Results and lessons from a hospital-wide initiative incentivised by delivery system reform to improve infection prevention and sepsis care.

Background: An academic safety-net hospital leveraged the federally funded state Delivery System Reform Incentive Payment programme to implement a hospital-wide initiative to reduce healthcare-associated infections (HAIs) and improve sepsis care.

Methods: The study period was from 2013 to 2017. The setting is a 770-bed urban hospital with six intensive care units and a large emergency department.