Antimicrobial Stewardship Program in the Nursing Home

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Antimicrobial Stewardship Program in the Nursing Home"

Transcription

1 Antimicrobial Stewardship Program in the Nursing Home CAHF San Bernardino/Riverside Chapter May 19 th, 2016 Presented by Robert Jackson, Pharm.D. Pharmaceutical Consultant II, Specialist CDPH Licensing & Certification

2 Learning Objectives Review public health impetus and regulatory framework for LTC antibiotic stewardship programs Discuss the CDC s core elements of antibiotic stewardship in nursing homes Identify potential strategies for implementing an antibiotic stewardship program

3

4 Why are we concerned? 4.1 million Americans admitted to or reside in nursing homes annually Approximately 77% to 88% of all potential infectious episodes are treated with antimicrobials Numerous reviews have concluded that a high percentage ( 75%) may be unnecessary or inappropriate For comparison, 50% in hospitals

5

6 Actions at the National Level September 2013 CDC report: Antibiotic Resistance Threats in the United States September 2014 Executive Order: Combating Antibiotic-Resistance Bacteria March National Action Plan for Combating Antibiotic-Resistant Bacteria June White House Forum on Antibiotic Stewardship

7 CMS Proposed Reform of LTC Requirements Published in the Federal Register in July 2015 Includes proposed revisions to 42 CFR (Infection Control) Infection Prevention & Control Program Develop antimicrobial stewardship program which includes antibiotic use protocols and antibiotic monitoring Recording incidents/corrective action taken Infection Control Program Officer (ICPO)

8 CA Senate Bill 361 Licensing requirements chaptered October 2015 Adds Section to Health and Safety Code SNFs shall adopt and implement an antimicrobial stewardship policy by 01/01/2017 Consistent with guidelines developed by CDC, CMS, SHEA or similar recognized organizations

9 CDPH-CHCQ Program Healthcare Associated Infections (HAI) Program created by mandate to oversee the prevention, surveillance and reporting of healthcare-associated infections in California's general acute care hospitals. Useful resources and links to nationally recognized infection control organizations HAI webpage: ASP initiative: rograminitiative.aspx ASP toolkit: C042815FINAL.pdf

10 What is Antibiotic Stewardship? A set of commitments and actions designed to optimize the treatment of infections while reducing the adverse events associated with antibiotic use. The CDC recommends that all nursing homes take steps to improve antibiotic prescribing practices and reduce inappropriate use.

11 The Core Elements of Antibiotic Stewardship for Nursing Homes Leadership commitment Accountability Drug Expertise Action Tracking Reporting Education

12 Leadership Commitment Facility leadership, both owners and administrators, as well as regional and national leaders if the facility is part of a larger corporation, should demonstrate support by: Write statements to support improved antibiotic use Include stewardship-related duties in position descriptions Medical Director, Clinical Nurse leads, Consultant Pharmacists Communicate with nursing, medical, and pharmacy the expectations, monitoring, and enforcement of stewardship policies Create a culture of improved antibiotic use through messaging, education, and celebrating improvement

13

14 Accountability Empower the Medical Director to set standards for antibiotic prescribing for all providers..and be accountable for adherence. Empower the Director of Nursing to set the practice standards for assessing, monitoring and communicating changes in a resident s condition by front-line nursing staff. Engage the Consultant Pharmacist in supporting antibiotic stewardship oversight through quality assurance activities.

15 Accountability resources Infection prevention program coordinators have expertise and data to create strategies to improve antibiotic use Tracking, monitoring adherence to evidence based criteria, and reviewing antibiotic resistance patterns within the facility Contracted laboratories can provide reports and services to support stewardship Alert facility if AROs identified, education on diagnostic tests, and provide antibiograms State & local health departments provide resources on ASP and HAI programs

16 Drug Expertise Infectious disease consultants and consultant pharmacists with training in antibiotic stewardship can help a nursing home reduce antibiotic use and experience lower rates of AROs Work with a consultant pharmacist who has received specialized infectious diseases or antibiotic stewardship training Partner with antibiotic stewardship program leads at the hospitals within your referral network Develop relationships with infectious disease consultants in your community

17 Take Action Through Policy and Practice Change Step-wise implementation of new policies and procedures which address antibiotic use. Prioritize interventions based on the needs of your facility and share outcomes from successful interventions with nursing staff and clinical providers.

18 Policy & Practice Change Policies that support optimal antibiotic use Ensure that current medication safety policies, including medication regimen review, developed to address Centers for Medicare and Medicaid Services (CMS) regulations are being applied to antibiotic prescribing and use. Standardize the practices which should be applied during the care of any resident suspected of an infection or started on an antibiotic. Improve the evaluation and communication of clinical signs and symptoms when a resident is first suspected of having an infection Optimizing the use of diagnostic testing Implementing an antibiotic review process (antibiotic time-out) Algorithms Require prescribers to document dose, duration, and indication

19 Policy & Practice Change Integrate the dispensing and consultant pharmacists Ensure antibiotics are ordered appropriately Review culture data Develop antibiotic monitoring & infection management guidance Infection syndrome specific interventions to improve antibiotic use Asymptomatic bacteriuria or urinary tract infection prophylaxis Facility specific treatment regimens for specific infections Suspected UTIs account for 30-60% of antibiotic prescribing in nursing homes

20 Tracking and Reporting Antibiotic Use and Outcomes Nursing homes monitor both antibiotic use practices and outcomes related to antibiotics in order to guide practice changes and track the impact of new interventions. Data on adherence to antibiotic prescribing policies and antibiotic use are shared with clinicians and nurses to maintain awareness about the progress being made in antibiotic stewardship.

