Developed by HCA Healthcare clinical
experts, data scientists and programmers, SPOT technology combines
data from 31 million annual patient care episodes with artificial
intelligence techniques
HCA Healthcare (NYSE: HCA), a leading healthcare provider with
185 hospitals and approximately 2,000 sites of care in 21 states
and the United Kingdom, today announced it has developed an
algorithm driven, real-time system to more quickly identify
patients with sepsis and help save lives. HCA Healthcare’s Sepsis
Prediction and Optimization of Therapy, or SPOT, technology so far
has been used with 2.5 million patients and, in conjunction with
the use of evidence-based clinical interventions, has helped save
an estimated 8,000 lives in the last five years.
Sepsis is an overwhelming infection that can lead to total body
failure, and approximately 270,000 Americans die from it each year,
making it more deadly than breast cancer, prostate cancer, and AIDS
combined, according to Sepsis Alliance. Additionally, it is the No.
1 cause of death in non-cardiac intensive care units in all
hospitals and the 11th leading cause of death overall in the U.S.
Because the symptoms of sepsis are similar to those of many other
illnesses, diagnosing it can be very challenging; however, studies
have shown with early recognition followed by aggressive treatment,
patient survival can increase significantly because sepsis
mortality increases by 4 to 7 percent every hour it goes
undetected.
“With sepsis, minutes matter, and just as we’ve improved safety
in our homes with smoke detectors that ‘sniff out’ possible fire,
HCA Healthcare’s SPOT technology now helps detect sepsis earlier,
accelerating treatment, improving the care provided to our patients
and thereby saving lives,” said Dr. Jonathan Perlin, HCA
Healthcare’s chief medical officer and president, clinical services
group.
HCA Healthcare’s SPOT, which uses the popular dog name because
it sniffs out sepsis in a way humans cannot, is an algorithm and
alert system for the early detection of sepsis. Created by HCA
Healthcare clinical and IT experts using data from millions of
hospitalizations, SPOT continuously monitors vital signs, lab
results, nursing reports and other data that can inform treatment,
and recognizes critical data points in patients’ electronic
health records. HCA Healthcare’s SPOT links algorithmic sepsis
detection with clinical workflow and quickly alerts care teams to
important, often subtle changes in a patient’s condition so they
can take appropriate action.
“If you or your loved one were in the hospital, what would you
want from the perfect clinician? You would want them focused on
you, and only you, 24 hours a day. You want them analyzing every
new piece of lab data when it is created, and you want them to
understand the implications of that data and the relationships
between the different pieces of data,” said Dr. Perlin. “SPOT is
designed to monitor available data every moment of every day, and
when combinations of lab data that are consistent with sepsis are
detected, the system responds by alerting clinicians so they can
more quickly intervene with potentially life-saving treatment for
you or your loved one.”
Because HCA Healthcare’s SPOT algorithm was informed by data
from 31 million annual patient care episodes, it is highly
sensitive and precise. It detects signs of potential sepsis humans
cannot see, while excluding instances when humans inaccurately
suspect sepsis.
“Studies about sepsis show that the sooner we can act,
and act effectively, the more likely the patient is to survive.
SPOT is a technology and workflow that helps us
catch sepsis early and more likely prevent catastrophe,” said
Dr. Michael Nottidge, critical care medical
director at HCA Healthcare’s TriStar Centennial Medical
Center. “SPOT does not make decisions, but it monitors
in the background and brings vital, accurate and up-to-date
information to the people who do make decisions.”
Sabrina Burkdoll, a registered nurse with HCA Healthcare’s
Menorah Medical Center in Overland Park, Kansas, experienced the
benefits of SPOT firsthand during a recent bout with pneumonia.
