PURPOSE: In 2015, NYU Lutheran Medical Center, a 450-bed academic teaching hospital sought to reduce mortality from sepsis. In October 2015 the criteria for severe sepsis were modified and the lactate level threshold was decreased from 2.3 mmol/L to 2.0 mmol/L. Furthermore, the diagnosis of sepsis was broadened to include organ dysfunction irrespective of lactate level. Our hospital also identified interdisciplinary teams for intensive education, including simulation training and interactive online modules, to promptly recognize sepsis. Nonetheless, the decreased lactate threshold remained the primary intervention to improve sepsis outcomes. We present a retrospective analysis that demonstrates no significant impact on mortality and and, unexpectedly, worse compliance with the recommended 30ml/kg initial fluids bolus.