2025 Statewide Sepsis Summit Resources
Agenda for the 2025 Statewide Summit on Addressing Sepsis Across the Continuum
Presenter Slides
The Latest Developments From NY, US and Global Leadership
Thomas Heymann, MBA, President & CEO, Sepsis Alliance
New Developments in Sepsis Quality Measurement
Raymund Dantes, MD, MPH, Associate Professor of Medicine, Senior Physician, Division of Hospital Medicine, Emory University School of Medicine
The Latest Developments in Sepsis Quality Measurement, Clinical Intervention and Program
Craig A. Umscheid, M.D., M.S., Director, Center for Quality Improvement and Patient Safety, Agency for Healthcare Research & Quality
Sepsis Care Improvement Initiative
Alda Osinaga, MD, MPH, Director, Clinical Center, NYS Department of Health
IPRO Community Based Sepsis Clinical Intervention Initiative
Sara Butterfield, BSN, RN, CPHQ, Assistant Vice President, Healthcare Quality Improvement, IPRO
Sepsis Hospital Core Elements & Value Based Payment
Kathy Rauch, RN, Healthcare Association of NYS
Improving Transitions and Outcomes for Sepsis Survivors
Kathryn H. Bowles, PhD, RN, FAAN, FACMI; Professor of Nursing, van Ameringen Chair in Nursing Excellence, University of Pennsylvania School of Nursing; VP and Director of the Center for Home Care Policy & Research, VNS Health
Research Sector: Systems Approaches to Improving Sepsis Outcomes
Joseph J. Carreno, PharmD, MPH, Associate Professor, Pharmacy Practice and Director of Research and Sponsored Programs, Albany College of Pharmacy and Health Sciences
HCANYS Home Health Screening and Intervention Tool
Amy Bowerman, VP Post Acute/Rehabilitation Services, Mohawk Valley Health System, HCANYS Sepsis Clinical Workgroup Leader
Al Cardillo, HCANYS
Resource Sites Shared by Summit Participants (Evolving)
- Sepsis Alliance
- END SEPSIS - Legacy of Rory Staunton
- HCANYS
- IPRO
- NYS Office for Aging
- NYS Department of Health
- Research from the Center for Health Policy at the Columbia University School of Nursing
Sepsis Initiatives Listing (Evolving)
- HCANYS Stop Sepsis At Home NY Background Document
- Sepsis Alliance – “Sepsis Connect”
- Sepsis Alliance - The Partnership for Sepsis & Aging
- END SEPSIS – Sepsis Protocols ‘
- END SEPSIS – The Sepsis Act
Research Studies Shared by Summit Participants (Evolving)
Sepsis in Home Health Care: Screening, Education, and Rapid Triage
Hospital Strain During the COVID-19 Pandemic and Outcomes in Older Racial and Ethnic Minority Adults
Glance LG, Joynt Maddox KE, Stone PW, Furuya EY, Shang J, Sorbero MJ, Chastain A, Lustik SJ, Dick AW. JAMA Netw Open. 2024 Oct 1;7(10):e2438563.
In this cross-sectional study of 5.9 million patients diagnosed with sepsis, Black individuals were more likely and Asian and Hispanic individuals were less likely to experience death or major morbidity prior to the pandemic than White individuals. The vast majority (87.9%) were admitted from the community. During the pandemic, patients hospitalized during weeks with a greater number of COVID-19 patients were more likely to die or experience major morbidity. Asian, Black, and Hispanic individuals with sepsis experienced greater increases in mortality and morbidity than White individuals as the hospital COVID-19 burden increased.
Glance LG, Joynt Maddox KE, Stone PW, Shang J, Furuya EY, Chastain AM, Lee JW, Morse-Karzen B, Dick AW. JAMA Netw Open. 2025 Jan 2;8(1):e2456816.
This retrospective cross-sectional study of community-dwelling adults discharged alive following hospitalization for sepsis found that, prior to the pandemic, these patients experienced ~50% reduction in risk of a long-term nursing home stay or death. Black individuals were much more likely to experience long-term nursing home utilization or death following discharge from a sepsis hospitalization while Hispanic and other minoritized individuals experienced less risk of a long-term nursing home stay or death compared with White individuals. This trend may be driven by the growth in availability and sophistication of home and community-based services, increased use of assisted living facilities, and shifts in the preferences of aging individuals. However, the decreasing rate of long-term nursing home stay or death plateaued during the COVID-19 pandemic.
Policies for Infection Prevention and Control in Home Health Care, 2019 vs 2023
Shang J, Lee JW, Dick AW, Chastain AM, Perera UGE, Glance LG, Stone PW. JAMA Netw Open. 2025 May 1;8(5):e2512450.
Between 2019 and 2023, infection prevention and control policies in U.S. home health care agencies showed notable declines in intensity across key domains—particularly in antibiotic stewardship (from 23.4% to 11.8%), intravenous and central catheter infection policies (68.5% to 56.1%), and pneumonia prevention (65.9% to 52.4%). Significant declines in antibiotic stewardship, intravenous and central catheter infection, and pneumonia prevention policies raise concerns about increased infection risks for vulnerable home health care patients. Despite growing recognition of IPC importance during the pandemic, key policies have weakened since, perhaps due to workforce shortages and persistent resource strain, hindering effective implementation.
Disparities in Infection Risk Among Home Health Care Patients: A Study Using Area Deprivation Index
Shang J, Perera UGE, Liu J, Chastain AM, Russell D, Wang J, Caprio TV, Barrón Y, Szanton S, Zhao S, McDonald MV. J Am Med Dir Assoc. 2025 Apr;26(4):105455.
This large national study found that home health care patients living in more socioeconomically deprived neighborhoods—particularly in remote rural areas—faced significantly higher infection-related hospitalization risks, even after adjusting for individual, agency, and community-level factors. In contrast, no significant association was found between neighborhood deprivation and infection hospitalizations in metropolitan areas, likely due to urban proximity to health resources and limitations in how deprivation is measured in urban contexts. The study highlights the need for targeted rural interventions, including improved telehealth, transportation, and support for the rural health care workforce to reduce preventable hospitalizations.
Sepsis and Septic Shock During Pregnancy and Postpartum
Melissa E Bauer, Luis D Pacheco Obstet Gynecol. 2025 Jun 26. doi: 10.1097/AOG.0000000000005991
Sepsis and septic shock are leading causes of maternal morbidity and mortality. Sepsis complicates an estimated 1 in 1,000 pregnancies and is responsible for 24% of in-hospital maternal deaths. Because most cases occur outside of the hospital, it is crucial to educate patients about warning signs to seek early medical care and for clinicians to engage in critical listening and evaluation of patient concerns. In the hospital, screening patients for vital sign aberrancy, followed by bedside and laboratory evaluation for signs of end-organ injury, prompt antibiotic therapy, and restoration of perfusion (through fluid resuscitation and vasopressor administration), is critical for optimal outcomes. Long-term sequelae are common and include psychological sequelae, cognitive dysfunction, and weakness. Screening for these long-term effects and referrals for treatment are key to patient recovery.
Outstanding Training/Educational Videos (Evolving)
- Sepsis 911 (courtesy of Sepsis Alliance)
- Sepsis Emergency (courtesy of Sepsis Alliance)
- Rory Staunton Story (courtesy of END SEPSIS-Rory Staunton Legacy)
- Sepsis A Hidden Crisis (courtesy of END SEPSIS-Rory Staunton Legacy)
Reports and Documents
- US CDC – Think Sepsis Time Matters (Sepsis as a Medical Emergency)
- NYS Department of Health - 2021 Report on Sepsis Care Improvement Initiative