Results from Antimicrobial Stewardship (AMS) Program Implementation
|
|
- Stewart Austin
- 5 years ago
- Views:
Transcription
1 Results from Antimicrobial Stewardship (AMS) Program Implementation Joe Dula, Pharm.D., MBA, BCPS Regional Vice President, Clinical Operations Pharmacy Systems, Inc. PSI Supply Chain Solutions PSI Rehabilitation Services
2 Objectives Review results from implementing AMS strategies in a single hospital. Review results from implementing AMS strategies across a health system. Revisit tips to influence stakeholders and achieve buy-in for an AMS program. 1
3 Introduction
4 Recent Developments 3
5 Recent Developments 1. Ladd J. AMS in small hospitals: Breaking down barriers. Pharmacy Today. November
6 Emphasis on Compliance Sharing of resources / sample binders from successful surveyed facilities available through shared resources Educational offerings (both podium and webinar) Monthly new content slicks, targeted info 5
7 Assess Current State CDC Checklist / Core Elements 6
8 AMS Resource Portal Pharmacy Systems, Inc. 7
9 Assess Current State Pharmacy Specific Activity Audit 8
10 ASP Binder Contents 9
11 Example Stakeholders Antimicrobial Stewardship Team: Infection Prevention Microbiology Lab Clinical Staff Pharmacists IODINE Data Mining Alerts ASP Team Leads ID Physician, P&T Chair + ID Clinical Pharmacist Critical Care Decentralized Pharmacists Case Management and Quality Dept. Hospital Leadership Providers Committed to Proper Abx Use
12 Example Goals A. Strategies/Actions Create required Queries in Meditech to capture Type of Treatment and Indication for all prescribed antimicrobials Increase IV to PO conversion rate by 10% for antimicrobials i. Reinforce importance and target education with pharmacists ii. Increase the number of approved antimicrobials for IV to PO pharmacist conversion Increase percentage of Severe Sepsis/Septic Shock patients receiving appropriate antibiotics i. Trigger patients with Sepsis diagnosis in pharmacy ii. Monitor patients with this diagnosis and make recommendations when needed Medication Utilization Evaluations i. Complete an MUE on Teflaro (Ceftaroline) by March
13 Example Targets Key Drivers of Existing Program Success: Strong, engaged program and hospital leadership Infectious disease physician is a key strategic partner Interdisciplinary teamwork Clinical pharmacists (ID specialty, clinical staff and decentralized) Goals for 2017: Implement education programs (Q1-17) Improve % vancomycin troughs < 10 g/dl (Q2-17) Maintain existing antimicrobial expenses rate (Q3-17) Decrease quinolone use Decrease duration of antibiotic treatment Institute 48 hour antibiotic time out in critical care How will we know our new program was successful? 90% + of medical/hospital staff and patients are educated % vancomycin troughs < 10 g/dl maintained at 15% (or less) Total Antibiotic $ at or below FY and system position retained
14 Core Stewardship Program Supplements Adapted from: Dellit TH et al. Infectious Diseases Society of America and the Society for Healthcare Epidemiology of America Guidelines for Developing an Institutional Program to Enhance Antimicrobial Stewardship. Clin lnfect Dis. 2007;44:
15 Accomplishments at the Hospital Level Pharmacy Systems, Inc. PSI Supply Chain Solutions PSI Rehabilitation Services
16 At the Hospital level Culture sensitivity suppression Review of lab critical and therapeutic range values Informatics generated hard stops Implementation of PCN skin testing Added emphasis on Sepsis care pathways Additional detail during antibiogram review 15
17 At the Hospital level Hard stops guided by the P&T Committee 16
18 At the Hospital level Achieved decrease in Days and Duration of Therapy 17
19 At the Hospital level Achieved decrease in Days and Duration of Therapy 18
20 At the Hospital level Significant increase in requested detail from IT 19
21 At the Hospital level Medication Use Evaluation follow-up 20
22 At the Hospital level Additional detail during antibiogram review 21
23 At the Hospital level Comparative Benchmarking to show need for action 22
24 At the Hospital level 23
25 At the Hospital level 24
26 Accomplishments Across a System Pharmacy Systems, Inc. PSI Supply Chain Solutions PSI Rehabilitation Services
27 2017 PSI Clinical Scorecard 5 = Carbapenem spend for the quarter is below hospital s 2016 baseline per wholesaler and benchmarking data Appropriate Use of Carbapenem Antibiotics (Safety, Resistance Prevention, Antimicrobial Stewardship) 4 = Guidelines for carbapenem usage criteria are approved by AMS committee and Medical Executive (or similar). 3 = A plan is in place for hospital compliance to antimicrobial stewardship requirements as defined by PSI. 1 = No program is in place to monitor or impact the use of carbapenem antibiotics. 26
28 2017 PSI Clinical Scorecard OVERALL SCORE 1Q2017 2Q2017 3Q2017 4Q2017 Hospitals Reporting Average 3 and above (98%) 78 (100%) Average 4 and above (64%) 55 (71%) By Indicator 1Q 2Q 3Q 4Q Antimicrobial Stewardship Protect against resistance Regulatory compliance Below 3* X 4 2 Best Practice (5) X *Facilities scoring below a 3 were found to lack a policy to govern pharmacist participation. 27
29 Across a Health System No system-wide data mining software for AMS metrics. $ and $/CMI-APD and CMI-Adjusted Discharge metrics available to all. AMS Process driven by system-wide AMS committee, pharmacy steering committee and local subsidiaries. * Spend data represents AHFS broad classification 08:00 derived from wholesaler purchases from 10/1/15-9/30/16 and excludes direct purchases.
