RE: Developing a National Antimicrobial Resistance Strategy for Australia
|
|
- Chad Hodges
- 5 years ago
- Views:
Transcription
1 7 November 2014 RE: Developing a National Antimicrobial Resistance Strategy for Australia The Society of Hospital Pharmacists of Australia (SHPA) is the national professional organisation for over 3,000 pharmacists, pharmacists in training, pharmacy technicians and associates working across Australia s health system. SHPA is the only professional pharmacy organisation with a core base of members practising in public and private hospitals and other health service facilities. SHPA is committed to facilitating the safe and effective use of medicines, which is the core business of pharmacists, especially in hospitals. SHPA supports pharmacists to meet medication and related service needs, so that both optimal health outcomes and economic objectives are achieved for Australians, as individuals, for the community as a whole and for healthcare facilities within our systems of healthcare. SHPA welcomes this discussion for a national antimicrobial resistance strategy to address what is a priority global health issue. SHPA has previously written to the Australian Commission for Safety and Quality in Health Care (ACSQHC) with respect to antimicrobial stewardship. Dr David Kong, a SHPA member, is also the SHPA representative on the ACSQHC s Antimicrobial Stewardship Advisory Committee. Strategy Goal and Objectives The proposed goal of the Strategy is to slow the development and spread of antimicrobial resistance (AMR) and conserve the effectiveness of antimicrobials. Is this an appropriate and realistic goal for Australia to commit to working towards? Yes, this is an appropriate and realistic goal for Australia and should be recognised as a National Health Priority Area (NHPA) by the Australian Institute of Health and Welfare (AIHW). AMR is a significant global health issue which has implications on the treatment and transmission of diseases, as well as impacting on additional health care costs associated with AMR. The proposed objectives of the Strategy are to prevent infections and the spread of resistant infections, improve surveillance, and improve the appropriate use of antimicrobials through action across the seven key elements of IPC, surveillance, AMS, communication and education, international engagement, research and development and governance. Are these proposed objectives and the scope of the key elements sufficient to enable Australia to achieve the goal of the strategy? If not, what additional objectives or key elements are needed to ensure a comprehensive national response to AMR? Yes, the proposed objectives and the scope of the key elements appear to be adequate to achieve the goal of the Strategy. Adequate resources, national leadership and extensive stakeholder representation (including but not limited to State and Territory health departments, NPS MedicineWise, public and private hospitals, medical and allied health professional organisations, colleagues from Agriculture and Veterinary settings) are required to achieve these goals. The Society of Hospital Pharmacists of Australia Mailing address: PO Box 1774 Collingwood 3066 Victoria Australia Office location: Suite 3, 65 Oxford Street Collingwood 3066 Victoria Australia T: F: E: shpa@shpa.org.au W:
2 Infection Prevention and Control (IPC) Are the identified IPC gaps an accurate reflection of the current situation in Australia? Are there other gaps that have not been captured here? Are the proposed actions for IPC appropriate to address the identified gaps? What other actions should be considered? The proposed actions for IPC with respect to Human Health should also specifically mention vaccinations. Universal precautions in clinical and community care settings should always be observed to prevent transmission of blood-borne viruses. This is particularly important as the demographics of the aged care population increasingly have higher rates of HIV, Hepatitis C and other blood-borne viruses. The paper is silent on sexually transmitted infections (STIs), and actions to control and prevent the spread of STIs - STIs should be at the forefront of IPC. HIV has been a global health priority for the past few decades and continues to be. A recent development the health sector is facing is the emergence of antibiotic resistant gonorrhoea. How could each action be progressed? Which organisations and/or professional groups should be involved in progressing these actions? What role could your organisation or profession play in implementing and/or supporting the actions described above? All professions registered with the Australian Health Practitioners Regulation Agency (AHPRA) should be involved in IPC. As mentioned previously, extensive stakeholder engagement is required for any national AMR strategy to be effective and achieve objectives. State and Territory health departments, NPS MedicineWise, public and private hospitals, medical and allied health professional organisations and consumer groups should all be involved. SHPA currently has a factsheet on antimicrobial stewardship which aims to guide hospitals and health services that wish to implement AMS programs and highlights the role of pharmacists as part of the required collaborative approach. SHPA also has an infectious diseases Committee of Speciality Practice (COSP) which discusses matters pertaining to AMR. The Chair of the SHPA s infectious diseases COSP is Dr David Kong, who is also SHPA s representative on ACSQHC s Antimicrobial Stewardship Advisory Committee (ASAC). SHPA would be prepared to develop or participate in the development of additional material / guidelines as well as continue to contribute within various forums. How can progress on actions be monitored? Are you aware of other existing IPC initiatives that should be considered in the development of the Strategy? 2 P a g e
