Table 1.
Summary of Select Capabilities and Characteristics of Facilities and Patient Access to these Characteristics
| Facilities (n=114) | Patients (n=150,485) | Transferred Patients (n=30,637) | ||||
|---|---|---|---|---|---|---|
| Capabilities and Characteristics | N | % | N | % | N | % |
| On-Site Physician | 77 | 67.5 | 142,544 | 94.5 | 24,790 | 80.9 |
| Mid-level Provider on-site 24 hours | 28 | 24.6 | 6,701 | 4.4 | 4,776 | 15.6 |
| ICU Capabilities* | ||||||
| Level 2 | 22 | 19.3 | 111,112 | 73.7 | 9,755 | 31.8 |
| Level 2 Modified | 32 | 28.1 | 119,598 | 79.3 | 11,746 | 38.3 |
| Level 3 | 40 | 35.1 | 128,776 | 85.4 | 15,117 | 49.3 |
| Dedicated Critical Care Physicians | 28 | 24.6 | 112,651 | 74.7 | 10,443 | 34.1 |
| Critical Care Physicians Accessible 24 hrs | 41 | 36.0 | 121,318 | 80.4 | 12,967 | 42.3 |
| Telemedicine Services Access (any) | 82 | 71.9 | 127,193 | 84.3 | 21,970 | 71.7 |
| Critical Care | 13 | 11.4 | 4,976 | 3.3 | 1,632 | 5.3 |
| Emergency Medicine | 21 | 18.4 | 3,606 | 2.4 | 2,505 | 8.2 |
| Pharmacist Capabilities | ||||||
| Pharmacist Onsite 24/7 | 21 | 18.4 | 104,096 | 69.0 | 8,962 | 29.3 |
| Pharmacist On-Call/Tele-Pharmacy | 78 | 68.4 | 36,914 | 24.5 | 18,253 | 59.6 |
| No Pharmacist Onsite nor On-Call 24/7 | 14 | 12.3 | 9,725 | 6.4 | 3,344 | 10.9 |
| Medicare Class | ||||||
| Critical Access Hospital | 79 | 69.3 | 23,935 | 15.9 | 17,448 | 57.0 |
| Rural Referral | 6 | 5.3 | 19,626 | 13.0 | 3,018 | 9.9 |
| Rural | 7 | 6.1 | 4,900 | 3.2 | 1,765 | 5.8 |
| Urban | 22 | 19.3 | 102,384 | 67.9 | 8,406 | 27.4 |
| Managing Patient on Mechanical Ventilator (>24 hrs) | 59 | 51.8 | 135,265 | 89.7 | 19,457 | 63.5 |
| Administering Vasopressor Therapy (>24 hrs) | 82 | 71.9 | 140,311 | 93.0 | 22,780 | 74.4 |
| Performing Hemodialysis | 26 | 22.8 | 115,873 | 76.8 | 10,871 | 35.5 |
| Placing Central Lines | 98 | 86.0 | 147,659 | 97.9 | 28,201 | 92.0 |
| Use of Continuous Capnography while Monitoring Intubated Patients | 110 | 96.5 | 145,442 | 96.4 | 29,372 | 95.9 |
| Use of Capnography During Procedural Sedation in the ED | 84 | 73.7 | 135,055 | 89.5 | 23,571 | 76.9 |
| Facility’s Institutional Protocol and Quality Improvement | ||||||
| Facility Implements a Specific Sepsis Protocol, CarePlan, or Order Set | 101 | 88.6 | 147,674 | 97.9 | 28,488 | 93.0 |
| Facility Participates in a Sepsis-Specific Quality Improvement Initiative | 98 | 86.0 | 147,046 | 97.5 | 28,101 | 91.7 |
| Track Adherence with Sepsis Bundlesor Track Sepsis Outcomes | 94 | 82.5 | 145,761 | 96.6 | 27,091 | 88.4 |
| Facility Implements a Sepsis Screening Algorithm | 96 | 84.2 | 138,651 | 91.9 | 26,384 | 86.1 |
| Standardized Criteria Written or Unwritten in Place for Transferring Patients with Sepsis | 50 | 43.9 | 32,244 | 21.4 | 11,445 | 37.4 |
| Specific Arrangements for Transferring Patients with Sepsis to a Specific Hospital for Further Care | 9 | 7.9 | 5,773 | 3.8 | 2,164 | 7.1 |
*
ICU level indicates having at least these capabilities. For example, all facilities indicating an ICU, that have a physician on site 24 hours, and are capable of placing central lines are identified as Level 3 capable.