We Believe We Can Do Better
Than CMS’ SEP-1 Guidelines. Here’s Why:
We are often asked how Rory’s Regulations, adopted in New York State to facilitate the rapid identification and treatment of sepsis, differ from the CMS sepsis regulations, known as SEP-1. Our answer is that the differences are major and important, leading us to believe that CMS’s guidelines are far from the best means of ensuring a positive outcome for sepsis patients.
Here are a few of the most important differences between Rory’s Regulations and the CMS guidelines:
- While Rory’s Regulations cover all patients suspected of having sepsis, including pediatric patients, CMS guidelines exclude many patient groups, including children and transfer patients
- Rory’s Regulations require all relevant hospital staff to be trained in sepsis diagnosis and treatment; CMS guidelines do not
- Rory’s Regulations require each hospital to develop a set of evidence-based written protocols overseen by the Chief Medical Officer; CMS guidelines do not
- While all hospitals in New York State are required to implement approved sepsis protocols, reviewed by the Department of Health, only 50% of hospitals use SEP-1.
Finally, it is important to note that while the SEP-1 and its impact remain controversial in hospitals, the data yielded thus far from Rory’s Regulations have clearly shown their effectiveness:
- In their first 30 months of implementation, sepsis protocols in New York State reduced the odds of dying for adult sepsis patients by 21%.
- Sepsis mortality for pediatric patients was reduced by 40% when protocols were correctly administered
We strongly recommend that states adopt the New York sepsis protocol model in which clear protocols are developed, hospitals are help accountable, and data is collected and analyzed to improve care and reduce sepsis mortality.