Goshen Health Hospital (GHH) thrives on the values of innovation and community; it is the winner of six Summit Awards for patient satisfaction, and proudly bears a MAGNET designation. The staff at this non-profit, locally owned hospital focuses on compassion and excellence. This community hospital is also home to a Cancer Care center that is nationally recognized for innovative, patient centered treatment. In line with its renown for innovation, GHH searched for ways to improve sepsis-related outcomes, leading GHH to implement InSight house-wide. Prior to the implementation of InSight, GHH clinicians relied on manual screening with SIRS criteria for identifying sepsis. With InSight, GHH clinicians receive automated and advanced notification of sepsis, allowing for greater treatment time. Alongside the Dascena onboarding team, GHH officials designated respondents of telephonic notification and outlined unit-specific escalation processes. InSight helped increase the already high quality of care in GHH by integrating with clinical workflow and enabling earlier and more accurate sepsis diagnosis.
With the implementation of InSight, GHH has been able to make significant improvements in patient outcomes. The outcomes in a baseline period (March 20-April 20, 2018, n=134) were calculated and compared against the outcomes after implementation, training and education (April 20-June 15, 2018, n=308). There was a 45.5% reduction in sepsis-related mortality from a pre-implementation value of 5.97% to a post-implementation value of 3.25%. Compared to the baseline, the length of stay decreased by 20.3% from 5.11 days (pre-implementation) to 4.14 days (post-implementation).