3 Antimicrobial Stewardship (AMS) What would be the optimal characteristics of AMS programs to be developed or enhanced in: Primary health care settings? Residential aged care settings? AMS programs in these settings should be developed to reflect AMS programs implemented in hospitals. It is also important that there is greater support for jurisdictional initiatives for AMS. SHPA notes that not all state and territory health departments have coordinated state-wide AMS programs, such as the NSW s Clinical Excellence Commissions Quality Use of Antimicrobials in Healthcare (QUAH). How would AMS programs best be implemented in these settings? What existing arrangements could be used to support the rollout of AMS programs in these settings? What key professional institutions would be involved/could lead? AMS programs should be tailored to the specific needs and characteristics of local settings for optimal outcomes. As such, there is a need to engage key stakeholders to provide national coordination in this area. The ACSQHC, Antimicrobial Resistance Standing Committee (ARSC) and ASAC already exist and have the expertise in order to lead and inform AMS programs nationally. Therefore, it will be important to involve and/or partner with key professional bodies, such as the Australian Medical Association (AMA), Australian Nursing and Midwifery Federation (ANMF), Allied Health Professionals Australia (AHPA) and SHPA to name a few, to facilitate the engagement and education of the professions which they represent. Strategies to engage the broader health workforce will also need to be considered. State and territory health departments should liaise and share research, information and ideas to improve each other s practices. For example, in 2012, a database for Victorian hospital AMS contacts to facilitate sharing of AMS activity and information was established. We have heard anecdotally from our members that resourcing the implementation of AMS programs in some states / territories have been a challenge. A trend observed in hospitals setting up AMS programs is that funding is only approved for a short term (i.e. six months) with cost-saving as the primary objective. However, AMS programs need to have a long term vision in order to achieve the expected results including improved patient outcomes, slowing the development of resistance and the potential for cost savings through more appropriate use of antimicrobials. Are there opportunities to improve the regulation that supports the appropriate use of antibiotics? Currently, state and territory legislation dictates that prescribers can prescribe antimicrobials (with repeat prescriptions) with a script validity of up to one year. However, in most cases, antimicrobials are used to treat infections which should be managed within an acute time frame, such that a script that is valid for one year is not required. SHPA suggests that thought be given to limiting the script validity of a range of antimicrobials be explored, to only allow repeat prescriptions of antibiotics if it is justified by evidence. Furthermore, the cost of many antibiotics has fallen in price due to patent expiry and price disclosure. Anecdotally, we have observed that prescribers have been circumventing the Pharmaceutical Benefits Scheme (PBS) Authority system which limits the prescription of some antibiotics for specific indications, by prescribing these medicines privately. In doing so, they do not attract a PBS subsidy, but because of the price, is not an impost to the patient. This practice facilitates the inappropriate use of antibiotics and contributes to AMR. However, currently it is difficult to understand the significance of 3 P a g e
4 this problem as data on private prescriptions are not collected. It would be beneficial for the Department to investigate in order to assess the breadth of this issue. Some hospitals have systems where prescribers must retrospectively or prospectively seek approval from the pharmacy department to prescribe certain antimicrobials as an initiative to reduce the inappropriate use. Currently, policy objectives and implementation can differ at each hospital, and it would be beneficial for a more coordinated policy approach which would result in a consistent AMS program implementation across the hospital sector. Additionally, whilst hospitals are required to adhere to the National Safety and Quality Health Service Standards, Standard 3: Preventing and Controlling Healthcare Associated Infections, the design of and implementation of AMS programs can vary, and will depend upon the available resources. Is there a need to develop national prescribing guidelines, similar to those in human health, for animal health and agriculture? Yes. Should the use of antibiotics as growth promoters in food animals be more closely regulated, reduced or phased out completely? Yes. Communication and Education What areas has Australia performed well in with education about AMR? Where are the areas for improvement? SHPA suggests that knowledge and competency of AMR and AMS could be improved by having increased focus on these topics in undergraduate and postgraduate curriculums for health science degrees. Prescriber competency in antimicrobials should also be an element of medical intern and other prescriber training programs. In addition, this should be accompanied by regular review of prescribers competency to prescribe antimicrobials throughout their career, to ensure that health professionals are prescribing antibiotics according to current evidence and in line with best practice. Australia currently has several modules to support the appropriate prescribing of antimicrobials delivered by NPS MedicineWise. What are the top three priority areas for action on education and communication? Educating prescribers and other health professionals of the need to use antimicrobials appropriately and judiciously, as well as the global threat concerned with AMR. Prescribers need to decide whether antimicrobial therapy is always required, or whether supportive and symptomatic treatment will deliver the same health outcomes Educating consumers to raise awareness of the need to use antimicrobials appropriately and about other strategies endorsed by the National Hand Hygiene Initiative (NHHI) What channels of communication and approaches are likely to be most effective? A range of communication activities and approaches should be appropriately tailored to the target audience. It is important that these activities are consistently and regularly reinforced, which could utilise similar strategies like, for example, the annual Antibiotic Awareness Week currently hosted by the ACSQHC. 4 P a g e