21 Measures of Antibiotic Prescribing, Use, and Outcomes Tracking how and why antibiotics are prescribed Perform reviews on resident medical records for new antibiotic starts to determine whether the clinical assessment, prescription documentation, and antibiotic selection were in accordance with facility antibiotic use policies and practices Tracking how often and how many antibiotics are prescribed Track the amount of antibiotic used in your nursing home to review patterns of use and determine the impact of new stewardship interventions Snap-shot vs. Days of Therapy (DOT) impact Tracking the adverse outcomes and costs from antibiotics Monitor clinical outcomes such as rates of C. difficile infections, antibioticresistant organisms, or adverse drug events to demonstrate that antibiotic stewardship activities are successful in improving patient outcomes

22 Education Provide antibiotic stewardship education to clinicians, nursing staff, residents and families Effective programs address both nursing staff and clinical providers on the goal of an antibiotic stewardship intervention, and the responsibility of each group for ensuring its implementation Flyers, pocket-guides, newsletters or electronic communications Interactive academic detailing (face-to-face interactive workshops) = most effective!! Sustain improvements by incorporating both education and feedback to providers Studies show improvement when feedback provided to providers on inappropriate/nonadhering prescribing Engage residents and their family members in antibiotic use and stewardship educational efforts to ensure clinicians have their support to make appropriate antibiotic use decisions

23 Nursing home Antimicrobial Stewardship Modules The Nursing Home Antimicrobial Stewardship Modules include four tested, evidence-based toolkits to help optimize antibiotic use in nursing homes. The modules are intended to assist nursing homes develop antimicrobial programs. Module 1: Improving Communication and Decisions About Antibiotic Use in Nursing Homes Module 2: Antibiograms Choosing an Appropriate Antibiotic

24 Implementing Change in Antimicrobial Stewardship Programs: Two Educational Activities in Virtual Poster Format Virtual Poster 1 Implementing Change in Antimicrobial Stewardship Programs: Focus on New Laboratory Procedures, Time to Effective Therapy, and Incidence of C. difficile Infection Virtual Poster 2 Implementing Change in Antimicrobial Stewardship Programs: Focus on Time to Effective Therapy, Asymptomatic Bacteriuria in the Emergency Department, and Pneumonia Risk Assessment Sponsored by ASHP

25 Implementing an ASP: Guidelines by the IDSA and the SHEA Published April 2016 Infectious Diseases Society of America (IDSA) and the Society for Healthcare Epidemiology of America (SHEA) released 27 antibiotic stewardship recommendations to improve patient outcomes, optimize resources, and address the growing problem of antibiotic resistance 016/04/11/cid.ciw118.full

26 Conclusion Improving use of antibiotics in healthcare is a national priority SNFs are statutorily required to adopt antimicrobial stewardship policy by January 1, 2017 CDC Core Elements of Antibiotic Stewardship for Nursing Homes provides guidance

27 Questions?

The Core Elements of Antibiotic Stewardship with CMS and QAPI Updates

The Core Elements of Antibiotic Stewardship with CMS and QAPI Updates The Core Elements of Antibiotic Stewardship with CMS and QAPI Updates Emily Lutterloh, MD, MPH Director, Bureau of Healthcare Associated Infections New York State Department of Health February 8, 2017

More information

Core Elements of Antibiotic Stewardship for Nursing Homes

Core Elements of Antibiotic Stewardship for Nursing Homes Core Elements of Antibiotic Stewardship for Nursing Homes Welcome! Holly Harmon, RN, MBA, LNHA Senior Director Clinical Services 1 Leonard Russ Immediate Past Chair AHCA Board of Governors Antibiotic Stewardship

More information

Antibiotic Stewardship Program (ASP)

Antibiotic Stewardship Program (ASP) Introduction: Antibiotics are among the most frequently prescribed medications in nursing centers, with up to 70% of nursing home patients receiving one or more courses of systemic antibiotics in a year.

More information

Nursing Home Online Training Sessions Session 4: Antibiotic Stewardship

Nursing Home Online Training Sessions Session 4: Antibiotic Stewardship National Nursing Home Quality Care Collaborative Nursing Home Online Training Sessions Session 4: Antibiotic Stewardship Health Services Advisory Group (HSAG) Objectives 1 Welcome and overview. 2 Define

More information

Financial Conflicts of Interest. Learning Objectives. Outline. Facts. LTC ASP Core Elements

Financial Conflicts of Interest. Learning Objectives. Outline. Facts. LTC ASP Core Elements THE LONG AND THE SHORT OF IT: DEVELOPMENT OF ANTIMICROBIAL STEWARDSHIP PROGRAMS IN LONG-TERM CARE FACILITIES Michael Tiberg, PharmD, BCPS (AQ ID) Nicholas Torney, PharmD, BCPS Derek Vander Horst, PharmD,

More information

Antimicrobial Stewardship and the New Regulations

Antimicrobial Stewardship and the New Regulations Antimicrobial Stewardship and the New Regulations Robin Trotman, DO, FIDSA CoxHealth Infectious Diseases Specialty Clinic March 3, 2017 Outline: Introduction to new CMS regulations Rationale for these

More information

Leadership Engagement in Antimicrobial Stewardship

Leadership Engagement in Antimicrobial Stewardship Leadership Engagement in Antimicrobial Stewardship Joe Dula, Pharm.D., BCPS System Director, Clinical Services jdula@pharmacysystems.com Pharmacy Systems, Inc. PSI Supply Chain Solutions PSI Rehabilitation

More information

Minimum Criteria for Common Infections Toolkit. [Name] [Organization]

Minimum Criteria for Common Infections Toolkit. [Name] [Organization] Minimum Criteria for Common Infections Toolkit [Name] [Organization] Agenda Background and Purpose Suspected Infection SBAR Forms Using the Suspected Infection SBAR Forms Next Steps 2 Objectives Identify

More information

Thank you for spending your valuable time with us today. This webinar will be recorded for your convenience.

