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In May 2013, legislation was passed in New York State that required all acute care hospitals to implement protocols for detecting and treating patients with sepsis. This legislation, which included mandatory reporting of protocol compliance and patient outcomes, preceded the 2015 rollout of mandatory bundled care by the Center for Medicare and Medicaid Services.
Investigators hypothesized that the rate of change in outcomes in New York would differ from rates in states without regulated care. They examined longitudinal outcomes from 2011 to 2015 among 326,000 septic patients in New York and compared them with outcomes among approximately 687,000 control cases in four other states. Mortality was higher in New York than in the other states bot…