5 How could GPs, pharmacists and veterinarians be further supported to reinforce messages about AMR, appropriate antibiotic use and infection prevention and control? There should be simple and accessible material for health professionals to reinforce and promote AMS practices. For example, GPs as well as other prescribers of medicines, could benefit from a simple prescribing tool which guides appropriate antimicrobial prescribing after a diagnosis has been made. Any activity would need engagement from relevant bodies such as NPS MedicineWise, AMA, Pharmaceutical Society of Australia (PSA), the Pharmacy Guild of Australia and SHPA. What types of education would be most beneficial in reducing inappropriate antibiotic prescribing (e.g. training on AMR, training on prescribing antibiotics for specific conditions, training on communicating with patients/clients)? Effective education and training should be targeted to the specific audience and guided by the intended outcome. As discussed earlier, prescriber competency in antimicrobials should be an element of prescriber training programs; accompanied by regular review of prescriber s competency to prescribe antimicrobials throughout their career, and to ensure that health professionals are prescribing antibiotics according to current evidence in line with best practice. It is also worthwhile educating health professionals and consumers about the emerging upward trend of superbugs which are resistant to antimicrobial therapy, and the global threat that this poses. It should be reinforced that every person has a role to play in combating AMR by being judicious and informed about the use of antimicrobials. International Engagement How could Australia best engage with countries leading the way on responses to AMR, to ensure that we learn from the experience of others and implement initiatives that are known to be efficient and effective? Ensure that there is consistent and strong leadership at a national level, which actively engages with health departments abroad which have established national AMS programs. This will allow Australia to learn from international experiences and tailor local AMS programs to suit its priorities. Patterns of AMR differ slightly in each country; however the principles of AMS programs are generally adaptable in any country s healthcare system. How could Australia best support and collaborate with other countries in the region on initiatives to address AMR? Australia can actively engage countries in the region through a forum to discuss AMR issues (eg. WHO, and other existing strategies). Australia can also lead expanded surveillance activities of resistance patterns within the region, and build capacity by sharing our resources and giving access to tools developed within Australia for other countries within the region. Research and Development For your area of expertise, what are the AMR research and development priorities? The development and support of programs which promote optimal dosing of antimicrobials to prevent emergence of resistance should be encouraged. This will facilitate effective antibiotic use (i.e. appropriate dosing) and extend the life of currently available antimicrobial agents. This may also include the need to develop appropriate tools for paediatric settings. 5 P a g e
6 There is also a need to have more coordinated research and fostered collaborations between scientists that study exposure response relationships for antibiotics and resistance, and clinicians who can turn that information into dosing strategies and guidelines. A dedicated call for funding should be considered, particularly one which focuses on the patient groups where much of the resistance is generated (intensive care unit patients, cystic fibrosis, burns patients, transplant recipients). From an AMS perspective, this research can be rapidly translated into clinical care once the research has been supported. Who may be best placed to lead a priority-setting process and the development and coordination of a national research agenda for AMR? The National Health and Medical Research Council (NHMRC), in partnership with the ACSQHC, ASAC and ARSC. How can greater private sector investment in AMR-related research and development, including research taking a One Health approach, be supported and encouraged? Private hospitals and private health insurance companies will realise that AMR is a significant impost on patient and hospital costs, and that an active role in AMS is in line with their commercial interests. How can the sharing of AMR research findings, particularly with the private sector and internationally, be better supported so that new knowledge is actively converted to better practices, policies and new technologies? What mechanisms are available, or could be developed, to support increased investment in the discovery and development of new antibiotics and other technologies? Ensure adequate funding of major research universities and institutions and encourage crossinstitutional collaboration through the provision of grants and financial incentives to achieve results. It is important to ensure there is ongoing investigation of any potential new indications of older medicines. Governance What consideration should be given to identifying, establishing and maintaining key partnerships to support achievement of the goal and objectives of the Strategy? It is imperative that federal, state and territory health departments, along with Primary Healthcare Networks (replacing Medicare Locals from 1 July 2015) and Local Hospital Networks, are in the same conversation together. Having programs which have different objectives operating across the country is counter-intuitive and national oversight is needed. Australia should also engage with countries in the region to share ideas and implement strategies to address AMR. What strategies may be effective in supporting AMR governance arrangements at the national, jurisdictional and local levels? What jurisdiction and local governance arrangements are you aware of that could be better linked into a broader national structure? Any strategy will likely need directives by federal, state and territory governments. Primary Healthcare Networks would be good candidates to provide governance and monitoring of AMS activities locally, and report back to government on progress and issues. 6 P a g e
