Sepsis

Sepsis Overview

Sepsis is a life-threatening condition that requires early detection and timely, appropriate interventions to improve the chances of survival for patients of all ages. Sepsis is defined as a clinical syndrome in which patients have an infection that is accompanied by an extreme systemic response. Sepsis of sufficient severity that the function of major organ systems in the body (such as heart, kidney, brain and others) is impaired is referred to as 'severe sepsis'. Patients with severe sepsis that have continued organ system impairment and/or low blood pressure that does not respond to treatment with adequate fluid replacement are considered to be in 'septic shock'.

Severe sepsis and septic shock impact approximately 50,000 patients in NY each year, and on average almost 30% of patients died from this syndrome prior to the implementation of the New York State Sepsis Care Improvement Initiative. In addition, many more may experience lifelong impairments because of the broad impact that sepsis may have on organ and tissue function.

The combination of early detection of sepsis coupled with timely, appropriate interventions can significantly improve the chances of survival for patients with all types of sepsis. Since 2014, the New York State Sepsis Care Improvement Initiative has been a resource for quality improvement in sepsis care. For more on the New York State Sepsis Care Improvement Initiative, see the Reports section

Regulations

NYS Sepsis Data Collection

Beginning in 2014, each acute care hospital in New York that provides care to patients with sepsis was required by amendment of Title 10 of the New York State Codes, Rules and Regulations (Sections 405.2 and 405.4) to develop and implement evidence-informed sepsis protocols, which describe their approach to both early recognition and treatment of sepsis patients. In addition, hospitals were required to report data to the Department beginning in 2014 that are used to calculate each hospital's performance on key measures of early treatment and protocol use.

To help ensure that reported data, which will ultimately be used for public reporting of hospital performance, is both accurate and complete, the Department of Health has partnered with IPRO to use a variety of methods to authenticate the integrity of the data and the reports. More information on the means of data collection and validation can be found on the IPRO webpage for NYS Sepsis Data Collection.

Sepsis Advisory groups

Reports

Data Requests