clammy and sweaty skin
1233.86 -> all of the things which Alice had
1236.9 -> sepsis needs to be addressed we urge
1239.66 -> Physicians to educate their parents
1241.7 -> about patients about sepsis for
1244.46 -> hospitals to have a well-organized
1246.26 -> sepsis program that educates their staff
1248.6 -> on how to identify sepsis how to
1250.76 -> coordinate experts from across the
1252.559 -> hospital for the complex care needed to
1255.08 -> ensure the survival and recovery of
1258.02 -> patients with sepsis by the turn back
1261.32 -> the clock my first words when we brought
1264.26 -> Alice to the hospital would have been is
1266.24 -> this sepsis
1267.74 -> thank you so much and I want to turn
1269.36 -> this over now to Dr Dante's thank you
1273.86 -> thank you Allison Jennifer
1275.9 -> I'd like to introduce you to Dr Chris
1277.64 -> darienzo the American Hospital
1279.559 -> Association senior vice president and
1281.9 -> chief physician executive for a word
1283.88 -> about the importance and value of
1285.44 -> Hospital sepsis programs
1288.26 -> thank you Dr Dante's on behalf of the
1290.78 -> American Hospital Association and our
1292.7 -> nearly 5 000 members we are delighted to
1295.94 -> join with the CDC Dr Cohen Dr Dante is
1299.36 -> in his team and of course the tappers to
1302.059 -> reinforce the importance of identifying
1305.179 -> and treating sepsis early and putting
1307.4 -> patient safety first
1308.9 -> over the years I've treated many
1310.88 -> patients with sepsis and I know
1312.919 -> firsthand just how hard it is to restore
1315.86 -> a patient's Health once an infection has
1318.14 -> become severe but I'm also a dad and I
1322.1 -> have three amazing kids and so it's both
1324.62 -> a father and a doctor Alice I am so
1327.799 -> sorry for the experience that you and
1330.08 -> your family went through and I thank you
1332.24 -> so much for the courage in sharing your
1334.64 -> story to help others
1336.98 -> stories like Alice's remind us that even
1340.1 -> the most knowledgeable
1342.679 -> dedicated committed and experienced
1345.98 -> teams can be surprised by sepsis that's
1349.4 -> why the American Hospital Association
1350.9 -> has been proud to partner with numerous
1353.12 -> federal agencies in order to support our
1355.52 -> member hospital and Health Systems
1357.2 -> Improvement initiatives
1359.539 -> over the years that has taken a number
1362.059 -> of different forms and many of those
1364.34 -> initiatives have actually helped to
1365.84 -> affirm the wisdom of the core principles
1368.24 -> laid out in the cdc's guidelines today
1371.179 -> and I'd like to emphasize the importance
1373.28 -> of just a few of them
1375.02 -> first we know that all of the evidence
1378.86 -> suggests early identification and early
1382.22 -> appropriate treatment with antibiotics
1384.159 -> saves lives that is easy to say and
1388.4 -> really hard to do why because sepsis
1391.76 -> isn't just one disease in my Specialty's
1394.82 -> population of sick and extremely
1396.74 -> premature newborns the early warning
1398.84 -> signs of sexes can look wildly different
1401.299 -> than those of trauma patients coming out
1403.46 -> of surgery or of elderly patients in a
1406.159 -> nursing home
1407.12 -> this is why it is crucial to have
1409.94 -> leadership commitment to supporting the
1413.12 -> early identification an early treatment
1415.039 -> programs needed in hospitals those
1417.98 -> active programs need energy resource and
1421.88 -> attention in order to build the kind of
1424.159 -> standard processes that we know work to
1426.98 -> improve sepsis outcomes
1429.44 -> remember
1430.64 -> sepsis is a complex condition and its
1433.82 -> early signs can often be masked when
1435.919 -> patients have multiple health issues it
1438.559 -> is essential to bring together experts
1440.6 -> from across the hospital in a
1443 -> multi-disciplinary approach to build
1444.919 -> those programs targeted at early
1448.1 -> identification and treatment
1450.2 -> when they're at their best those
