TABLE 3.

Potential Roadblocks to Success

Domain	Illustrative Quotes
Failure to justify the need for a policy response	Mortality was high and the variation in care was significant and unexplained by…seemingly unexplained by patient differences. That made the ability to make the argument for the need for this a little bit easier than it might have been otherwise.—Policymaker
	This wasn’t about just reporting good numbers. It was actually about fixing the underlying system issues that prevented us from providing topnotch care to some patients with sepsis.—Clinician
Failure to synergize with existing federal sepsis policies	We’re looking at ways to align this with other requirements; the national requirements, and also just what makes sense for the day to day because the department as well as the clinicians don’t want nonvalue added busy work that’s not contributing to good outcomes for the patient, which is what this is all about.—Hospital Association Leader
	Sep One just requires that you report data, but they don’t require that you have a protocol in place in your hospital to help you identify patients with sepsis early, or protocols to manage patients with sepsis, or have a structured quality improvement process for sepsis in your hospital. And I think all of those are really key elements.—Clinician