7 What non-statutory instruments (e.g. standards, codes of practice, guidelines) are you aware of that may underpin activities under the Strategy that are administered by professional bodies or industry? Some antimicrobial stewardship resource materials have been made available on ACSQHC s website, however there are more resources in which SHPA could help gather. ( What voluntary restrictions on antibiotic use in food producing animals are in place and how effective are they? How could the arrangements administered by industry and/or professional bodies be maximised to support the strategy? It is necessary to ensure that industry and professional bodies are coordinated in their approach to implement the Strategy, and that adequate support is offered should any issues arise. If you would like to discuss the issues raised in this submission or require further information please contact Jerry Yik (JYik@shpa.org.au or ). Yours sincerely, Helen Dowling Chief Executive Officer (BPharm,DipHospPharmAdmin,GDipQIHCare,FSHP,AICD) 7 P a g e
RACGP Submission to Developing a National Antimicrobial Resistance Strategy for Australia
Submission to Developing a National Antimicrobial Resistance Strategy for Australia 5 November 2014 details Name of Organisation The Royal Australian College of General Practitioners () Postal Address
More informationPreparing for PrEP A DISCUSSION FRAMEWORK FOR THE ROLLOUT AND SUPPORT OF HIV PREP IN THE PRIMARY HEALTH CARE SECTOR IN AUSTRALIA
2018 Preparing for PrEP A DISCUSSION FRAMEWORK FOR THE ROLLOUT AND SUPPORT OF HIV PREP IN THE PRIMARY HEALTH CARE SECTOR IN AUSTRALIA Situation to date 1. Consumers in Australia can currently access PrEP
More informationBEHAVIOUR CHANGE HTA,
BEHAVIOUR CHANGE HTA, clinical protocols and guidelines. How to engage health professionals, patients, prescribers and the community? Aine Heaney NPS Medicinewise IDENTIFYING BARRIERS TO EVIDENCE UPTAKE
More informationOptions for models for prescribing under a nationally consistent framework
The Nursing and Midwifery Board of Australia and the Australian and New Zealand Council of Chief Nursing and Midwifery Officers consultation regarding registered nurse and midwife prescribing 22 December
More informationPharmacy Schools Council. Strategic Plan November PhSC. Pharmacy Schools Council
Pharmacy Schools Council Strategic Plan 2017 2021 November 2017 PhSC Pharmacy Schools Council Executive summary The Pharmacy Schools Council is seeking to engage with all stakeholders to support and enhance
More informationAntimicrobial Stewardship Program in the Nursing Home
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
More informationAre you competent? What prescribers need to know. Janet Flint, National Programme Lead, Population Health and Prevention, Health Education England
Are you competent? What prescribers need to know Janet Flint, National Programme Lead, Population Health and Prevention, Health Education England Antimicrobial resistance the now The 7 key areas for future
More informationStaphylococcus aureus bacteraemia in Australian public hospitals Australian hospital statistics
Staphylococcus aureus bacteraemia in Australian public hospitals 2013 14 Australian hospital statistics Staphylococcus aureus bacteraemia (SAB) in Australian public hospitals 2013 14 SAB is a serious bloodstream
More informationAntibiotic 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 informationStandard 1: Governance for Safety and Quality in Health Service Organisations
Standard 1: Governance for Safety and Quality in Health Service Organisations riterion: Governance and quality improvement system There are integrated systems of governance to actively manage patient safety
More informationaustralian nursing federation
australian nursing federation Response to the National Health and Hospital Reform Commission s Interim Report: A Healthier Future for All Australians March 2009 Gerardine (Ged) Kearney Federal Secretary
More informationMedicines 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 informationGOVERNING BODY REPORT
GOVERNING BODY REPORT 1. Date of Governing Body Meeting 16 th November 2017 2. Title of Report: 3. Key Messages: BUPA ceased to be the registered provider of Crawfords Walk Nursing Home in October. The
More informationNATIONAL TOOLKIT for NURSES IN GENERAL PRACTICE. Australian Nursing and Midwifery Federation
NATIONAL TOOLKIT for NURSES IN GENERAL PRACTICE Australian Nursing and Midwifery Federation Acknowledgements This tool kit was prepared by the Project Team: Julianne Bryce, Elizabeth Foley and Julie Reeves.
More informationPOPULATION HEALTH. Outcome Strategy. Outcome 1. Outcome I 01
Section 2 Department Outcomes 1 Population Health Outcome 1 POPULATION HEALTH A reduction in the incidence of preventable mortality and morbidity, including through national public health initiatives,
More informationResearch themes for the pharmaceutical sector
CENTRE FOR THE HEALTH ECONOMY Research themes for the pharmaceutical sector Macquarie University s Centre for the Health Economy (MUCHE) was established to undertake innovative research on health, ageing
More informationSection Title. Prescribing competency framework Catherine Picton, Lead author
Prescribing competency framework Catherine Picton, Lead author What is in this presentation Context Uses of the competency framework Scope of the updated prescribing competency framework Introduction to
More informationTackling antimicrobial resistance theme 4: Behaviour within and beyond the healthcare setting Call specification
Tackling antimicrobial resistance theme 4: Behaviour within and beyond the healthcare setting Call specification Summary The Economic and Social Research Council (ESRC), in partnership with the National
More informationNorth School of Pharmacy and Medicines Optimisation Strategic Plan