Thank you for spending your valuable time with us today. This webinar will be recorded for your convenience. Kick Off 4/6/2017 Thank you for spending your valuable time with us today. This webinar will be recorded for your convenience. A copy of today s presentation and the webinar recording will be available

More information

QAPI & Infection Prevention: Putting the Pieces Together

QAPI & Infection Prevention: Putting the Pieces Together QAPI & Infection Prevention: Putting the Pieces Together Tammy Baumann, RN, LSSGB Quality Improvement Advisor Great Plains Quality Innovation Network Objectives Identify how QAPI intersects with infection

More information

CDPH HAI Program Overview

CDPH HAI Program Overview CDPH HAI Program Overview San Diego APIC Chapter San Diego January 11, 2017 Lynn Janssen, Chief Healthcare-Associated Infections Program Center for Health Care Quality California Department of Public Health

More information

OVERCOMING THE CHALLENGES OF IMPLEMENTING ANTIMICROBIAL STEWARDSHIP IN A RURAL HOSPITAL

OVERCOMING THE CHALLENGES OF IMPLEMENTING ANTIMICROBIAL STEWARDSHIP IN A RURAL HOSPITAL OVERCOMING THE CHALLENGES OF IMPLEMENTING ANTIMICROBIAL STEWARDSHIP IN A RURAL HOSPITAL Cameale Johnson, PharmD MBA South Peninsula Hospital Homer, Alaska What are the challenges? Limitations due to staffing,

More information

Proactively prevent HAIs with infection surveillance software

Proactively prevent HAIs with infection surveillance software Proactively prevent HAIs with infection surveillance software NIP HAIs IN THE BUD Redirect your time to proactively preventing infections instead of just reacting. RL s automated infection surveillance

More information

3/6/2017. CMS nursing home requirements have not been comprehensively updated since 1991 despite significant changes in the industry.

3/6/2017. CMS nursing home requirements have not been comprehensively updated since 1991 despite significant changes in the industry. Debra Brown, PharmD Pharmaceutical Consultant II Specialist Licensing and Certification QCHF/CAHF Spring Legislative Conference March 2017 1 Describe impact of 2016 CMS Final Rule on SNF pharmacy services

More information

Introduction to Infection Prevention and Control (IPC) Open Call Series #1 Surveillance

Introduction to Infection Prevention and Control (IPC) Open Call Series #1 Surveillance Introduction to Infection Prevention and Control (IPC) Open Call Series #1 Surveillance Diane Dohm MT, IP, CIC, CPHQ MetaStar February 6, 2018 IPC Open calls: Bi-weekly Series Surveillance What data should

More information

4/28/17. New Jersey Antimicrobial Stewardship Learning Action Collaborative. Antimicrobial Stewardship Efforts in New Jersey. Update May 10, 2017

4/28/17. New Jersey Antimicrobial Stewardship Learning Action Collaborative. Antimicrobial Stewardship Efforts in New Jersey. Update May 10, 2017 New Jersey Antimicrobial Stewardship Learning Action Collaborative Update May 10, 2017 Antimicrobial Stewardship Efforts in New Jersey Acute Care Hospitals Outpatient Settings (ED, physician practices)

More information

To Dip or Not To Dip

To Dip or Not To Dip To Dip or Not To Dip a patient centred approach to improve the management of UTI in the Care Home environment FIS 30 th November 2017 #ToDipOrNotToDip #FIS17 Elizabeth Beech on behalf of colleagues National

More information

Disclosures. Objectives. Leveraging and Developing Your Team for Optimal Outcomes. None

Disclosures. Objectives. Leveraging and Developing Your Team for Optimal Outcomes. None Leveraging and Developing Your Team for Optimal Outcomes Michelle W. McCarthy, PharmD, FASHP Coordinator, Pharmacy Education and Graduate Programs Charlottesville, VA November 6, 2017 Disclosures None

More information

CMS Mega Rule: Implications for Pharmacists and Pharmacies

CMS Mega Rule: Implications for Pharmacists and Pharmacies CMS Mega Rule: Implications for Pharmacists and Pharmacies Curt Wood, RPh, BCGP, FASCP Disclosure and Conflict of Interest Curt Wood declares no conflicts of interest, real or apparent, and no financial

More information

Greetings from Michelle & Katie QUALITY IMPROVEMENT DIVISION OF HOSPITAL MEDICINE

Greetings from Michelle & Katie QUALITY IMPROVEMENT DIVISION OF HOSPITAL MEDICINE IN THIS ISSUE: Make Sure You Are Solving the Right Problem P. 1 Are Electronic Health Records Contributing to Fraud? P. 1 Stress Ulcer Prophylaxis P. 2 Antibiotic Stewardship P. 3 APeX tips for a safe

More information

Objectives. Industry Landscape. Infection Prevention and Control Changes, Updates and Quality Results!

Objectives. Industry Landscape. Infection Prevention and Control Changes, Updates and Quality Results! Infection Prevention and Control Changes, Updates and Quality Results! Sue LaGrange, RN, BSN, NHA, CDONA, FACDONA, CIMT Director of Education Pathway Health 1 Objectives 1.Describe the recent industry

More information

Urinary Tract Infection (UTI) Program: Implementation Guide, 2 nd Edition. Reducing Antibiotic Harms in Long-term Care

Urinary Tract Infection (UTI) Program: Implementation Guide, 2 nd Edition. Reducing Antibiotic Harms in Long-term Care Urinary Tract Infection (UTI) Program: Implementation Guide, 2 nd Edition Reducing Antibiotic Harms in Long-term Care April 2018 Public Health Ontario Public Health Ontario is a Crown corporation dedicated

More information

Nursing Home Online Training Sessions Session 5: Clostridium difficile Part One: Clinical Overview

Nursing Home Online Training Sessions Session 5: Clostridium difficile Part One: Clinical Overview National Nursing Home Quality Care Collaborative Nursing Home Online Training Sessions Session 5: Clostridium difficile Part One: Clinical Overview Health Services Advisory Group (HSAG) Objectives 1 Welcome