1451.88 -> programs can look something like
1453.5 -> hospitals other code teams and the best
1456.02 -> code teams that I've been a part of
1457.52 -> often function like a well-oiled NASCAR
1460.34 -> pit crew but as has already been pointed
1462.98 -> out much more eloquently than I could
1464.9 -> say it the most important members of
1467.48 -> that crew are in fact our patients
1469.64 -> themselves and their loved ones
1472.4 -> in addition we are blessed to live in a
1475.58 -> time of technological transformation
1477.14 -> it's hard to believe that when Dr Cohen
1480.02 -> and I started our careers we were
1481.76 -> lugging huge paper charts around
1483.86 -> hospitals those days are gone and today
1487.46 -> not only are those records electronic
1489.679 -> but artificial intelligence companies
1491.78 -> are combing those records in real time
1493.88 -> to help doctors nurses advanced practice
1497 -> providers and other Healthcare
1498.679 -> professionals identify patients at risk
1501.26 -> of sepsis even earlier we must continue
1504.38 -> to support those Innovative approaches
1506.9 -> to care with the resources they need to
1508.76 -> be successful if we are ever going to be
1511.159 -> successful in our efforts to Stamp Out
1513.32 -> sepsis
1514.88 -> and finally we must do everything we can
1518.12 -> to break down barriers that exist to
1520.64 -> getting patients identified as early as
1522.98 -> possible and treated as early as
1524.659 -> possible the evidence to do so is clear
1527.9 -> and it saves lives and that's why at the
1530.84 -> American Hospital Association we've also
1533.059 -> been clear that policies that some
1535.4 -> insurance companies have which are
1537.4 -> one-size-fits-all retrospective in
1540.32 -> nature they just missed a mark when it
1542.419 -> comes to early identification and
1544.22 -> treatment
1545.299 -> again thank you so much to the CDC for
1548.299 -> focusing on this issue we know it is
1551 -> crucial to improving sepsis outcomes
1552.74 -> thank you for inviting the American
1554.6 -> Hospital Association to join today's
1556.279 -> conversation and I really look forward
1558.26 -> to the questions
1563.48 -> I'd like to thank all of our speakers
1564.98 -> and before we take the first question I
1567.38 -> want to note that unfortunately Dr Cohen
1569.36 -> is not available to join us for the
1571.159 -> question and answer session however Dr
1573.32 -> Hallie Prescott is with us as well to
1575.419 -> answer questions about the development
1577.039 -> of the sepsis core elements again just a
1579.74 -> reminder for reporters please use the
1582.08 -> raised hand feature and be sure to enter
1584.059 -> your name and Outlet as your name on the
1585.98 -> zoom meeting you can do this by clicking
1588.02 -> on your name and using the rename
1590.24 -> feature in Zoom now let's start the
1592.64 -> question and answer session
1628.159 -> while we're waiting for the first
1629.539 -> question I want to just provide an
1631.039 -> opportunity for any of our speakers to
1632.84 -> provide any final thoughts or comments
1635.12 -> that they didn't address in their
1636.62 -> comments
1651.38 -> okay
1658.279 -> Dr Dante so I have a question for you
1660.14 -> was there an increase in sepsis during
1662.36 -> the pandemic and do you foresee any
1664.58 -> increase during flu season
1670.1 -> thank you for that question I was
1671.6 -> actually in the middle of typing the
1673.4 -> answer there
1674.779 -> um so the um so there's a little bit uh
1678.26 -> just to clarify you know when folks come
1680.24 -> into the hospital with influenza or
1682.88 -> covid-19 and they're very sick you know
1684.98 -> that is a type of sepsis and so if
1687.86 -> you're um so that's uh in itself you
1691.1 -> know kind of increases the the number of
1693.08 -> patients coming into the hospital with
1695.24 -> uh with a type of sepsis
1697.64 -> um sometimes this question can also you
1699.98 -> know mean do did we see other types of
1702.74 -> sepsis also you know increasing during
1705.26 -> flu season and I think looking back you