North School of Pharmacy and Medicines Optimisation Strategic Plan 2018-2021 Published 9 February 2018 Professor Christopher Cutts Pharmacy Dean christopher.cutts@hee.nhs.uk HEE North School of Pharmacy
More informationMonitoring and Evaluation of National Action Plans on AMR. Suggested approaches March 2017
Monitoring and Evaluation of National Action Plans on AMR Suggested approaches March 2017 Role of M&E section in AMR plan Help to clarify activities and outputs expected Identify how to monitor progress
More informationADMINISTRATION OF INSULIN IN THE COMMUNITY BY ATTENDANT CARE SUPPORT WORKERS
Title Purpose ADMINISTRATION OF INSULIN IN THE COMMUNITY BY ATTENDANT CARE SUPPORT WORKERS This guideline is to assist: Attendant care service providers (organisations and individuals), participants, stakeholders
More informationAntimicrobial Stewardship for Nurses
Antimicrobial Stewardship for Nurses Dr Noleen Bennett 1. acnaps Project Officer, National Centre for Antimicrobial Stewardship 2. Infection Control Consultant, Victorian Nosocomial Infection Surveillance
More informationPart 5. Pharmacy workforce planning and development country case studies
Part 5. Pharmacy workforce planning and development country case studies This part presents seven country case studies on pharmacy workforce development from Australia, Canada, Great Britain, Kenya, Sudan,
More informationSubmission to the Productivity Commission Issues Paper
Submission to the Productivity Commission Issues Paper Vocational Education and Training Workforce July 2010 LEE THOMAS Federal Secretary YVONNE CHAPERON Assistant Federal Secretary Australian Nursing
More informationAPPROACHES TO ENHANCING THE QUALITY OF DRUG THERAPY A JOINT STATEMENT BY THE CMA ANDTHE CANADIAN PHARMACEUTICAL ASSOCIATION
APPROACHES TO ENHANCING THE QUALITY OF DRUG THERAPY A JOINT STATEMENT BY THE CMA ANDTHE CANADIAN PHARMACEUTICAL ASSOCIATION This joint statement was developed by the CMA and the Canadian Pharmaceutical
More informationPractice Handbook for Designated Medical Practitioners
Faculty of Health and Wellbeing Non Medical Prescribing Level 6 / Level 7 Practice Handbook for Designated Medical Practitioners Contents Introduction 3 Aims of the course 4 Learning Outcomes 4 The Role
More informationInfection prevention & control
Infection control in Australian medical practice: Current practice and future developments John Ferguson Infectious Diseases & Microbiology Director, Infection Prevention & Control, Hunter New England
More informationPrevention and control of healthcare-associated infections
Prevention and control of healthcare-associated infections Quality improvement guide Issued: November 2011 NICE public health guidance 36 guidance.nice.org.uk/ph36 NHS Evidence has accredited the process
More informationPCA (P) (2016) 1. Background
Healthcare Quality and Strategy Directorate Pharmacy and Medicines Division Dear Colleague STOMA APPLIANCE SERVICE IN THE COMMUNITY PUBLICATION OF STOMA CARE QUALITY AND COST EFFECTIVENESS REVIEW REPORT
More informationManagement of Infectious Diseases Policy
Management of Infectious Diseases Policy Mandatory Quality Area 2 PURPOSE This policy will provide clear guidelines and procedures to follow when: a child attending Albert Park Preschool shows symptoms
More informationGeneral Practice/Hospitals Transfer of Care Arrangements 2013
General Practice/Hospitals Transfer of Care Arrangements 2013 1. Introduction As the population ages and the incidence of chronic disease increases more patients are suffering from multiple chronic conditions
More informationAllied Health Review Background Paper 19 June 2014
Allied Health Review Background Paper 19 June 2014 Background Mater Health Services (Mater) is experiencing significant change with the move of publicly funded paediatric services from Mater Children s
More information19 September Lee Thomas Federal Secretary. Annie Butler Assistant Federal Secretary
ACIL ALLEN Consulting Review of the role of national and international regulators in relation to referral, treatment and rehabilitation programs for health professional with a health impairment Discussion
More informationPublic health guideline Published: 11 November 2011 nice.org.uk/guidance/ph36
Healthcare-associated infections: prevention ention and control Public health guideline Published: 11 November 2011 nice.org.uk/guidance/ph36 NICE 2017. All rights reserved. Subject to Notice of rights
More informationLeadership 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 informationaustralian nursing federation
australian nursing federation Submission to Health Legislation Amendment (Midwives and Nurse Practitioners) Bill 2009 and two related Bills: Midwife Professional Indemnity (Commonwealth Contribution) Scheme
More informationNote: 44 NSMHS criteria unmatched
Commonwealth National Standards for Mental Health Services linkage with the: National Safety and Quality Health Service Standards + EQuIP- content of the EQuIPNational* Standards 1 to 15 * Using the information
More informationRequired Local Public Health Activities
Required Local Public Health Activities This document is intended to respond to requests for clarity about the mandated activities that community health boards must undertake in order to meet statutory
More informationFor further information please contact: Health Information and Quality Authority
For further information please contact: Infection Prevention and Control 13-15 The Mall Beacon Court Bracken Road Sandyford Dublin 18 Phone: +353 (0)1 293 1140 Email: ipc@hiqa.ie URL www.hiqa.ie Guide
More informationADMINISTRATION OF ORAL MEDICATIONS IN THE COMMUNITY BY ATTENDANT CARE SUPPORT WORKERS
Title Purpose ADMINISTRATION OF ORAL MEDICATIONS IN THE COMMUNITY BY ATTENDANT CARE SUPPORT WORKERS This guideline is to assist: Attendant care service providers (organisations and individuals), participants,
More informationBSAC STRATEGY ANTIMICROBIAL CHEMOTHERAPY BRITISH SOCIETY FOR
STRATEGY 2015-2018 BRITISH SOCIETY FOR ANTIMICROBIAL CHEMOTHERAPY 02 MISSION STATEMENT is an inter-professional organisation with over 40 years of experience, achievement and leadership in: Promoting the