More information

What is it, Why is it Important and What is Your Role? Aug 16, 2017

What is it, Why is it Important and What is Your Role? Aug 16, 2017 What is it, Why is it Important and What is Your Role? Aug 16, 2017 Paul Bonnar (MD, FRCPC) & Andrea Kent PharmD paule.bonnar@nshealth.ca andrea.kent@nshealth.ca http://www.cdha.nshealth.ca/nsha-antimicrobial-stewardship

More information

Infection Prevention, Control & Immunizations

Infection Prevention, Control & Immunizations Infection Control: This facility task must be used to investigate compliance at F880, F881, and F883. For the purpose of this task, staff includes employees, consultants, contractors, volunteers, and others

More information

Antimicrobial EUHM Learning Activities:

Antimicrobial EUHM Learning Activities: Antimicrobial Stewardship @ EUHM Learning Activities: Preceptor: Steve Mok, PharmD, BCPS (AQ-ID) Office: EUHM Clinical Pharmacy office, 2 nd fl Peachtree Building Hours: 8:00 17:00 Desk: 404-686-8904 Pager:

More information

Antimicrobial EUHM Learning Activities:

Antimicrobial EUHM Learning Activities: Antimicrobial Stewardship @ EUHM Learning Activities: Preceptor: Steve Mok, PharmD, BCPS (AQ ID) Office: EUHM Clinical Pharmacy office, 2 nd fl Peachtree Building Hours: 8:00 17:00 Desk: 404 686 8904 Pager:

More information

August 15, Dear Mr. Slavitt:

August 15, Dear Mr. Slavitt: Andrew M. Slavitt Acting Administrator Centers for Medicare & Medicaid Services Department of Health and Human Services P.O. Box 8010 Baltimore, MD 21244 Re: CMS 3295-P, Medicare and Medicaid Programs;

More information

The Society of Infectious Diseases Pharmacists Call for Grant Applications to Fund: SIDP/Ocean Spray Cranberries, Inc.

The Society of Infectious Diseases Pharmacists Call for Grant Applications to Fund: SIDP/Ocean Spray Cranberries, Inc. The Society of Infectious Diseases Pharmacists 2017 Call for Grant Applications to Fund: SIDP/Ocean Spray Cranberries, Inc. The Ocean Spray Prevention of Urinary Tract Infections Research Award INSTRUCTIONS

More information

The Culture of Culturing: The Importance of Knowing When to Order Urine Cultures. Today s Presenters

The Culture of Culturing: The Importance of Knowing When to Order Urine Cultures. Today s Presenters AHRQ Safety Program for Long-term Care: HAIs/CAUTI The Culture of Culturing: The Importance of Knowing When to Order Urine Cultures National Content Webinar Series October 15, 2015 Today s Presenters Barbara

More information

Keenan Pharmacy Care Management (KPCM)

Keenan Pharmacy Care Management (KPCM) Keenan Pharmacy Care Management (KPCM) This program is an exclusive to KPS clients as an additional layer of pharmacy benefit management by engaging physicians and members directly to ensure that the best

More information

2017 State of the State Address on Prevention of Health Care Associated Infections and Antimicrobial Resistance

2017 State of the State Address on Prevention of Health Care Associated Infections and Antimicrobial Resistance 2017 State of the State Address on Prevention of Health Care Associated Infections and Antimicrobial Resistance Erica Runningdeer, MSN, MPH, RN HAI Prevention Coordinator Division of Patient Safety & Quality

More information

Medicines New Zealand

Medicines New Zealand Implementing Medicines New Zealand 2015 to 2020 Medicines New Zealand Access Quality Optimal use Released 2015 health.govt.nz Citation: Ministry of Health. 2015. Implementing Medicines New Zealand 2015

More information

The Joint Commission 2017 Medical Staff Standards Update

The Joint Commission 2017 Medical Staff Standards Update The Joint Commission 2017 Medical Staff Standards Update Session Code: TU07 Date: Tuesday, October 24 Time: 11:30 a.m. - 1:00 p.m. Total CE Credits: 1.5 Presenter(s): Louis Goolsby, MD The Joint Commission

More information

APIC Questions with Answers. NHSN FAQ Webinar. Wednesday, September 9, :00-3:00 PM EST

APIC Questions with Answers. NHSN FAQ Webinar. Wednesday, September 9, :00-3:00 PM EST APIC Questions with Answers NHSN FAQ Webinar Wednesday, September 9, 2015 2:00-3:00 PM EST General Questions We are an acute general hospital - psych, do we need to be reporting anything to NSHN? Yes,

More information

CSR Hospital Compass Newsletter

CSR Hospital Compass Newsletter CSR Hospital Compass Newsletter December 2009 A quarterly newsletter for CSR members in more than 740 member organizations across the United States Volume 4, Number 4 Edited by Maureen Burger Countdown

More information

Clostridium difficile Prevention Strategies A Review of Our Experience

Clostridium difficile Prevention Strategies A Review of Our Experience Clostridium difficile Prevention Strategies A Review of Our Experience Suzanne R. Anders, MHI, RN Director, Hospital Patient Safety Health Services Advisory Group (HSAG) February 26, 2015 What is a Quality

More information

Objectives. Medication Therapy Management: The Important Role of the Pharmacy Technician. Medication Therapy Management (MTM)

Objectives. Medication Therapy Management: The Important Role of the Pharmacy Technician. Medication Therapy Management (MTM) Medication Therapy Management: The Important Role of the Pharmacy Technician Nancy Myers, PharmD, MBA, BCPS, CDE Katrina Harper, PharmD, MBA Objectives Define Medication Therapy Management () and its Core

More information

Improving the Use of Antimicrobials to Treat Gram-Positive Infections: Encouraging Appropriate Use and Minimizing Antimicrobial Resistance