30 Across a Health System Antimicrobial Stewardship Compliance MLR MCM MBR MBSC MPH OAK MAC KCI MGL MNM M Complete Pharmacy Systems, Inc. AMS Binder for CMS/TJC Readiness hospital-specific mission/vision/goals procedures identified team members identified outcomes tracking RPh education (AMS webinars, live at PSI annual, extra) Physician, nursing, patient education Implement an Antimicrobial Stewardship Program to comply with the CMS Conditions of Participation development of a team/committee monitoring parameters reporting strategies Evidence to support the above, such as administration attestation letter and committee meeting minutes? Passed TJC in March Passed TJC in February Passed TJC in May 29
31 AMS: Key Points Lots of important team members at corporate and local levels Most important piece of all is to have a physician and pharmacist to take ownership of AMS and to do it with passion Bomb from 30,000 feet, bomb from 5,000 feet, bring in the ground troops Target and prioritize set achievable goals "Squeeze the balloon"
32 AMS: Key Points What has worked for us Tackling to pseudo penicillin/cephalosporin cross allergy Using real time alert system (IODINE) to target individual microbes Minimizing carbapenems and aztreonam Eliminating tigecycline and ceftaroline Continuing to be a "vancomycin" hospital Areas that we feel we need to pursue Decrease duration of treatment (procalcitonin?) Decrease quinolone use Rapid Testing Improve IT (Data is knowledge/power)
33 Establishing a Corporate AMS
34 MedMined Comparative 33
35 Outcome Tracking Days of Therapy, Defined Daily Doses, etc Medication Stewardship Advisor BD MedMined Services National Healthcare Safety Network (NHSN) Onsite informatics department reports on demand Robust Medication Use Evaluation (MUE) program is powerful 34
36 Filling the Void: Healthcare Professional Education Pharmacy Systems, Inc. PSI Supply Chain Solutions PSI Rehabilitation Services
37 Education Compliance Program Education by PSI begins with universal content followed by a customized approach unique to each healthcare professional. The program provides education using a combination of Self-study: Web-based voice-over presentations Examination: Case-based questions to test retention Application: Peer-review competency assessments A certificate of completion is available for the employee s file. Each organization is encouraged to host electronic materials using the native learning management software. 36
38 Program Components Practitioners 1 Implementing an Antimicrobial Stewardship Program Nursing, Quality & Infection Prevention Implementing an Antimicrobial Stewardship Program Pharmacists Implementing an Antimicrobial Stewardship Program Bugs and Drugs 101 Bugs and Drugs 101 Bugs and Drugs 101 AMS Considerations for Practitioners AMS Considerations for Nursing & IP Staff AMS Considerations for Pharmacists Case Study Questions Case Study Questions Case Study Questions Profession-specific Competency Assessment Profession-specific Competency Assessment Intervention Log submitted to show impact 1. The term practitioner is intended to include physicians, nurse practitioners, and other professionals given prescriptive authority under the guidance of the medical staff by-laws. 37
39 Educational Offering 38
40 Educational Offering 39
41 Influencing Stakeholders (revisited) Leadership Engagement in Antimicrobial Stewardship Pharmacy Systems, Inc. PSI Supply Chain Solutions PSI Rehabilitation Services
42 Influence 41
43 Influence 42
44 Influence 43
45 COMPETITION!! An effective MUE program can show individual physician performance relative to a peer group. 44
46 COMPETITION!! Comparing the hospital to others can show areas for success or improvement. 45
47 COMPETITION!! Tracking interventions relative to peers or setting expectations on performance evaluation can improve activity level. 46
48 It is recommended to implement as many ASP strategies at once, to ensure you have a robust program. True or False? 47
49 Results from Antimicrobial Stewardship Program Implementation Joe Dula, Pharm.D., MBA, BCPS Regional Vice President, Clinical Operations Pharmacy Systems, Inc. PSI Supply Chain Solutions PSI Rehabilitation Services