More informationNational Disability Insurance Scheme (NDIS) Code of Conduct
National Disability Insurance Scheme (NDIS) Code of Conduct June 2017 The Dietitians Association of Australia (DAA) is the national association of the dietetic profession with over 6000 members, and branches
More informationSAMPLE. TAFE NSW HLT51612 Diploma of Nursing (Enrolled/Division 2 Nursing) Course Clinical Record Book Workplace Component
HLT07 Health Training Package V5 TAFE NSW HLT51612 Diploma of Nursing (Enrolled/Division 2 Nursing) Course 14393 Student Name: Clinical Record Book Workplace Component Version 1.1 Ramsay Health Care Product
More informationNorthern Melbourne Medicare Local COMMISSIONING FRAMEWORK
Northern Melbourne Medicare Local INTRODUCTION The Northern Melbourne Medicare Local serves a population of 679,067 (based on 2012 figures) residing within the municipalities of Banyule, Darebin, Hume*,
More informationaustralian nursing federation
australian nursing federation Submission to the Nursing and Midwifery Board of Australia on the Draft English Language Skills Registration Standard December 2010 Lee Thomas Federal Secretary Yvonne Chaperon
More informationaustralian nursing federation
australian nursing federation Submission to the National Health Workforce Taskforce - Discussion paper: clinical placements across Australia: capturing data and understanding demand and capacity February
More informationJOB DESCRIPTION LEAD PRACTICE BASED PHARMACIST. Designated GP Practice in Federation area
JOB DESCRIPTION JOB TITLE: LOCATION: ACCOUNTABLE TO: RESPONSIBLE TO: PROFESSIONALLY RESPONSIBLE TO: LEAD PRACTICE BASED PHARMACIST Designated GP Practice in Federation area Federation Chair Practice Prescribing
More informationIncreasing Access to Medicines to Enhance Self Care
Increasing Access to Medicines to Enhance Self Care Position Paper October 2009 Australian Self Medication Industry Inc Executive summary The Australian healthcare system is currently at a crossroads,
More informationSubmission to the Productivity Commission
Submission to the Productivity Commission Impacts of COAG Reforms: Business Regulation and VET Discussion Paper February 2012 LEE THOMAS Federal Secretary YVONNE CHAPERON Assistant Federal Secretary Australian
More informationSAMPLE. TAFE NSW HLT51612 Diploma of Nursing (Enrolled/Division 2 Nursing) Course Clinical Record Book Workplace Component
HLT07 Health Training Package V5 TAFE NSW HLT51612 Diploma of Nursing (Enrolled/Division 2 Nursing) Course 14393 Student Name: Clinical Record Book Workplace Component Version 2 Ramsay Health Care Product
More informationTitle Administration of Oral Medication in the Community by Support Workers Purpose Background dignity of risk Scope Disclaimer Copyright ACIA 2017
Title Purpose Background Administration of Oral Medication in the Community by Support Workers This guideline is to assist service providers (organisations and individuals), Participants, stakeholders,
More informationUnitedHealth Pharmaceutical Solutions Specialty Pharmacy Program for your Oxford Plan
UnitedHealth Pharmaceutical Solutions Specialty Pharmacy Program for your Oxford Plan Specialty medications require an approach that looks beyond the drug to the whole disease a comprehensive and integrated
More informationNICE Charter Who we are and what we do
NICE Charter 2017 Who we are and what we do 1. The National Institute for Health and Care Excellence (NICE) is the independent organisation responsible for providing evidence-based guidance on health and
More informationGOVERNMENT OF THE REPUBLIC OF SIERRA LEONE MINISTRY OF HEALTH AND SANITATION. National Infection Prevention and Control Policy
GOVERNMENT OF THE REPUBLIC OF SIERRA LEONE MINISTRY OF HEALTH AND SANITATION National Infection Prevention and Control Policy Page 1 of 24 Contents 1 Introduction... 8 1.1 Background... 8 1.2 Healthcare-Associated
More informationRPS in Scotland has had an influential year providing both written and oral evidence at the Scottish Parliament in a wide range of policy areas.
Speech by RPS President Ash Soni at the RPS Annual Conference 2017 3 September 2017 Thank you Paul and let me say how pleased I am as a member that you identified exactly the right areas where I and the
More informationST. JAMES S HOSPITAL
ST. JAMES S HOSPITAL Job Title: Grade: Area Of Assignment: Reporting Relationship: Anti-microbial Pharmacist Senior Pharmacist Pharmacy Department Deputy Director of Pharmacy Salary Scale: 61, 031-70,
More informationCore Elements for Antibiotic Stewardship in Nursing Homes
Core Elements for Antibiotic Stewardship in Nursing Homes 1 http://www.cdc.gov/longtermcare/pdfs/coreelements-antibiotic-stewardship.pdf 2 Antibiotic Stewardship A set of commitments and activities designed
More informationThe 13th Biennial National Enrolled Nurse Association of Australia (ANMF SIG) Conference
The 13th Biennial National Enrolled Nurse Association of Australia (ANMF SIG) Conference Empowering Enrolled Nurses in our Scope of Practice 2017 Program 11 October, Wrest Point, Hobart Tourism Tasmania
More informationThe Health Professionals Prescribing Pathway
The Health Professionals Prescribing Pathway The Health Professionals Prescribing Pathway (HPPP) provides a nationally consistent approach to the prescribing of medicines by health professionals registered
More informationGuidelines for Pharmacists Relationship with the Pharmaceutical Industry
Guidelines for Pharmacists Relationship with the Pharmaceutical Industry July 2002 These guidelines represent general advice to support and assist pharmacists. It is expected that professional judgement
More informationStrategies to Improve the Use of Medicines Standard Treatment Guidelines
Strategies to Improve the Use of Medicines Standard Treatment Guidelines Review of the Cesarean-section Antibiotic Prophylaxis Program in Jordan and Workshop on Rational Medicine Use and Infection Control
More informationStandards of Proficiency for Higher Specialist Scientists
Standards of Proficiency for Higher Specialist Scientists July 2015 Version 1.0 Review date: 31 July 2016 Contents Introduction... 3 About the Academy Register - Practitioner part... 3 Routes to registration...