Improving the Use of Antimicrobials to Treat Gram-Positive Infections: Encouraging Appropriate Use and Minimizing Antimicrobial Resistance Improving the Use of Antimicrobials to Treat Gram-Positive Infections: Encouraging Appropriate Use and Minimizing Antimicrobial Resistance January 2013 July 2015 www.mghacademy.org sponsored by C. Main

More information

Drilling Down to Defeat Clostridium difficile. Kathy Mathews, RN Infection Preventionist Sonoma Valley Hospital February 24, 2017

Drilling Down to Defeat Clostridium difficile. Kathy Mathews, RN Infection Preventionist Sonoma Valley Hospital February 24, 2017 Drilling Down to Defeat Clostridium difficile Kathy Mathews, RN Infection Preventionist Sonoma Valley Hospital February 24, 2017 Participation In This Webinar To connect to the audio portion of the webinar,

More information

HOSPITAL ACQUIRED COMPLICATIONS. Shruti Scott, DO, MPH Department of Medicine UCI Hospitalist Program

HOSPITAL ACQUIRED COMPLICATIONS. Shruti Scott, DO, MPH Department of Medicine UCI Hospitalist Program HOSPITAL ACQUIRED COMPLICATIONS Shruti Scott, DO, MPH Department of Medicine UCI Hospitalist Program HOSPITAL ACQUIRED COMPLICATIONS (HACS) A medical condition or complication that a patient develops during

More information

Healthcare-Associated Infections in North Carolina

Healthcare-Associated Infections in North Carolina 2017 Annual Report May 2017 Healthcare-Associated Infections in North Carolina 2016 Annual Report Product of: N.C. Surveillance of Healthcare-Associated and Resistant Pathogens Patient Safety (SHARPPS)

More information

11/3/2017. Infection Control Assessment and Response (ICAR) Tools. Infection Control Assessment and Response (ICAR) Tools

11/3/2017. Infection Control Assessment and Response (ICAR) Tools. Infection Control Assessment and Response (ICAR) Tools Infection Control Assessment and Response (ICAR) Tools Fresh Eyes Collaborative Approach Infection Control Assessment and Response (ICAR) Tools Comprehensive documents/questionnaires identify elements

More information

Infection Control Assessment and Response (ICAR) Tools. Fresh Eyes Collaborative Approach

Infection Control Assessment and Response (ICAR) Tools. Fresh Eyes Collaborative Approach Infection Control Assessment and Response (ICAR) Tools Fresh Eyes Collaborative Approach Infection Control Assessment and Response (ICAR) Tools Comprehensive documents/questionnaires identify elements

More information

Federal Requirements of Participation for Nursing Homes Summary of Key Changes in the Final Rule Issued September 2016 Phase 2

Federal Requirements of Participation for Nursing Homes Summary of Key Changes in the Final Rule Issued September 2016 Phase 2 Federal Requirements of Participation for Nursing Homes Summary of Key Changes in the Final Rule Issued September 2016 Phase 2 On September 28, 2016, the Centers for Medicare & Medicaid Services (CMS)

More information

Health Watch USA 2015 Patient Safety Conference Nov. 13, 2015, Lexington Kentucky

Health Watch USA 2015 Patient Safety Conference Nov. 13, 2015, Lexington Kentucky Health Watch USA 2015 Patient Safety Conference Nov. 13, 2015, Lexington Kentucky Theme: Setting Standards for Ebola & Infections; Oversight and Safety of Medical Devices Conference Objectives To understand

More information

05/16/2017. Speaker Disclosures. Learning Objectives. Healthcare Epidemiology in. Bringing it all Together

05/16/2017. Speaker Disclosures. Learning Objectives. Healthcare Epidemiology in. Bringing it all Together Healthcare Epidemiology in the LTC Setting Bringing it all Together David A. Nace, MD, MPH, CMD Division of Geriatric Medicine University of Pittsburgh Chief of Medical Affairs UPMC Senior Communities

More information

DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES

DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES Use for a resident who has potentially unnecessary medications, is prescribed psychotropic medications or has the potential for an adverse outcome to determine whether facility practices are in place to

More information

Nursing Home Pearls or

Nursing Home Pearls or Nursing Home Pearls or How to Enjoy Practicing in Skilled Nursing Facilities Lowell C. Dale, MD November 11, 2016 2016 MFMER slide-1 DISCLOSURE Relevant Financial Relationship Medical Director Golden Living

More information

Implementing a C. difficile Testing Protocol Stephanie Swanson, MPH, CIC North Memorial Health

Implementing a C. difficile Testing Protocol Stephanie Swanson, MPH, CIC North Memorial Health Implementing a C. difficile Testing Protocol Stephanie Swanson, MPH, CIC North Memorial Health Session objectives: Review NHSN CDI surveillance definition(s) Community vs. Hospital Onset Identify tactics

More information

PGY1 Course Description

PGY1 Course Description PGY1 Course Description Learning Experience Title: Infectious Disease Preceptor: Name: Sayo Weihs, Pharm.D, MBA, BCPS Antimicrobial Stewardship Pharmacist Truman Medical Center-Hospital Hill Department

More information

Running head: EBN & CAUTIS 1

Running head: EBN & CAUTIS 1 Running head: EBN & CAUTIS 1 Evidence-Based Nursing & Reducing Catheter-Associated Urinary Tract Infections Dana L Knoll Ferris State University EBN & CAUTIS 2 Evidence-Based Nursing & Reducing Catheter-Associated

More information

Provincial Surveillance

Provincial Surveillance Provincial Surveillance Provincial Surveillance 2011/12 Launched first provincial surveillance protocols Establishment of provincial data entry & start of formal surveillance reports Partnership with AB

More information

PGY1: Pediatric Infectious Diseases Riley Hospital for Children Indiana University Health

PGY1: Pediatric Infectious Diseases Riley Hospital for Children Indiana University Health PGY1: Pediatric Infectious Diseases Riley Hospital for Children Indiana University Health Preceptors Kristen Nichols, PharmD, BCPS (AQ-ID) Office: 948-4239/Pager: 312-4298/Cell: 8120457-3960 General Description

