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Empirical research

Dissemination and Implementation of Evidence Based Best Practice Across the High Value Healthcare Collaborative (HVHC) Using Sepsis as a Prototype – Rapidly Learning from Others

Authors:

Andreas Taenzer ,

Dartmouth-Hitchcock; High Value Healthcare Collaborative; and The Dartmouth Institute, US
About Andreas
Associate Professor of Anesthesiology, Pediatrics and The Dartmouth Institute for Health Policy and Clinical Science Dartmouth Medical School
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Allison Kinslow,

High Value Healthcare Collaborative; and The Dartmouth Institute, US
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Christine Gorman,

High Value Healthcare Collaborative; and The Dartmouth Institute, US
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Shelley Schoepflin Sanders,

Providence St. Vincent Medical Center, US
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Shilpa J. Patel,

Hawaii Pacific Health, US
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Sally Kraft,

Dartmouth-Hitchcock, US
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Lucy Savitz

Kaiser Permanente Center for Health Research, US
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Abstract

The dissemination of evidence-based best practice through the entire health care system remains an elusive goal, despite public pressure and regulatory guidance. Many patients do not receive the same quality of care at different hospitals across the same health care system. We describe the role of a data driven learning collaborative, the High Value Healthcare Collaborative (HVHC), in the dissemination of best practice using adherence to the 3-hour-bundle for sepsis care. Compliance with and adoption of sepsis bundle care elements comparing sites with mature vs non-mature care delivery processes were measured during the improvement effort for a cohort of 20,758 patients. Non-mature sites increased their bundle compliance from 71.0 to 86.7 percent (p < 0.005). This compliance increase was primarily based on increased compliance with the fluid element of the bundle that improved for non-mature locations from 76.4 to 94.0 percent (p < 0.005).

How to Cite: Taenzer A, Kinslow A, Gorman C, Schoepflin Sanders S, Patel SJ, Kraft S, et al.. Dissemination and Implementation of Evidence Based Best Practice Across the High Value Healthcare Collaborative (HVHC) Using Sepsis as a Prototype – Rapidly Learning from Others. eGEMs (Generating Evidence & Methods to improve patient outcomes). 2017;5(3):5. DOI: http://doi.org/10.5334/egems.192
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  Published on 15 Dec 2017

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