1707.779 -> know retrospectively over the years we
1709.159 -> do see a seasonality with other types of
1711.919 -> sepsis as well that it does tend to
1714.679 -> increase during the winter months
1717.159 -> thank you and we have a clarifying
1719.539 -> question here from Modern Healthcare who
1722.12 -> are the relevant partners that hospital
1723.799 -> should report sepsis outcomes and other
1726.26 -> information too
1730.22 -> thank you yes I think I was able to
1732.02 -> address that that question in the answer
1733.7 -> but uh we kept that that text very broad
1737.299 -> but we do know that in many hospitals
1739.7 -> report
1740.779 -> um on their sepsis care
1743 -> um to Federal Partners such as CMS for
1745.279 -> the set one measure
1746.9 -> um or to State Partners as well or they
1749.48 -> may belong to you know quality
1750.919 -> initiatives where they share it try to
1752.72 -> share best practices like the Michigan
1755.36 -> hospital medicine safety Consortium for
1757.22 -> example
1759.58 -> thank you
1762.5 -> Ben I'd be happy to add to that answer
1764.539 -> as well please do
1767 -> you know I think one aspect of the cdc's
1770 -> sepsis core elements that we really
1771.62 -> appreciate is is they don't put forward
1774.32 -> a one-size-fits-all approach and we know
1776.72 -> that sepsis is is complex and when I
1779 -> look across the spectrum of hospitals
1781.34 -> and communities in this country the core
1783.62 -> elements allow our hospitals to build a
1786.559 -> program that fits their Community I've
1789.2 -> practiced in in large centers and in
1792.02 -> some very small centers and the the
1794.12 -> kinds of Partners both inside the
1795.98 -> hospital and across systems that can
1798.14 -> certainly vary depending on the
1799.82 -> community that you're in
1801.2 -> uh the commitment however does not vary
1803.36 -> the commitment that I have seen both as
1805.82 -> a practicing physician as a health
1807.44 -> system leader and now at the American
1808.94 -> Hospital Association is very strong
1813.38 -> thank you up reminder if you are looking
1816.86 -> a reporter looking to ask a question
1818.419 -> please remember to raise your hand so
1820.279 -> that we can see you in the queue
1822.62 -> um while we're waiting I have a question
1823.88 -> for Hallie Prescott why is sepsis so
1827.12 -> difficult to identify you would think in
1829.159 -> an emergency room it would be widely
1830.84 -> suspected
1833.419 -> yeah thanks for that question it's so
1835.34 -> important
1836.419 -> um I think one of the challenges
1838.64 -> um is that sepsis can look very
1840.919 -> different across different people and
1843.62 -> can also kind of overlap with other
1845.6 -> types of conditions so
1848.059 -> um you know earlier there was sort of
1849.799 -> noted a bunch of different symptoms that
1851.659 -> should certainly sort of raise alarm
1852.98 -> bells and raise Flags but unfortunately
1855.799 -> there's just a lot of variation so it
1857.779 -> really always needs to be at the
1859.039 -> Forefront of everyone's mind
1861.38 -> um and I you know it's important to
1863.48 -> remember that question of could this be
1865.22 -> sepsis we wish we had sort of you know
1868.279 -> one blood test or one diagnostic test
1870.559 -> that could just say yes this patient is
1872.36 -> sepsis or no they don't
1874.279 -> um but we just don't have that so it
1876.02 -> does really require a holistic
1877.64 -> assessment of the patient's clinical
1879.62 -> presentation
1881.299 -> um as well as their you know they're
1883.58 -> presenting testing
1885.26 -> thanks
1908.539 -> I'm sorry let me say that one more time
1910.22 -> in these days of strained Hospital
1912.08 -> budgets is there any concern about
1914.14 -> hospitals having the financial resources
1917.36 -> to put together a sepsis team is there
1919.94 -> any estimate of how much these teams
1922.039 -> might cost
1924.919 -> I can I can take that question to start
1927.08 -> oh sorry did you
1928.82 -> you can go for it and then I can chime