More information

A Game Plan to Surviving a Joint Commission Survey. May Adra, BS Pharm, PharmD, BCPS

A Game Plan to Surviving a Joint Commission Survey. May Adra, BS Pharm, PharmD, BCPS A Game Plan to Surviving a Joint Commission Survey May Adra, BS Pharm, PharmD, BCPS Objectives Describe key components of a Joint Commission accreditation visit Identify changes to medication management

More information

MEDICINE USE EVALUATION

MEDICINE USE EVALUATION MEDICINE USE EVALUATION A GUIDE TO IMPLEMENTATION JOHN IRELAND VERSION 1 2013 Posi%ve Impact www.posi%veimpact4health.com Email: ji@icon.co.za Ph: 0823734585 Fax (086) 6483903, Melkbosstrand, South Africa

More information

Welcome and thank you for viewing What s your number? Understanding the Long- Stay Urinary Tract Infection Quality Measure. This presentation is one

Welcome and thank you for viewing What s your number? Understanding the Long- Stay Urinary Tract Infection Quality Measure. This presentation is one Welcome and thank you for viewing What s your number? Understanding the Long- Stay Urinary Tract Infection Quality Measure. This presentation is one in a series of videos explaining the 13 quality measures

More information

The Leapfrog Hospital Survey Scoring Algorithms. Scoring Details for Sections 2 9 of the 2017 Leapfrog Hospital Survey

The Leapfrog Hospital Survey Scoring Algorithms. Scoring Details for Sections 2 9 of the 2017 Leapfrog Hospital Survey The Leapfrog Hospital Survey Scoring Algorithms Scoring Details for Sections 2 9 of the 2017 Leapfrog Hospital Survey 2017 Leapfrog Hospital Survey Scoring Algorithms Table of Contents 2017 Leapfrog Hospital

More information

Consumers Union/Safe Patient Project Page 1 of 7

Consumers Union/Safe Patient Project Page 1 of 7 Improving Hospital and Patient Safety: An overview of recently passed legislation and requirements towards improving the safety of California s hospital patients June 2009 Background Since 2006 several

More information

TB PREVENTION AND CONTROL: WORKING WITH THE HOMELESS

TB PREVENTION AND CONTROL: WORKING WITH THE HOMELESS CASE MANAGEMENT AND CONTACT INVESTIGATION INTENSIVE TB PREVENTION AND CONTROL: WORKING WITH THE HOMELESS OBJECTIVES Upon completion of this session, participants will be able to: 1. Explain the responsibilities

More information

This document provides information on conducting the Perindopril New To Therapy Program using GuildCare software.

This document provides information on conducting the Perindopril New To Therapy Program using GuildCare software. Perindopril New To Therapy Program PROTOCOL This document provides information on conducting the Perindopril New To Therapy Program using GuildCare software. April 2015 Table of Contents Executive Summary...

More information

Lightning Overview: Infection Control

Lightning Overview: Infection Control Lightning Overview: Infection Control Gary Preston, PhD, CIC, FSHEA Terry Caton, CIC Carla Ward, CIC 2012 Healthcare Management Alternatives, Inc. Objectives At the end of this module you will know: How

More information

Progress in the rational use of medicines

Progress in the rational use of medicines SIXTIETH WORLD HEALTH ASSEMBLY A60/24 Provisional agenda item 12.17 22 March 2007 Progress in the rational use of medicines Report by the Secretariat 1. The present report provides a summary of the major

More information

Pfizer Independent Grants for Learning & Change Request for Proposals (RFP) Antimicrobial Stewardship in the Asia-Pacific Region

Pfizer Independent Grants for Learning & Change Request for Proposals (RFP) Antimicrobial Stewardship in the Asia-Pacific Region Pfizer Independent Grants for Learning & Change Request for Proposals (RFP) Antimicrobial Stewardship in the Asia-Pacific Region I. Background The Joint Commission, in collaboration with Pfizer Independent

More information

Non-Medical Prescribing Passport. Reflective Log And Information

Non-Medical Prescribing Passport. Reflective Log And Information Non-Medical Prescribing Passport Reflective Log And Information Non-Medical Prescribing Continued Profession Development Log NMPs must refer to their regulatory bodies requirements for maintaining and

More information

Evolution of Emergency Medical Services

Evolution of Emergency Medical Services CALIFORNIA Evolution of Emergency Medical Services White Paper 1966 Agenda for the FUTURE Institute of Medicine Report 2006 Community Paramedic Community Paramedicine Mobile Integrated Health 2013

More information

Deprescribing: Importing Innovations from Outside the US A27 and B27

Deprescribing: Importing Innovations from Outside the US A27 and B27 Deprescribing: Importing Innovations from Outside the US A27 and B27 Introductions Karen Smethers, BS, PharmD, BCOP, National Clinical Pharmacy Integration Leader, The Resource Group, Ascension L. Hayley

More information

Effective Tools to Prevent and Manage Adverse Events: Lesson 2

Effective Tools to Prevent and Manage Adverse Events: Lesson 2 Effective Tools to Prevent and Manage Adverse Events: Lesson 2 Based on the Office of Inspector General Adverse Events Report February 2014 Diane C. Vaughn, RN, C-DONA/LTC; LNHA vaughndiane@hotmail.com

More information

Drug Shortage Preparedness

Drug Shortage Preparedness PURDUE UNIVERSITY COLLEGE OF PHARMACY S CENTER FOR MEDICATION SAFETY ADVANCEMENT Drug Shortage Preparedness Survey and Tips for Improvement Developed by: Jonathan Weir, PharmD Candidate in collaboration

More information

Caring in the Carolinas 11/5/2016

Caring in the Carolinas 11/5/2016 The Mega Rule: Reform of Requirements for Long- Term Care Facilities Robert Smith, Pharm D, BCPS, CGP, FASCP Director of Clinical Services Neil Medical Group Disclosures I have no conflicts of interest

