Sepsis Recovery Beyond the Hospital & Excellence in Sepsis Care: NGHS Sepsis Navigation Program

Session Descriptions: 

This activity includes two sessions from the Sepsis Alliance Summit to meet the minimum time requirement for nursing CE credits.

Sepsis Recovery Beyond the Hospital

Many individuals fully recover from sepsis, while many others are left with long-lasting effects, such as amputations or organ dysfunction, like kidney failure. Other after-effects of sepsis are less obvious, such as memory loss, anxiety, or depression. About one-third of all sepsis survivors, and more than 40% of older sepsis survivors have another hospitalization within three months of the initial sepsis episode. The panelist for this session will discuss how hospitals and home care agencies can work together with patients and families in a Critical Illness Recovery Program model that integrates the care and care team in a coordinated service plan from the hospital stay through recovery at home. The model presents a prototype to address sepsis in an integrated inpatient-homecare based design, well positioned for Post Intensive Care Syndrome (PICS), Post-Sepsis Syndrome (PSS), improved transitions of care, and prevention of unnecessary readmission or discharge to LTC or SNF.  

Excellence in Sepsis Care: NGHS Sepsis Navigation Program

This presentation provides an outline of Northeast Georgia Health System’s journey to expand their sepsis program from coordination of sepsis care through a sepsis coordinator into a sepsis navigation department with RN Sepsis Navigators. The presentation will detail the cause for change that prompted a collaboration between Northeast Georgia Medical Center and Northeast Georgia Health System Foundation to fund and operationalize a population health approach to sepsis care in northeast Georgia. The presentation will share the vision and plan for this program and provide preliminary results of their Acute Care Sepsis eAlert Team. The presentation will also provide details on their next steps to expand this sepsis navigation to the pre-hospital and post-acute care entities in order to tackle sepsis through a population health paradigm.  

These sessions were originally presented in September 2021 as part of the 2021 Sepsis Alliance Summit.

Target Audience

Nurses, Advanced Practice Providers, Physicians, Emergency Responders, Pharmacists, Medical Technologists, Respiratory Therapists, Physical/ Occupational Therapist, Social Workers, Mental Health Professionals, Students, IT Professionals, Sepsis Survivors, Advocates, and more! 

Learning Objectives

At the end of this course, the learner should be able to: 

Sepsis Recovery Beyond the Hospital

  • Understand importance of optimizing sepsis care coordination with inpatient critical care, and post-sepsis care coordination beyond the hospital in collaboration with home care.
  • List ways to increase in-home care capabilities and avoid referral and discharges to LTC/SNF.
  • Describe key components to a successful discharge and transition to home. 
  • Review the benefits of post-discharge remote monitoring.

Excellence in Sepsis Care: NGHS Sepsis Navigation Program

  • Describe the cause for change in conceptualizing sepsis care from a population health perspective.
  • Understand the role of sepsis navigation in all healthcare settings including acute care, pre-hospital, and post-acute care.
  • Describe the impact of an acute care Sepsis eAlert Team on patient outcomes. 
Course summary
Available credit: 
  • 1.75 Participation
  • 2.20 RN CE Contact Hours
    Provider approved by the California Board of Registered Nursing, Provider Number CEP17068.
Course opens: 
Course expires: 

Sepsis Recovery Beyond the Hospital

Al Cardillo, LMSW

President and CEO, Home Care Association of New York State

Al Cardillo has worked in health service development, administration, legislation, budget, policy, health association management, and education. He is President and CEO of the Home Care Association of NYS (HCA), comprised of 300+ home and community-based care organizations serving several hundred thousand patients. HCA’s mission is to promote the quality and accessibility of health care and support at home. He previously was: Executive Director for Health in the NYS Senate, directing the Senate Health Committee in all health areas, as well as the Council on Health Care Financing in hospital and health financing; Coordinator for Long Term Care in the Senate; and Program Specialist for the NYS Division of Medical Assistance. He serves on numerous committees, including the Sepsis Alliance Advisory Board. He teaches Public Health at the Albany College of Pharmacy and Health Sciences, and Social Work at the U-Albany. He holds an MSW in Direct Practice and is a NYS licensed practitioner. 

Thomas V. Caprio, MD, MPH, MS 

Chief Medical Officer, University of Rochester Medical Center Medical Home Care

Dr. Thomas Caprio is Professor of Medicine, Geriatrics, Psychiatry, Dentistry, Clinical Nursing, and Public Health Sciences at the University of Rochester (UR) Medical Center in Rochester, New York. He is the Chief Medical Officer for UR Medicine Home Care and the Medical Director for the UR Medicine Hospice.  Dr. Caprio is the director of the Finger Lakes Geriatric Education Center at the University of Rochester in which he oversees the federally funded Geriatric Workforce Enhancement Program funded by the federal Health Resources and Services Administration.  This program provides education and training related to geriatrics, palliative care, and dementia care for health care professionals and family caregivers.  He is the Past-President of the National Association of Geriatric Education Centers, Past-President of the National Association for Geriatric Education, as well as the Past-President of the State Society on Aging of New York.  Dr. Caprio received his medical degree from the State University of New York at Buffalo, completed residency, fellowship, and post-doctoral studies at the University of Rochester, and earned both a Master of Public Health and a Master’s in Health Professions Education from the University of Rochester.  He is a fellow of the American College of Physicians, Fellow of the American Geriatrics Society and Fellow of the American Academy of Hospice and Palliative Medicine. 

