State regulations tied to reduced sepsis mortality in New York

The success of New Yorks mandate for protocolized sepsis care offers a nuanced lesson for other states considering similar regulations. New research published in JAMA finds New York State’s implementation of sepsis regulations in 2013 produced sepsis mortality rates significantly lower than those found in four states that did not implement regulations. Unadjusted 30-day in-hospital mortality rates in New York dropped from 26.3% before the regulations to 22% after the regulations. Those results add up a win for New York policymakers, according to study author Jeremy Kahn, M.D., M.S., professor of critical care medicine and health policy and management at the University of Pittsburgh. In terms of what guidance New York’s results offer for the dozen or so other states considering similar regulations, however, the lesson is not so straightforward. “I think this is both reassuring for other states in that they might say, 'Okay, let’s give this a shot.' But at the same time there are some cautionary notes because New York is just a bit of a different animal than other states,” Kahn told FierceHealthcare. The main reasons results might not be guaranteed in other states fall into two broad categories. First, mortality rates in New York were already higher than most other states, so part of the program’s success could have been related to how far hospitals had to go. For states with low mortality or engaged hospitals, Kahn said such policies may not necessarily move the needle as significantly.

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Keystone Healthcare Partners Establishes Partnership with Trinity Medical to Expand Emergency Medicine Footprint into Louisiana

Keystone Healthcare Partners | February 05, 2024

Keystone Healthcare Partners a leading provider of emergency medicine, hospital medicine, critical care medicine, and telehealth staffing and management services, as well as revenue cycle management, recently announced that it has formed a partnership with Trinity Medical in Ferriday, Louisiana. Keystone's delivery of emergency medicine services at Trinity Medical will commence on February 1, 2024. This contract represents an exciting expansion of Keystone's regional influence into Louisiana; the company has managed contracts in Mississippi for decades. Glenn Adams, Keystone's CEO & Co-founder, notes, "We are excited to kick off another partnership with a client where we see opportunity for real impact. We've hit the ground running to shore up areas of frustration for the client and bring value-add and innovative solutions, such as Keystone Connect AI technology to the emergency medicine program." While the healthcare landscape has been challenging for rural and critical access hospitals, the two entities share a patient-centered ethos that will be paramount to the partnership. The two entities share a community- and patient-focus that is embodied by Trinity's motto, "People you know, caring for people you love." "We are very excited to start our partnership with Keystone Healthcare," states Keisha Smith, CEO of Trinity. "My goal for Trinity Medical has always been to provide our patients with the best healthcare and customer service possible in the Miss-Lou area. We feel that Keystone shares the same goals that we have and will be a true asset to our hospital. Henry Ford stated, 'Coming together is a beginning, staying together is progress, and working together is success.' We are looking forward to a long lasting, successful partnership with Keystone Healthcare." Trinity Medical, a 23-bed licensed facility, continues to grow and upgrade their services and facilities in addition to recruiting physicians to meet the growing needs of their expanding community. About Keystone Healthcare Keystone Healthcare™ is a leading provider of Emergency Medicine, Hospital Medicine, Critical Care Medicine and Telehealth clinical management services and staffing solutions for hospitals. We efficiently deliver high-quality, patient-centered care through strong physician leadership and involved management that drive our innovative and integrated business model. About Trinity Medical Trinity Medical is operated by Concordia Parish Hospital Service District No. 1. Trinity Medical, formerly Riverland Medical Center, opened in 1964 as Concordia Parish Hospital and has continuously served the residents of the area for more than 55 years. In addition to emergency and acute care, Trinity Medical offers surgical services, diagnostic imaging, infusion center, cardio-respiratory care, gastroenterology, lab services, otolaryngology, urology, and an in-hospital rehabilitation service as well as an extensive range of out-patient services, both diagnostic and for treatment.

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