Save lives and reduce suffering by improving sepsis awareness and care.

A world in which no one is harmed by sepsis.

Sepsis Alliance is committed to fostering equity, diversity, and inclusion (EDI) in our work and in the sepsis care community. 

We recognize that historical and societal systems and community resource disparities create stark healthcare gaps, including in sepsis care. Studies show staggering racial and ethnic disparities in sepsis outcomes, as well as awareness and care: 

• Black individuals bear nearly twice the burden of sepsis deaths, relative to the size of the Black population, as compared to white individuals.[i][ii] 
• Children with severe sepsis or septic shock who are Black or Hispanic are approximately 25% more likely to die than non-Hispanic white children.[iii] 
• Asian and Pacific Islander patients are 18% more likely to die from sepsis than white patients.[iv] 
• American Indians and Alaskan Natives in the Indian Health Service area are 1.6 times more likely to die from sepsis than the national average.[v] 
• Non-Hispanic Black children admitted to the emergency room are less likely to be treated for sepsis than non-Hispanic white children.[vi] 
• In a recent survey conducted by Sepsis Alliance, only 49% of respondents identifying as Black had heard the term “sepsis,” as compared to 76% of white-identifying respondents.[vii] 

As part of the larger healthcare sector, we bear responsibility for working to address these disparities. Ensuring equitable sepsis care for BIPOC individuals (individuals who are Black, Indigenous, and people of color) and other members of racial and ethnic minority groups aligns with our mission to reduce harm caused by sepsis.  

As such, we commit to fostering equity, diversity, and inclusion in our educational offerings (for the public and for healthcare providers), in our advocacy initiatives, and in our organizational structure. We commit to acting as an EDI leader in the healthcare sector and to using our organizational voice to bolster equity, diversity, and inclusion across the continuum of sepsis care. 

Below find Sepsis Alliance’s EDI plan: 

1. Expand public education and provider training in service of closing racial and ethnic gaps in sepsis awareness and ensuring culturally responsive sepsis care:
   • Target public-facing sepsis education toward narrowing gaps in public awareness of sepsis by 10% annually;
   • Increase partnerships with organizations that serve BIPOC communities and other racial and ethnic minority communities to best distribute public sepsis education; 
   • Add at least five new subject matter experts from communities of color to our roster of presenters annually; 
   • Include implicit bias curricula in Sepsis Alliance Institute courses; 
   • Integrate EDI discussion into provider education whenever possible. 

2. Pursue advocacy initiatives that further EDI goals and act as an EDI leader in the healthcare sector: 
   • Create and disseminate an industry diversity, equity, and inclusion pledge by spring 2021; 
   • Create an industry diversity, equity, and inclusion reporting platform by spring 2021;  
   • Continue to engage in industry conversations around EDI and pursue new advocacy initiatives that further EDI goals whenever possible; 
   • Continue to vocalize our support for EDI work throughout the sepsis healthcare community across the continuum of care.     

3. Advance diversity within Sepsis Alliance to better reflect the communities we serve:
   • Integrate equity, diversity, and inclusion into the Sepsis Alliance charter; 
   • Conduct annual EDI training for Sepsis Alliance staff, Board of Directors, and Advisory Board; 
   • Increase the racial and ethnic diversity of individuals involved in the ongoing “Faces of Sepsis” project by 10% annually; 
   • Increase the racial and ethnic diversity of the combined Sepsis Alliance staff, Board of Directors, and Advisory Board by at least 5% annually.

 

Learn more about disparities in sepsis care in the newly released Sepsis and Equity Fact Sheet.

 

[i] Kempker, J. A., Kramer, M. R., Waller, L. A. and Martin, G. S. (2018) Risk Factors for Septicemia Deaths and Disparities in a Longitudinal US Cohort, Open Forum Infectious Diseases,5(12), ofy305. 

[ii] Mayr, F. B., Yende, S., Linde-Zwirble, W. T., Peck-Palmer, O. M., Barnato, A. E., Weissfeld,L. A. and Angus, D. C. (2010) Infection rate and acute organ dysfunction risk as explanations for racial differences in severe sepsis, JAMA,303(24), 2495-503. 

[iii] Thavamani, A., Umapathi, K. K., Dhanpalreddy, H., Khatana, J., Chotikanatis, K., Allareddy, V. and Roy, A. (2020) Epidemiology, Clinical and Microbiologic Profile and Risk Factors for Inpatient Mortality in Pediatric Severe Sepsis in the United States From 2003 to 2014: A Large Population Analysis, Pediatric Infectious Disease Journal,39(9), 781-788. 

[iv] Jones, J. M., Fingar, K. R., Miller, M. A., Coffey, R., Barrett, M., Flottemesch, T., Heslin, K. C., Gray, D. T. and Moy, E.(2017) Racial Disparities in Sepsis-Related In-Hospital Mortality: Using a Broad Case Capture Method and Multivariate Controls for Clinical and Hospital Variables, 2004-2013, Critical Care Medicine,45(12), e1209-e1217. 

[v] Disparities. (2019, October) https://www.ihs.gov/newsroom/factsheets/disparities/ 

[vi] Raman, J., Johnson, T. J., Hayes, K. and Balamuth, F. (2019) Racial Differences in Sepsis Recognition in the Emergency Department, Pediatrics, 144(4), e20190348. 

[vii] Sepsis Alliance Awareness Survey. (2020) https://www.sepsis.org/2020-sepsis-awareness-survey/