More informationLiberating the NHS: No decision about me, without me Further consultation on proposals to shared decision-making
Liberating the NHS: No decision about me, without me Further consultation on proposals to shared decision-making Royal Pharmaceutical Society response The Royal Pharmaceutical Society (RPS) is the professional
More informationPOSITION DESCRIPTION Enrolled Nurse
POSITION DESCRIPTION Enrolled Nurse The BlueCross Vision A dynamic organisation, BlueCross is supported by a team of great staff, who are willing to challenge traditions. With a long history of embracing
More informationProfessional Practice Standards
JAN Professional Practice Standards 2017 V00.0 2012 Version 5 Pharmaceutical Society of Australia Ltd., 2017 This publication contains material that has been provided by the Pharmaceutical Society of Australia
More informationaustralian nursing federation
australian nursing federation Submission to the Senate Inquiry into the Administration of Health Practitioner Registration by the Australian Health Practitioner Regulation Agency (AHPRA) April 2011 Lee
More informationAugust 2005 GPC. General Practitioners Committee. Hepatitis B immunisation for employees at risk. Guidance for GPs
August 2005 GPC General Practitioners Committee Hepatitis B immunisation for employees at risk Guidance for GPs Hepatitis B immunisation for employees at risk The GPC receives many enquiries about administering
More informationHow Digital Systems Can Impact on Antimicrobial Stewardship (AMS) Stephen Hughes (Antimicrobial Pharmacist) Chelsea & Westminster Hospital
How Digital Systems Can Impact on Antimicrobial Stewardship (AMS) Stephen Hughes (Antimicrobial Pharmacist) Chelsea & Westminster Hospital Importance of AMS Antimicrobial Resistance: Any selective pressure
More informationAlfred Health Pharmacy Internships 2019
Alfred Health Pharmacy Internships 2019 Alfred Health 55 Commercial Road Melbourne VIC 3004 Campuses at which pharmacy intern will work The Alfred, Caulfield Hospital & Sandringham Hospital Hospital Information
More informationFact sheet: New obligations for Nurses and Midwives
Fact sheet: New obligations for Nurses and Midwives Registration standards The Nursing and Midwifery Board of Australia (the Board) has developed registration standards, which have been approved by the
More informationActivity list for infection prevention and control leaders at the facility level
Activity list for infection prevention and control leaders at the facility level SAVE LIVES: Clean Your Hands WHO s Global Annual Campaign Fight antibiotic resistance it s in your hands 5 May 2017 Campaign
More informationADMINISTRATION OF INSULIN IN THE COMMUNITY BY SUPPORT WORKERS
Title Purpose ADMINISTRATION OF INSULIN IN THE COMMUNITY BY SUPPORT WORKERS This guideline is to assist: Service Providers (organisations and individuals), Participants, stakeholders and funders regarding
More informationOPAT & Paediatric OPAT Standards and Practical Implications for the Hospital and Community. Dr Sanjay Patel & Dr Ann Chapman
OPAT & Paediatric OPAT Standards and Practical Implications for the Hospital and Community Dr Sanjay Patel & Dr Ann Chapman UK OPAT Good Practice Recommendations - Practical considerations and challenges
More informationChiropractic Board of Australia Background information
Chiropractic Board of Australia Background information 22 April 2016 Introduction The National Registration and Accreditation Scheme (the National Scheme) was established under the Health Practitioner
More informationUsing Electronic Health Records for Antibiotic Stewardship
Using Electronic Health Records for Antibiotic Stewardship STRENGTHEN YOUR LONG-TERM CARE STEWARDSHIP PROGRAM BY TRACKING AND REPORTING ELECTRONIC DATA Introduction Why Use Electronic Systems for Stewardship?
