Sepsis Rural Emergency Quality Series

As the U.S. healthcare system moves towards value-based payment reform, hospitals and physicians are working to prepare themselves for the increased emphasis on linking payment to quality measures. This is uniquely challenging for rural hospitals and rural emergency departments who operate in low-resource settings.

In alliance with ACEP, the Emergency Quality Network (E-QUAL) was formed through support from the Center of Medicare and Medicaid Innovation.

E-QUAL will help your rural ED meet the quality requirements of MIPS and allow you to improve your Medicare payments.

Dr. Margaret Greenwood-Ericksen, an EM rural health researcher, has collaborated with E-QUAL to create a rural-ED specific initiative called the Rural Emergency Quality Series (REQS). We know that QI projects look different at rural EDs, when compared to urban, academic centers - and we want to help you address these unique challenges.

The REQS is a series of webinars that go hand-in-hand with the E-QUAL collaboratives - there will be one for Sepsis, one for Chest Pain and one for Avoidable Imaging. The REQS house the Rural Toolkits. which are combination of Webinars and Ready-To-Use Tools to help you more easily implement QI projects in rural EDs. Each REQS will feature a rural experts and a rural ED - or rural academic center of excellence (ACE) - who has already successfully implemented a QI project on these topics.

Interested in partnering with the Rural E-QUAL initiative?
Please contact Dr. Margaret Greenwood-Ericksen (


Rural Emergency Quality Series: Sepsis Toolkit

Webinar 1: "Welcome to REQS"
Our first webinar reviews EQUAL, outlines the rural sepsis toolkit, and introduces our ACE - Tsehootsooi Medical Center in Fort Defiance, Arizona.

Listen to Webinar


Webinar 2: "Foundations for Rural Sepsis QI"
Our second webinar discusses the implementation and initiation of a rural sepsis QI initiative for your rural ED. We hear from our ACE about their process and lessons they learned along the way.

This webinar includes several ready-to-use tools for your rural sepsis QI project:

  1. "Introduction to E-QUAL" - presentation for your staff, explaining EQUAL and sepsis QI
  2. "One-pager Kick-off" - document that can be circulated to your c-suite and community, explaining your efforts to improve sepsis care in your ED
  3. Our ACE's sepsis protocols - designed specifically for the low-resource setting  

Listen to Webinar


Webinar 3: "Rural Sepsis Transfers"
Our third webinar is focused on the transfer of sepsis patients from your rural ED and features one of our rural experts - Dr. Nicholas Mohr.

Dr. Mohr is an Emergency Medicine-Critical Care trained physician at the University of Iowa and is a national expert on rural sepsis transfers. In this webinar, he discusses the current literature on rural sepsis transfers - and what your small ED can do to improve sepsis outcomes prior to transfer

Listen to Webinar

Webinar 4 - "Statewide Sepsis Initiative" - Coming soon
Please join us to hear from Dr. Steven Simpson, a critical care physician at the University of Kansas. Dr. Simpson has pioneered the Kansas Sepsis Project, which is a state-wide initiative with rural and Critical Access Hospitals to improve the quality of sepsis care and reduce mortality from sepsis across the state of Kansas. To learn more, visit their website at

Webinar 5

Tune into Webinar 5, our first Podcast, to hear from Chip Lange PA-C and colleagues on an update on sepsis care and pearls for APPs. Chip is the founder of TOTALEM, which is a fantastic FOAMED resource providing training to practicing emergency providers, with a focus on physician assistants and those practicing in rural and remote settings. You can find his website at This two-part series is outlined below:

In Part 1 of this podcast, you will hear a lively and educational discussion from Chip Lange, PA-C, Michelle Perkins, MD, and Fritz Fuller PA-C on the most up-to-date sepsis care recommendations – with a focus on sepsis care in rural settings for all emergency providers.

Listen to Podcast | Slide Deck

In Part 2 of this podcast, you will hear quick pearls from our team for APPs practicing in rural locations.

Listen to Podcast  



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