Stephanie Chalupa BSN, RN

Sr. Director of CHHA Operations, University of Rochester Medical Center Medical Home Care

Stephanie Chalupa, BSN, RN is Senior Director of the Certified Home Health Agency (CHHA) at UR Medicine Home Care (URMHC) which provides skilled home care services in seven counties across the Finger Lakes Region. She has broad home health care knowledge from her years of experience as a field clinician, clinical manager, and most recently, Director of Patient Services for the CHHA at URMHC.  She has a bachelor’s degree in nursing from the University of Rochester, a bachelor’s degree in economics from Concordia University in Montreal, Quebec, and will complete her graduate studies in Leadership in Healthcare Systems at the UR School of Nursing in August 2021.  In her role at URMHC, she strives to enhance her knowledge and skills to help facilitate the provision of quality patient care across the continuum of care.  She is responsible for directing the overall functions of all interdisciplinary teams and for the overall operations, financial and quality outcomes of all certified agency services within URMHC.  

Kristi Filmore, MS, RN, ACNP-BC

Senior Performance Improvement Coach, University of Rochester Medicine

Kristi Filmore is a Senior Performance Improvement Coach at the University of Rochester Medical Center. She engages with teams across the Medical Center, using improvement science methodologies to drive positive, measurable, and sustainable changes impacting both patients and staff. She has worked in the hospital and home as a registered nurse and in the outpatient setting as a nurse practitioner. 

Anthony P. Pietropaoli, MD, MPH

Professor of Medicine, University of Rochester Medical Center

Dr. Anthony Pietropaoli was born and raised in Rochester, NY. He graduated from the College of the Holy Cross with a B.A. degree, majoring in English & Pre-medical studies. He attended Upstate Medical University and then moved to Pittsburgh for internship, residency, and chief residency in Internal Medicine. Dr. Pietropaoli spent two years practicing General Internal Medicine before making the decision to specialize in Pulmonary & Critical Care Medicine. He completed this fellowship at the University of Rochester in 1999, joining the faculty thereafter. He has served in a number of roles in the division and medical center, currently directing the Medical Intensive Care Unit, the Respiratory Therapy Department, and the Pulmonary Rehabilitation Program. His clinical and research interests are centered on critical illness, sepsis, and acute respiratory distress syndrome. 

Excellence in Sepsis Care: NGHS Sepsis Navigation Program

Carol Ann Gelderman, MS, BSN, RN, PMP

Sepsis Nurse Manager, Northeast Georgia Health System

Carol Ann currently serves as the Sepsis Nurse Manager for Northeast Georgia Health System, a 4-campus not-for-profit community hospital system. She attended the State University College at Plattsburgh where she obtained her Bachelor of Arts and then attended the University of Georgia where she obtained her Master of Science degree. She received her Bachelor of Science in Nursing at Brenau University. She currently holds a Six Sigma Green Belt and Project Management certification. Carol Ann began her career at Northeast Georgia Health Systems as an Oncology Research Nurse participating in Phase II and III clinical trials. She expanded her experience by transitioning to a Quality Safety Coordinator role for the system where she spearheaded the opening of a new hospital campus in April 2015 with concentration in quality, safety, and goal deployment. After the loss of her 20-year-old daughter to sepsis, she transitioned to the system’s Sepsis Coordinator where she led the development of the system’s sepsis initiatives across the pre-hospital, acute care, and post-acute care settings. In 2020, she proposed and obtained funding for a sepsis navigation program to provide 24-hour, 7-day a week concurrent cross-check of emergency department and hospitalized patients in their system identified as high risk of developing sepsis. The navigation program serves as a support of the primary care teams concurrently and provides feedback on opportunities for best practice care of the patients. She has also spearheaded the adoption of a predictive analytics program to ensure patients are identified early in the disease progression where outcomes can be affected. The Sepsis Navigation program expanded in 2021 to include an outpatient component to support sepsis patients after discharge with extensive education, follow-up calls, and coordination of services with the next level of care. Next year, she will lead the expansion of the navigation program to include support of patients in the pre-hospital setting. 

Riyadh Al-Rubaye, MD

Academic Hospitalist, Northeast Georgia Medical Center

Dr. Riyadh Al-Rubaye is a provider with Northeast Georgia Physicians Group specializing in Hospital Medicine. He earned his medical degree from the University of Baghdad College of Medicine. Dr. Al-Rubaye is board certified in Internal Medicine and Nephrology and completed his fellowship at Emory University.  He is currently a faculty physician in the internal medicine residency program in Northeast Georgia Medical Center. 

Provider approved by the California Board of Registered Nursing, Provider Number CEP17068 for 2.2 contact hours.

Other healthcare providers will receive a certificate of attendance for 1.75 contact hours.

Medical Disclaimer

The information on or available through this site is intended for educational purposes only. Sepsis Alliance does not represent or guarantee that information on or available through this site is applicable to any specific patient’s care or treatment. The educational content on or available through this site does not constitute medical advice from a physician and is not to be used as a substitute for treatment or advice from a practicing physician or other healthcare provider. Sepsis Alliance recommends users consult their physician or healthcare provider regarding any questions about whether the information on or available through this site might apply to their individual treatment or care.

Available Credit

  • 1.75 Participation
  • 2.20 RN CE Contact Hours
    Provider approved by the California Board of Registered Nursing, Provider Number CEP17068.
Please login or register to take this course.

This activity includes the following for each session:

  • Pre-test
  • Slides to download
  • Pre-recorded webinar
  • Post-test
  • Evaluation

All components must be completed for each session to earn a certificate of attendance. This course can be completed at your convenience.