More informationPOSITION DESCRIPTION
POSITION DESCRIPTION My Aged Care Care Coordinator This position description describes the scope and skills required of the My Aged Care Care Coordinator at Link Health and Community (Link HC). The position
More informationPublic Health Skills and Career Framework Multidisciplinary/multi-agency/multi-professional. April 2008 (updated March 2009)
Public Health Skills and Multidisciplinary/multi-agency/multi-professional April 2008 (updated March 2009) Welcome to the Public Health Skills and I am delighted to launch the UK-wide Public Health Skills
More information2. The main aims of the implementation facilitator role can be captured by the following objectives:
NICE in Northern Ireland Implementation Facilitator Engagement Activities 2013/14 Executive Summary 1. From 1 October 2012, NICE was able to secure funding, after negotiations with the Department of Health,
More informationReview of Public Health Act 2010
Review of Public Health Act 2010 3 June 2016 Phone: 02 9211 2599 Email: info@ Suite 301, Level 3, 52-58 William St, Woolloomooloo NSW 2011 About NCOSS The NSW Council of Social Service (NCOSS) works with
More informationApplication Pack: Applicants for Transformation Manager
Application Pack: Applicants for Transformation Manager Contents 1.0 Information about NHS Eastern Cheshire Clinical Commissioning Group and the Eastern Cheshire Healthcare Economy 2.0 Job Description
More informationabc INFECTION CONTROL STRATEGY
abc INFECTION CONTROL STRATEGY 1. INTRODUCTION East and North Hertfordshire NHS Trust (ENHT) considers the reduction of Healthcare Associated infections (HCAI) a key component of patient safety systems
More informationNational Competency Standards for the Registered Nurse
National Competency Standards for the Registered Nurse INTRODUCTION DESCRIPTION OF REGISTERED NURSE DOMAINS NATIONAL COMPETENCY STANDARDS GLOSSARY OF TERMS Introduction The Australian Nursing and Midwifery
More informationCommonwealth Nurses Federation. A Safe Patient. Jill ILIFFE Executive Secretary. Commonwealth Nurses Federation
A Safe Patient Jill ILIFFE Executive Secretary Commonwealth Nurses Federation INFECTION CONTROL Every patient encounter should be viewed as potentially infectious Standard Precautions 1. Hand hygiene 2.!
More informationCore 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 informationMental Health Nurse-Credentialed.
Mental Health Nurse-Credentialed. Mental Health Nurse - Credentialed Position reference Position type Classification Remuneration Service Area/division/state Effective date 18669 Part time fixed term until
More informationClinical Pharmacists in General Practice March 2018
Clinical Pharmacists in General Practice March 2018 1. Background Following a successful national pilot programme, the General Practice Forward View committed over 100million to support an extra 1,500
More informationHospital Discharge and Transfer Guidance. Choice, Responsiveness, Integration & Shared Care
Hospital Discharge and Transfer Guidance Choice, Responsiveness, Integration & Shared Care Worcestershire Mental Health Partnership NHS Trust Information Reader Box Document Type: Document Purpose: Unique
More informationDirectorate/Department: Relevant Trust care group e.g. cancer care Faculty of Health Sciences, University of Southampton Grade: AfC Band 5
Post Title: Agenda for Change: Job Description Staff Nurse & Clinical Doctoral Fellow Directorate/Department: Relevant Trust care group e.g. cancer care Faculty of Health Sciences, University of Southampton
More informationUsing data to improve health services and policy: Emerging national integrated health services information
Using data to improve health services and policy: Emerging national integrated health services information Jenny Hargreaves Hospitals, Resourcing and Classifications Group Australian Institute of Health
More informationAugust 15, Dear Mr. Slavitt:
1275 K Street, NW, Suite 1000 Washington, DC 20005-4006 Phone: 202/789-1890 Fax: 202/789-1899 apicinfo@apic.org www.apic.org August 15, 2016 Andrew M. Slavitt Acting Administrator Centers for Medicare
More informationNursing Home Antimicrobial Stewardship Guide Implement, Monitor, & Sustain a Program
Nursing Home Antimicrobial Stewardship Guide Implement, Monitor, & Sustain a Program Toolkit 1. Start an Antimicrobial Stewardship Program Tool 5. Draft Policies and Procedures for the Antimicrobial Stewardship
More informationBackground document to support the development of Draft national infection prevention and control standards for community services
Background document to support the development of Draft national infection prevention and control standards for January 2018 Note on terms and abbreviations used in this document A full range of terms
More informationAMA submission to the Standing Committee on Community Affairs: Inquiry into the future of Australia s aged care sector workforce
AMA submission to the Standing Committee on Community Affairs: Inquiry into the future of Australia s aged care The AMA has advocated for some time to secure medical and nursing care for older Australians.
More informationKidney Health Australia
Victoria 125 Cecil Street South Melbourne VIC 3205 GPO Box 9993 Melbourne VIC 3001 www.kidney.org.au vic@kidney.org.au Telephone 03 9674 4300 Facsimile 03 9686 7289 Submission to the Primary Health Care
More informationUnderstanding Antimicrobial Stewardship: Is Your Organization Ready? A S H LEIGH MOUSER, PHARM D, BCPS
Understanding Antimicrobial Stewardship: Is Your Organization Ready? A S H LEIGH MOUSER, PHARM D, BCPS Objectives Discuss the need for antimicrobial stewardship programs Explain the components of an effective
More informationNON-MEDICAL PRESCRIBING POLICY
NON-MEDICAL PRESCRIBING POLICY To be read in conjunction with the Medicines Policy, Controlled Drug Policy and the FP10 Prescribing Forms Policy Version: 5 Date of issue: August 2017 Review date: August
More informationAntimicrobial 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 informationInfection Prevention and Control Program
Infection Prevention and Control Program UNDERSTANDING AND MANAGING THE REGULATORY CHANGES IN YOUR PROGRAM Melissa J. Mitchell, R.N., B.S.N F Tag 880 According to F Tag 880 the Infection Prevention and
More informationSUBMISSION. Single Aged Care Quality Framework. 20 April About the Victorian Healthcare Association. Public sector aged care in Victoria
20 April 2017 Single Aged Care Quality Framework About the Victorian Healthcare Association The Victorian Healthcare Association (VHA) welcomes the opportunity to contribute to the Single Quality Framework
More information