1930.679 -> in if there's any more to add sure sorry
1933.14 -> about that Howie
1934.82 -> um so the as uh Dr darienzo emphasized
1937.88 -> the sepsis core elements are not a
1940.399 -> one-size all fits planned for for
1942.98 -> hospitals
1944.36 -> um in fact the
1945.62 -> um accompanying mmwr article that is
1948.62 -> coming out today you know shows that 73
1951.62 -> percent of hospitals have already
1953.899 -> assigned
1955.159 -> um you know a leadership uh committee to
1957.559 -> sepsis and about half of the hospitals
1959.36 -> have already made this someone's
1961.22 -> position you know to at least on some
1963.799 -> kind of uh portion of their job title is
1966.86 -> to manage sepsis you know in their
1968.6 -> hospitals so hospitals have already
1970.58 -> committed resources to this
1972.98 -> um I would argue that you know sepsis is
1974.779 -> a critically important outcome for
1977.24 -> hospitals and they should be dedicating
1978.74 -> those resources
1981.14 -> um but again as Dr darienzo emphasized
1983.72 -> this is not a one-size all plan there
1985.94 -> are some large hospitals that are going
1987.14 -> to need considerable resources to be
1988.76 -> able to keep track of sepsis and many
1991.039 -> already have dedicated those resources
1992.899 -> but that would look very different you
1994.88 -> know at a very small Hospital
1996.62 -> I'll turn over to maybe Hallie or Dr
1999.08 -> darienzo for further comments
2001.659 -> yeah I agree with everything that Dr
2003.34 -> Dante has just said and also I think you
2005.919 -> know we tried to build in a lot of
2007.059 -> flexibility in terms of how these might
2008.919 -> be um implemented and I think certainly
2011.5 -> for some hospitals that are part of a
2013.299 -> larger Health Care System some of the
2016.6 -> um work can be done across the entire
2019.179 -> Health System to try to conserve
2020.799 -> resources
2022.419 -> um but like Dr Dante say this is
2024.279 -> something that already hospitals have
2025.84 -> invested in and we want to make sure
2027.76 -> that that investment is doing the most
2030.1 -> that it can and this is also just an
2032.44 -> incredibly important topic as was
2034.36 -> mentioned by Dr Cohen sepsis contributes
2037.659 -> to 1.7 million hospitalizations annually
2041.1 -> and accounts for over one-third of all
2044.08 -> U.S hospital deaths so it's a very
2045.94 -> important topic that is certainly worthy
2047.799 -> of resources and we want to make sure
2050.02 -> that hospitals are doing the best they
2051.399 -> can with the resources they have to
2053.02 -> address sepsis
2054.82 -> I really appreciate Dr Prescott's notes
2057.58 -> on on that front that we we know uh
2060.339 -> according to our bond reading agencies
2062.139 -> that 2022 was the worst operating year
2064.96 -> on record for the entire
2066.94 -> um university of hospitals in America
2068.5 -> and so the the financial strain noted by
2071.02 -> that that reporter Is Real at the same
2073.06 -> time I've again seen the commitment to
2074.919 -> sepsis firsthand and as Dr Prescott
2077.26 -> notes uh one of the health systems I
2079.359 -> worked in I had one you know tertiary
2081.46 -> referral center uh and several small
2084.159 -> hospitals including critical access
2085.78 -> hospitals which are our hospitals that
2087.879 -> are typically in rural areas with less
2089.859 -> than 25 beds and because those hospitals
2092.379 -> were part of a larger system we could
2094.78 -> spread the the system-wide sepsis
2097.119 -> campaign into their emergency
2098.68 -> departments in ways that are much much
2100.66 -> harder when hospitals are are small and
2103.24 -> independent and operating on their own
2104.98 -> and certainly the financial strain node
2106.9 -> it doesn't get easier when we talk about
2108.82 -> the kinds of denials even relative to
2111.16 -> sepsis care that we Face from from some
2113.079 -> insurance companies
2116.68 -> thank you for that I have one more
2118.42 -> toss-up question
2120.099 -> um what information would you want
