{"id":86,"date":"2019-09-19T18:52:00","date_gmt":"2019-09-19T18:52:00","guid":{"rendered":"http:\/\/deepdive.tips\/?p=86"},"modified":"2019-12-27T18:10:44","modified_gmt":"2019-12-27T18:10:44","slug":"redefining-sepsis-michael-ackerman","status":"publish","type":"post","link":"https:\/\/deepdive.tips\/index.php\/2019\/09\/19\/redefining-sepsis-michael-ackerman\/","title":{"rendered":"Redefining Sepsis | Michael Ackerman"},"content":{"rendered":"\n<h1 class=\"wp-block-heading\">Redefining Sepsis&nbsp;<\/h1>\n\n\n\n<p>Sepsis is not an infection. Rather, it\u2019s your bodies overwhelming reaction to an infection and can lead to some serious health issues. In fact, sepsis is the #1 cause of death for patients in hospitals.<\/p>\n\n\n\n<p>Sepsis definitions and protocols have been around for some time, but have been undergoing major changes. Additionally, sepsis is under scrutiny from CMS at the federal level and is subject to public reporting in many states. All of this, plus the importance of quickly diagnosing and treating the condition puts clinicians in a difficult spot. Many times they\u2019ll find themselves treating to the protocol, even when their clinical instincts suggest something else.<\/p>\n\n\n\n<p>In that regard, sepsis proves to be a very instructive topic in our never-ending quest to unravel the business of healthcare.<\/p>\n\n\n\n<p>On this episode, we\u2019ll talk with Michael Ackerman who\u2019s an Acute Care Nurse Practitioner and an Associate Director and Professor at Niagara University School of Nursing. Michael is an expert on the topic who speaks on it across the country. He\u2019ll help us understand what we\u2019re up against and why it\u2019s so complicated from both a clinical and administrative standpoint. We discuss:<\/p>\n\n\n\n<ol class=\"wp-block-list\"><li>What is sepsis?<\/li><li>How is sepsis diagnosed?<\/li><li>Why it\u2019s so important to diagnose and treat quickly.<\/li><li>Why protocols and definitions continue to change.<\/li><li>How new definitions of sepsis seem to be at odds with public reporting.<\/li><li>How this impacts the clinicians and their ability to treat.<\/li><li>How public reporting and media impact the approach.<\/li><li>How proper identification and treatment impact healthcare costs.<\/li><li>Why we need to focus on quality, but can\u2019t ignore the patient experience, the costs of care or the value that you bring to that care.<\/li><li>What it all means to the patient and how we can protect ourselves.<\/li><li>Why hospital administrators need to take the long-view.<\/li><li>How a Sepsis-team can drive tremendous value to the hospital.<\/li><li>The importance of incorporating new technology.<\/li><\/ol>\n\n\n\n<p><\/p>\n\n\n\n<p>Listen wherever you get your podcasts:<\/p>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter\"><a href=\"http:\/\/bit.ly\/TIPSDeepDive\" target=\"_blank\" rel=\"noreferrer noopener\"><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"80\" src=\"http:\/\/deepdive.tips\/wp-content\/uploads\/2019\/09\/Listen-on-Apple-Podcasts-Badge-300x80.png\" alt=\"\" class=\"wp-image-60\"\/><\/a><\/figure><\/div>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter\"><a href=\"http:\/\/bit.ly\/TIPSonGooglePodcasts\" target=\"_blank\" rel=\"noreferrer noopener\"><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"76\" src=\"http:\/\/deepdive.tips\/wp-content\/uploads\/2019\/09\/google_podcasts_badge@8x.png\" alt=\"\" class=\"wp-image-59\"\/><\/a><\/figure><\/div>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter is-resized\"><a href=\"http:\/\/bit.ly\/TIPSonStitcher\" target=\"_blank\" rel=\"noreferrer noopener\"><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/deepdive.tips\/wp-content\/uploads\/2019\/09\/Button-Stitcher-Shine.png\" alt=\"\" class=\"wp-image-62\" width=\"301\" height=\"91\" srcset=\"https:\/\/deepdive.tips\/wp-content\/uploads\/2019\/09\/Button-Stitcher-Shine.png 558w, https:\/\/deepdive.tips\/wp-content\/uploads\/2019\/09\/Button-Stitcher-Shine-300x90.png 300w\" sizes=\"auto, (max-width: 301px) 100vw, 301px\" \/><\/a><\/figure><\/div>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter is-resized\"><a href=\"http:\/\/bit.ly\/TIPSonSpotify\" target=\"_blank\" rel=\"noreferrer noopener\"><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/deepdive.tips\/wp-content\/uploads\/2019\/09\/spotify-1024x307.png\" alt=\"\" class=\"wp-image-61\" width=\"302\" height=\"90\" srcset=\"https:\/\/deepdive.tips\/wp-content\/uploads\/2019\/09\/spotify-1024x307.png 1024w, https:\/\/deepdive.tips\/wp-content\/uploads\/2019\/09\/spotify-300x90.png 300w, https:\/\/deepdive.tips\/wp-content\/uploads\/2019\/09\/spotify-768x230.png 768w\" sizes=\"auto, (max-width: 302px) 100vw, 302px\" \/><\/a><\/figure><\/div>\n\n\n\n<p>or, listen right here:<\/p>\n\n\n\n<iframe loading=\"lazy\" style=\"border: none\" src=\"\/\/html5-player.libsyn.com\/embed\/episode\/id\/11613419\/height\/90\/theme\/custom\/thumbnail\/yes\/direction\/forward\/render-playlist\/no\/custom-color\/30455c\/\" height=\"90\" width=\"100%\" scrolling=\"no\"  allowfullscreen webkitallowfullscreen mozallowfullscreen oallowfullscreen msallowfullscreen><\/iframe>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Michael Ackerman\u2019s Background:<\/strong><\/h2>\n\n\n\n<p>Michael (Mike) Ackerman has held just about every role nurse could; from Candy Striper to Senior Director.