More information

Medication Therapy Management

Medication Therapy Management Medication Therapy Management Presented by Sylvia Saade, PharmD Ghada Khoury, Pharm D, BCACP Objectives Describe the components of medication therapy management (MTM) programs Discuss the needs of MTM

More information

Inaugural Three Rivers Antimicrobial Stewardship Symposium

Inaugural Three Rivers Antimicrobial Stewardship Symposium Inaugural Three Rivers Antimicrobial Stewardship Symposium Saturday, March 10, 2018 Magovern Conference Center Provided By: Division of Infectious Diseases Department of Medicine Allegheny Health Network

More information

Inland Empire Health Plan Quality Management Program Description Date: April, 2017

Inland Empire Health Plan Quality Management Program Description Date: April, 2017 Inland Empire Health Plan Quality Management Program Description Date: April, 2017 Page 1 of 35 Table of Contents Introduction.....3 Mission and Vision........3 Section 1: QM Program Overview........4

More information

Clostridium difficile Infection (CDI) Intervention Kick-Off Webinar

Clostridium difficile Infection (CDI) Intervention Kick-Off Webinar Clostridium difficile Infection (CDI) Intervention Kick-Off Webinar Wednesday, January 17, 2018 National Nursing Home Quality Care Collaborative (NNHQCC) Health Services Advisory Group (HSAG) Introduction

More information

BHS Policies and Procedures

BHS Policies and Procedures BHS Policies and Procedures City and County of San Francisco Department of Public Health San Francisco Health Network BEHAVIORAL HEALTH SERVICES 1380 Howard Street, 5th Floor San Francisco, CA 94103 415.255-3400

More information

Prevent the transmission of tuberculosis (TB) and cure individuals with active TB disease

Prevent the transmission of tuberculosis (TB) and cure individuals with active TB disease Tuberculosis (TB) Control and Prevention Program Program Purpose PHD/CHPB Evelyn Poppell, x5600 Rachel Kidanne, x5605 Prevent the transmission of tuberculosis (TB) and cure individuals with active TB disease

More information

Kristi Felix RN, BSN, CRRN, CIC, FAPIC Infection Prevention Coordinator Madonna Rehabilitation Hospitals

Kristi Felix RN, BSN, CRRN, CIC, FAPIC Infection Prevention Coordinator Madonna Rehabilitation Hospitals Kristi Felix RN, BSN, CRRN, CIC, FAPIC Infection Prevention Coordinator Madonna Rehabilitation Hospitals Resident safety-priority for staff and for CMS Providing care in a homelike environment but still

More information

The Impact of Health Care Reform on Long- Term Care

The Impact of Health Care Reform on Long- Term Care The Impact of Health Care Reform on Long- Term Care AMY RUNGE, CPA Moss Adams LLP Partner & National Practice Leader, Long-Term Care MARCY BOYD, CPA Moss Adams LLP Partner September 22, 2014 1 The material

More information

Infection Control in Long-Term Care (LTC): An Overview

Infection Control in Long-Term Care (LTC): An Overview Infection Control in Long-Term Care (LTC): An Overview Joseph M. Mylotte, MD, FIDSA, FSHEA, FACP Professor Emeritus of Medicine University at Buffalo Health Services Advisory Group (HSAG) May 4, 2017 Webinar

More information

Direct cause of 5,000 deaths per year

Direct cause of 5,000 deaths per year HOSPITAL ACQUIRED (NOSOCOMIAL) INFECTION Policies MRSA Policy Meningitis Policy Blood and body fluid Exposure Policy Disinfection Policy Glove Policy Tuberculosis Policy Isolation Policy DEFINITION: ANY

More information

Infection Control Quality Assurance & Performance Improvement (QAPI) Case Study Scenario 1: Following Quality Assurance (QA)

Infection Control Quality Assurance & Performance Improvement (QAPI) Case Study Scenario 1: Following Quality Assurance (QA) Infection Control Quality Assurance & Performance Improvement (QAPI) Case Study Scenario 1: Following Quality Assurance (QA) The Facility Starview Convalescent Center is a 60-bed long-term care facility.

More information

ICAP Project: Introduction to Quality Improvement, Change Package, & Antibiotic Stewardship

ICAP Project: Introduction to Quality Improvement, Change Package, & Antibiotic Stewardship ICAP Project: Introduction to Quality Improvement, Change Package, & Antibiotic Stewardship AUGUST 28, 2014 Agenda Agenda Item Speaker Time Welcome and Introductions Faiza Khan 5 min Orientation to Quality

More information

IMPACT OF RN HYPERTENSION PROTOCOL

IMPACT OF RN HYPERTENSION PROTOCOL 1 IMPACT OF RN HYPERTENSION PROTOCOL Joyce Cheung, RN, Marie Kuzmack, RN Orange County Hypertension Team Kaiser Permanente, Orange County Joyce.m.cheung@kp.org and marie-aline.z.kuzmack@kp.org Cell phone:

More information

CMS and NHSN: What s New for Infection Preventionists in 2013

CMS and NHSN: What s New for Infection Preventionists in 2013 CMS and NHSN: What s New for Infection Preventionists in 2013 Joan Hebden RN, MS, CIC Clinical Program Manager Sentri7 Wolters Kluwer Health - Clinical Solutions Objectives Define the current status of

More information

SSR MIPS 2018 Improvement Activities

SSR MIPS 2018 Improvement Activities SSR MIPS 2018 Improvement Activities Activity Name Activity Description Activity ID Subcategory Name Activity Weighting Provide 24/7 to MIPS Eligible Clinicians or Groups Who Have Real-Time to Patient's

More information

Rhode Island Healthcare-Associated Infection Prevention and Antimicrobial Stewardship Coalition Education and Best Practice Workgroup Meeting