2122.32 -> infection preventionists to take away
2124.3 -> from this webinar specifically
2130.78 -> I could take that question I was
2132.339 -> actually also about to type an answer
2133.839 -> there
2134.98 -> um so we do want infection
2136.359 -> preventionists to be part
2138.22 -> um to participate in those sepsis
2139.9 -> committees because there are you know a
2142.14 -> portion of sepsis patients that develops
2144.579 -> sepsis in the hospital and certainly
2146.5 -> many of the health care Associated
2147.76 -> infections that we track can turn into
2149.44 -> sepsis and if they're not caught and
2151.359 -> treated early
2155.26 -> thank you and we have a question from
2158.079 -> Amanda at CNN
2163.66 -> hi can you guys hear me yes ma'am hi um
2167.02 -> thanks for taking the question so um
2168.94 -> just kind of a a broader question are
2172.599 -> hospitals expected to implement these
2175.48 -> new guidelines
2177.099 -> um are they encouraged are they expected
2178.839 -> to
2179.74 -> um and how would you recommend that they
2182.14 -> do that to the best of their ability
2183.82 -> especially
2185.14 -> um smaller hospitals that don't have
2186.7 -> these sepsis committees committees
2192.339 -> or I can take that question so hospitals
2194.859 -> are definitely recommended to implement
2197.5 -> parts of the core elements that fit you
2200.8 -> know their Hospital type and their
2202.66 -> patient population we do recognize that
2205.119 -> hospitals may be starting in a very
2206.5 -> different place regarding their size and
2208.42 -> available resources
2209.98 -> towards the beginning of the core
2211.24 -> elements document we have a getting
2212.68 -> started guide because we know that you
2214.839 -> know based on our nhsn annual survey
2216.88 -> about 1400 hospitals are basically
2219.46 -> starting from scratch you know they
2220.78 -> don't have a sepsis committee yet and we
2223.48 -> want to encourage them to to go ahead
2225.28 -> and get started and we provide that
2226.9 -> guide to get started
2228.94 -> um and for those hospitals that have
2231.22 -> already you know got sepsis programs
2233.079 -> underway and have available resources we
2235.96 -> have a lot more details and best
2237.339 -> practices that we've collected from
2239.44 -> hospitals about how to further improve
2241.48 -> your sepsis programs
2244.18 -> I would love to add on to Dr Dante's
2246.94 -> answer there I can't emphasize this
2249.4 -> point enough cephalus is a a truly
2252.339 -> complex condition and that means that
2254.5 -> there there will likely never be a
2256.119 -> one-size-fits-all approach to measuring
2258.28 -> preventing treating or addressing even
2260.68 -> early identification and that's why the
2263.14 -> the most crucial aspect of these CDC
2266.32 -> sepsis core elements I think for our
2268.48 -> membership is the fact that they are
2270.52 -> flexible and they they are scaffolding
2272.74 -> around which the hospitals of all sizes
2275.02 -> can build a program that's that's right
2276.579 -> for their communities
2279.88 -> thank you our next question comes from
2282.099 -> Mary Rosenthal at infectious disease
2284.5 -> special edition
2286 -> uh thank you for taking my questions I
2288.46 -> was just wondering I realized that you
2290.2 -> know it's very hard to diagnose sepsis
2291.88 -> and stuff but are there groups or
2294.4 -> particular symptoms that would
2296.14 -> absolutely be a red flag for sepsis
2302.98 -> that's a tough one and well I know we
2306.339 -> have two incredible sepsis experts uh
2308.98 -> here who I'll defer on the details too
2310.78 -> in in my practice as a neonatologist
2313.359 -> sometimes the the only and earliest sign
2316.3 -> of sepsis in an extremely premature baby
2318.88 -> was a slight drop in heart rate and so
2321.339 -> the variability is is pretty significant
2323.859 -> when you look across patient types
2325.66 -> perhaps an elderly patient who comes to
2328.599 -> the hospital with heart failure and has
2330.7 -> new shortness of breath sometimes it can