&nbsp;His entire career has been in the critical care arena from staff nurse, nurse manager, clinical nurse specialist, nurse practitioner and most recently senior director of nursing.&nbsp; He has over 50 publications as well as several funded studies.<\/p>\n\n\n\n<p>In addition, he has held leadership roles in academia. Mike has a passion for critical care nursing. This is evident in his much sought after presentations on a variety of critical care topics. He also has a passion for the \u201cCrucial Conversations\u201d program which he has implemented in two of his recent institutions. This implementation has been a catalyst in much of Mike\u2019s work in the area of culture change.<\/p>\n\n\n\n<p>Mike is a skilled clinician, avid researcher, motivational speaker and caring leader. Leading from the bedside has been a consistent theme in Mike\u2019s career.<\/p>\n\n\n\n<p>Check out Mike\u2019s facebook group:&nbsp;<a href=\"https:\/\/www.facebook.com\/groups\/stopthesilenceinhealthcare\/\" target=\"_blank\" rel=\"noreferrer noopener\">Stop the Silence in Healthcare&nbsp;<\/a>and learn more about him here:&nbsp;<a href=\"http:\/\/www.ackermanhealthcareconsulting.com\/\" target=\"_blank\" rel=\"noreferrer noopener\">www.ackermanhealthcareconsulting.com<\/a><\/p>\n\n\n\n<hr class=\"wp-block-separator\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">Mentioned on the Show<\/h2>\n\n\n\n<p>Mike mentioned a book on the episode&nbsp;called&nbsp;<a href=\"https:\/\/www.amazon.com\/gp\/product\/B008IT7WH4\/ref=as_li_tl?ie=UTF8&amp;tag=hcbiz-20&amp;camp=1789&amp;creative=9325&amp;linkCode=as2&amp;creativeASIN=B008IT7WH4&amp;linkId=aebc1409058ea8489a50e73b90ae5e6b\" target=\"_blank\" rel=\"noreferrer noopener\">Take this Book to the Hospital With You<\/a>. It\u2019s a consumer guide to surviving your hospital stay. I\u2019ve never read that one, but I\u2019m currently reading&nbsp;<a href=\"https:\/\/www.amazon.com\/gp\/product\/1936303310\/ref=as_li_tl?ie=UTF8&amp;tag=hcbiz-20&amp;camp=1789&amp;creative=9325&amp;linkCode=as2&amp;creativeASIN=1936303310&amp;linkId=e2e1d94fa12d93364ca34a006a64a853\" target=\"_blank\" rel=\"noreferrer noopener\">The Patient Survival Guide: 8 simple solutions to prevent hospital and healthcare-associated infections<\/a>&nbsp;by a friend of the show Dr. Maryanne McGuckin and Toni L. Goldfarb.<\/p>\n\n\n\n<p><a href=\"http:\/\/www.npr.org\/sections\/health-shots\/2017\/03\/23\/521096488\/doctor-turns-up-possible-treatment-for-deadly-sepsis\" target=\"_blank\" rel=\"noreferrer noopener\">Doctor Turns Up Possible Treatment For Deadly Sepsis&nbsp;<\/a>\u2013 Dr. Paul Marik uses Vitamin C to treat Sepsis cases with great success.<\/p>\n\n\n\n<p><a href=\"http:\/\/www.sepsis.org\/\" target=\"_blank\" rel=\"noreferrer noopener\">Sepsis Alliance<\/a>&nbsp;\u2013 On a mission to save lives and reduce suffering by raising awareness of Sepsis as a medical emergency.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Sepsis definitions and protocols have been around for some time, but have been undergoing major changes. Additionally, sepsis is under scrutiny from CMS at the federal level and is subject to public reporting in many states. All of this, plus the importance of quickly diagnosing and treating the condition puts clinicians in a difficult spot. Many times they\u2019ll find themselves treating to the protocol, even when their clinical instincts suggest something else.<\/p>\n","protected":false},"author":2,"featured_media":87,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"episode_type":"","audio_file":"","cover_image":"","cover_image_id":"","duration":"","filesize":"","date_recorded":"","explicit":"","block":"","filesize_raw":"","footnotes":""},"categories":[5],"tags":[],"class_list":["post-86","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-diseases-conditions"],"_links":{"self":[{"href":"https:\/\/deepdive.tips\/index.php\/wp-json\/wp\/v2\/posts\/86","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/deepdive.tips\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/deepdive.tips\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/deepdive.tips\/index.php\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/deepdive.tips\/index.php\/wp-json\/wp\/v2\/comments?post=86"}],"version-history":[{"count":3,"href":"https:\/\/deepdive.tips\/index.php\/wp-json\/wp\/v2\/posts\/86\/revisions"}],"predecessor-version":[{"id":146,"href":"https:\/\/deepdive.tips\/index.php\/wp-json\/wp\/v2\/posts\/86\/revisions\/146"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/deepdive.tips\/index.php\/wp-json\/wp\/v2\/media\/87"}],"wp:attachment":[{"href":"https:\/\/deepdive.tips\/index.php\/wp-json\/wp\/v2\/media?parent=86"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/deepdive.tips\/index.php\/wp-json\/wp\/v2\/categories?post=86"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/deepdive.tips\/index.php\/wp-json\/wp\/v2\/tags?post=86"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}