Rhode Island Healthcare-Associated Infection Prevention and Antimicrobial Stewardship Coalition Education and Best Practice Workgroup Meeting Welcome! Rhode Island Healthcare-Associated Infection Prevention and Antimicrobial Stewardship Coalition Education and Best Practice Workgroup Meeting December 7, 2016 8:00am-12:00pm Today s Agenda Opening

More information

DEVELOPMENT OF AN INFECTION CONTROL PROGRAM FOR LONG-TERM CARE FACILITIES. Evelyn Cook, RN, CIC Associate Director

DEVELOPMENT OF AN INFECTION CONTROL PROGRAM FOR LONG-TERM CARE FACILITIES. Evelyn Cook, RN, CIC Associate Director DEVELOPMENT OF AN INFECTION CONTROL PROGRAM FOR LONG-TERM CARE FACILITIES Evelyn Cook, RN, CIC Associate Director Understanding Long-Term Care Varying terms and degrees of inclusiveness Difficult to have

More information

CONSULTANT PHARMACIST LICENSING PROGRAM SELF-ASSESSMENT EXAMINATION **** 2014 ANSWER SHEET ****

CONSULTANT PHARMACIST LICENSING PROGRAM SELF-ASSESSMENT EXAMINATION **** 2014 ANSWER SHEET **** CONSULTANT PHARMACIST LICENSING PROGRAM SELF-ASSESSMENT EXAMINATION **** 2014 ANSWER SHEET **** (Mark all correct answers, may be more than one answer per question) 1. Pharmaceutical Services in the Long

More information

8/27/2015. Background Overview Overarching Themes & Highlights of the Proposed Rule Areas of Concern Submitting Comments Resources Questions

8/27/2015. Background Overview Overarching Themes & Highlights of the Proposed Rule Areas of Concern Submitting Comments Resources Questions OHCA WEBINAR CMS PROPOSED REQUIREMENTS FOR PARTICIPATION AUGUST 27, 2015 Carol Rolf, Senior Partner, Rolf Goffman Martin Lang LLP Mandy Smith, Regulatory Director, OHCA WHAT WE WILL COVER Background Overview

More information

Tuberculosis Prevention and Control Protocol, 2018

Tuberculosis Prevention and Control Protocol, 2018 Ministry of Health and Long-Term Care Tuberculosis Prevention and Control Protocol, 2018 Population and Public Health Division, Ministry of Health and Long-Term Care Effective: January 1, 2018 or upon

More information

When Medications Hurt: Preventing Adverse Drug Events. Plan for today.

When Medications Hurt: Preventing Adverse Drug Events. Plan for today. When Medications Hurt: Preventing Adverse Drug Events Rachel Crowe, MPH, BSN, RN Danielle Watford, CMQ OE, MS Patient Safety Academy September 8, 2016 This material was prepared by Healthcentric Advisors,

More information

Hospital Self Assessment Worksheet

Hospital Self Assessment Worksheet DESCRIPTION AND INSTRUCTIONS This worksheet consists of 106 questions assessing adoption of the Hospital Self- Assessment recommendations at the hospital level. These recommendations were based on the

More information

Get Ready for Phase 2: How to Use the Facility Assessment to Drive Person-Centered Care

Get Ready for Phase 2: How to Use the Facility Assessment to Drive Person-Centered Care Get Ready for Phase 2: How to Use the Facility Assessment to Drive Person-Centered Care Today s Objectives Analyze progress on major Arizona Nursing Home Quality Care Collaborative (NHQCC) goals. Describe

More information

Impact of an Innovative ADC System on Medication Administration

Impact of an Innovative ADC System on Medication Administration Impact of an Innovative ADC System on Medication Administration March 1, 2016 Nilesh Desai, BS, RPh, MBA Administrator Pharmacy and Clinical Operations Hackensack University Medical Center Conflict of

More information

Medicaid Efficiency and Cost-Containment Strategies

Medicaid Efficiency and Cost-Containment Strategies Medicaid Efficiency and Cost-Containment Strategies Medicaid provides comprehensive health services to approximately 2 million Ohioans, including low-income children and their parents, as well as frail

More information

USAID s Systems for Improved Access to Pharmaceuticals and Services (SIAPS) Program ( )

USAID s Systems for Improved Access to Pharmaceuticals and Services (SIAPS) Program ( ) USAID s Systems for Improved Access to Pharmaceuticals and Services (SIAPS) Program (2011-2016) IR* 1: Pharmaceutical sector governance strengthened 1.1 Good governance principles embodied across all health

More information

Tools & Resources for QI Success

Tools & Resources for QI Success Tools & Resources for QI Success Pediatric Hospital Medicine National Conference Kiran Kulkarni, MD Cynthia Castiglioni, MD, MS (HQPS) Sangeeta Schroeder, MD, MS (HQPS) Anu Subramony, MD MBA July 22, 2017

More information

Preventable Harm: California Fails to Follow Through With Patient Safety Laws

Preventable Harm: California Fails to Follow Through With Patient Safety Laws Preventable Harm: California Fails to Follow Through With Patient Safety Laws March 2010 I. INTRODUCTION More than 10 years after the Institute of Medicine (IOM) first estimated that nearly 100,000 Americans

More information

FHCA 2014 Annual Conference & Trade Show

FHCA 2014 Annual Conference & Trade Show FHCA 2014 Annual Conference & Trade Show CE Session #48 Inspiring the CULTURE of How and When We CULTURE Thursday, July 10 4:00 to 6:00 p.m. Canary 4 Clinical/Care Practice Upon completion of this presentation,

More information

Introduction BSI Prevention QIA Toolkit

Introduction BSI Prevention QIA Toolkit Introduction BSI Prevention QIA Toolkit In support of the Centers for Medicare & Medicaid Services (CMS ) reduction in healthcare-associated infections (HAIs) initiatives, HSAG: ESRD Network 17 (the Network)

More information