2333.04 -> be really challenging to know whether
2334.839 -> that new shortness of breath is coming
2337.24 -> from worsening of their heart failure or
2339.28 -> of of an early sign of sepsis
2342.04 -> um and so it I think it goes back to the
2344.98 -> the earlier notes sepsis really is a
2347.2 -> complex condition and we appreciate the
2349.3 -> scaffolding that has been built by CDC
2351.28 -> around which hospitals can continue to
2353.68 -> build on on our strong Foundation of
2355.48 -> work
2360.28 -> thank you our next question comes from
2362.5 -> Joyce frieden ma'am you may ask your
2364.54 -> question
2366.94 -> um yeah can you hear me yes we hear you
2369.4 -> oh okay thank you
2371.5 -> um you mentioned the number of people uh
2374.74 -> that uh get sepsis and uh the number of
2379.119 -> um deaths or uh transfers to hospice is
2382.839 -> there a dollar amount associated
2385.599 -> with uh treatment of sepsis
2398.68 -> Dr Dante's you want to take a stab at
2400.66 -> that or Dr Debra Enzo
2404.38 -> sure yeah I know there have been many
2406.66 -> um studies looking at the financial
2408.4 -> burden of sepsis uh we haven't uh we
2412.3 -> haven't done those studies ourselves so
2414.22 -> I can't give you kind of a a nationwide
2416.92 -> you know estimate I don't know if Dr
2419.079 -> darienzo may have a different
2420.7 -> perspective on that
2422.38 -> I certainly don't have a number either
2424.599 -> much less a number that that would also
2426.7 -> impact all of the the human toll of
2428.68 -> patients who experience sepsis and and
2431.74 -> you know need to to get back in the way
2434.68 -> that that Alice described you know the
2436.599 -> challenges that you walk through
2440.98 -> all right and our last question Alice we
2443.619 -> saved it for you because we appreciate
2445.06 -> you so much being here telling your
2446.38 -> story
2447.579 -> um as a sepsis Survivor if you had one
2449.92 -> important message for families peers and
2452.32 -> doctors what would it be
2454.48 -> but people need to have sepsis on their
2457.3 -> minds the education of sepsis is so
2459.579 -> important for patients and their parents
2461.619 -> because many people don't know what
2464.079 -> sepsis is I'll tell my friends about
2465.46 -> sepsis and they're like I have never
2467.32 -> heard of that before but it is a lot
2469.359 -> more common than people think and
2471.579 -> recognizing the dangers of just the
2474.28 -> ticking clock of how short the span is
2476.98 -> when you have sepsis and how bad it can
2479.079 -> get and how quickly it can get bad
2481.74 -> and listening to caregivers and parents
2484.839 -> and the patients and including teens
2487.359 -> because they know what they're talking
2489.4 -> about too so I would just say that it's
2492.579 -> a partnership for everybody involved
2497.32 -> thank you both for that that is all the
2499.78 -> time we have I would like to thank all
2501.579 -> of our guests and reporters for joining
2503.8 -> us today I'd also like to mention that
2506.26 -> September is sepsis awareness month and
2508.96 -> CDC has an ongoing National educational
2511.3 -> effort called get ahead of sepsis to
2514.3 -> learn more about sepsis and how to
2515.859 -> prevent infections visit
2519.18 -> www.cdc.gov sepsis also there are two
2523.24 -> resources that you may want to review
2525.099 -> featuring sepsis today in cdc's mmwr you
2529.3 -> will find the CDC study entitled sepsis
2532.24 -> program activities in the U.S acute care
2535.06 -> hospitals it expands on the statistics
2537.76 -> we gave you in this gave you this
2539.619 -> afternoon and to complement the mmwr in
2543.04 -> Jama there is a viewpoint on the
2544.839 -> development of the hospital sepsis
2547.599 -> program core elements as well for
2550.119 -> additional questions please contact the
2552.16 -> main media line at
2556.2 -> 404-639-3286 or you can email media
2559.26 -> cdc.gov thank you for joining us and
2561.88 -> this will conclude our briefing
Source: https://www.youtube.com/watch?v=WzlC5WnlrMQ