Age is an important risk factor of mortality for patients with sepsis. Electronic Bio-surveillance systems used to track sepsis have a high sensitivity and specificity for early recognition of sepsis. The current literature evaluating compliance and the clinical effectiveness of these applications in the older population is limited. A multistate community hospital system implemented the SAS Insights? Bio-surveillance application in 2016 to track patients with sepsis and send EMR alerts to nurses to notify them of a patient who is at risk or has developed sepsis. The goal is that nurses will notify the provider of this alert with 60 minutes. Of the 34 acute care hospitals, the rate of nurse-provider notification varies from 19% to 81%. At this time, it is unclear what barriers impact nurse compliance to alerting the provider of the SAS Insights Bio-Surveillance alert within the multistate community hospital system. For the remainder of this paper this multistate community hospital system will be referred to as "the hospital system."