After two days at home on antibiotics, Burkdoll was getting worse,
not better, and came to the Menorah ER with shortness of breath and
a fever. ER staff diagnosed her with sepsis and began treating her
and monitoring her, while starting the process of admitting her;
however, before she was moved to an inpatient room, SPOT detected
that the sepsis had quickly progressed to septic shock, a dangerous
condition that can lead to organ failure and death. SPOT alerted
the care team who confirmed this and took quick action. Burkdoll
would stay in the hospital for three days, but the timely SPOT
alert helped Menorah caregivers effectively treat her condition and
prevent a transfer to the ICU.
“As a nurse, I understand sepsis, but as a patient I didn’t
fully realize what was happening to me and how dire the situation
had become,” said Burkdoll. “I am so grateful for the quick
response, because without it, I’m not sure I would have survived.
Speaking from personal experience, SPOT is a life-saving tool, and
I know our patients are in better hands because we have it.”
SPOT is the first of many initiatives across HCA Healthcare to
leverage data at-scale and in real-time to drive both discovery and
improvement as a natural outgrowth of patient care. HCA
Healthcare’s clinical and data science teams expect to
continue to improve the algorithm, combining real-world experiences
and outcomes with techniques of machine learning and artificial
intelligence to enhance clinical effectiveness. Building upon the
SPOT technology employed in the inpatient setting, HCA Healthcare
is developing “SPOT-ER,” which HCA plans to begin deploying in
emergency rooms this year. HCA Healthcare also has plans to use
machine learning to more quickly detect other critical or
life-threatening conditions such as shock in trauma patients,
post-operative complications, and early signs of deterioration in
all patients. The opportunity to improve care through clinical
informatics and machine learning is substantial, and HCA Healthcare
is leveraging its scale to do so.
HCA Healthcare is a learning health system that uses the
significant data it collects from approximately 31 million annual
patient care episodes to inform and improve the care it provides to
patients. HCA Healthcare’s national clinical data warehouse, which
receives information from the electronic health record, is the
heart of HCA’s data ecosystem, providing the ability to aggregate
and analyze data streams in real time and feed tools like SPOT
that, in turn, provide actionable information to caregivers.
This information architecture also supports HCA Healthcare’s
efforts to drive continuous learning and improvement, and was the
basis for the renowned REDUCE MRSA trial, a three-arm, comparative
effectiveness study involving 43 cluster-randomized hospitals and
nearly 75,000 patients. In just 18 months, the study demonstrated a
44 percent all-cause reduction of potentially life-threatening
bloodstream infections among intensive care unit patients by
employing a “universal decolonization” strategy. The learning model
also underpins a recent study, known as the ABATE Infection (Active
BAThing to Eliminate infection) Trial, conducted exclusively at HCA
Healthcare hospitals. The study found an antiseptic wash achieved a
31 percent reduction in bloodstream infections and nearly a 40
percent reduction in antibiotic-resistant bacteria among non-ICU
patients with central line catheters and lumbar drains. The Centers
for Disease Control was engaged in both REDUCE MRSA and ABATE, and
universal decolonization in the ICU is now recognized worldwide as
a best practice.
About HCA Healthcare
Nashville-based HCA Healthcare is one of the nation's leading
providers of healthcare services, comprising 185 hospitals and
approximately 2,000 sites of care, including surgery centers,
freestanding ERs, urgent care centers, and physician clinics, in 21
states and the United Kingdom. With its founding in 1968, HCA
Healthcare created a new model for hospital care in the United
States, using combined resources to strengthen hospitals, deliver
patient-focused care and improve the practice of medicine. HCA
Healthcare has conducted a number of clinical studies, including
one that demonstrated that full-term delivery is healthier than
early elective delivery of babies and another that identified a
clinical protocol that can reduce bloodstream infections in ICU
patients by 44 percent. HCA Healthcare is a learning health system
that uses its more than 31 million annual patient encounters to
advance science, improve patient care and save lives. Please click
here to connect with HCA Healthcare on social media.
All references to “Company,” “HCA” and “HCA
Healthcare” as used throughout this document refer to HCA
Healthcare, Inc. and its affiliates.
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