50 Key Resources Core Elements of Hospital Antibiotic Stewardship Programs from the Centers for Disease Control CDC Checklist ( Implementing an Antibiotic Stewardship Program: Guidelines by the Infectious Diseases Society of America and the Society for Healthcare Epidemiology of America Antibiotic Stewardship Program Checklist ( National Quality Forum (NQF) Playbook: A Practical Approach to Antibiotic Stewardship Antibiotic Stewardship Playbook ( Playbook.aspx) 49
51 Other AMS Resources CDC Get Smart for Healthcare is a CDC campaign focused on improving prescribing practices in inpatient healthcare facilities. ( CDC Overview and Evidence to Support Stewardship Training Programs ( MAD-ID ( SIDP ( ASP_Announcement.pdf) 50
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 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 informationMHA/OHA HIIN Antibiotic Stewardship/MDRO Collaborative
MHA/OHA HIIN Antibiotic Stewardship/MDRO Collaborative Place picture here Sept. 12, 2017 Reminders For best sound quality, dial in at 1-800-791-2345 and enter code 11076 Please use the chat box to ask
More informationTom Richardson, PharmD, BCPS AQ-ID May 25 th, 2017
Tom Richardson, PharmD, BCPS AQ-ID May 25 th, 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
More informationAntimicrobial Stewardship Program Executive Ownership Information Technology
Antimicrobial Stewardship Program Gap Analysis Checklist (used with permission from the Centers for Disease Control and Prevention Get Smart program www.cdc.gov/getsmart/index.html) Executive Ownership
More informationJourney to a Successful Antibiotic Stewardship Program in a Small Rural Healthcare Facility
Journey to a Successful Antibiotic Stewardship Program in a Small Rural Healthcare Facility Please make sure to dial into the phone line: 888-895-6448 Passcode: 519-6001 This material was prepared by the
More informationSystem-wide Approach to Improve Outpatient Antibiotic Use
System-wide Approach to Improve Outpatient Antibiotic Use Jessica Holt, PharmD, BCPS-AQ ID Infectious Diseases Pharmacy Coordinator Abbott Northwestern Hospital, Minneapolis, MN Background on Allina Health
More informationImplementing Antimicrobial Stewardship Programs- Suggestions for Rural and Critical Access Hospitals-a Hospital Story
Pharmacy Roundtable Implementing Antimicrobial Stewardship Programs- Suggestions for Rural and Critical Access Hospitals-a Hospital Story Presenter: Jon C. Francisco, Pharm.D, BCPS Clinical Specialist
More informationToday s webinar will begin in a few minutes.
Today s webinar will begin in a few minutes. Please press *6 to mute your line or use the mute button on your phone. If you have questions for the presenter or need to contact TCPS staff, type your comments
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 informationC. difficile INFECTIONS
A REGIONAL APPROACH TO THE PREVENTION OF C. difficile INFECTIONS Ghinwa Dumyati, M.D. FSHEA Center for Community Health, University of Rochester Medical Center Elizabeth Dodds Ashley, PharmD MHS, FCCP,
More informationAntimicrobial 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 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 informationProactively 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 informationOVERCOMING 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 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 informationFinancial 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 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 informationThe 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 informationICAP 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 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 informationOutpatient Antibiotic Stewardship Initiative Open Office Hours
Outpatient Antibiotic Stewardship Initiative Open Office Hours Matt Lincoln, MBA, Director, Administrative Operations, Health Services Advisory Group (HSAG) Mary Fermazin, MD, MPA, Chief Medical Officer,
More informationHow to Add an Annual Facility Survey
Add an Annual Facility Survey https://nhsn.cdc.gov/nhsndemo/help/patient_safety_component/how_to/add_an_annual... Page 1 of 1 10/9/2017 Show Patient Safety Component > How To > Facility > Add an Annual
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 informationComputer Support Systems and Technology in an Antimicrobial Stewardship Program. Elizabeth Dodds Ashley s Disclosures. Objectives 10/12/2011
Computer Support Systems and Technology in an Antimicrobial Stewardship Program Slides Prepared By: Elizabeth Dodds Ashley, PharmD, MHS, FCCP, BCPS University of Rochester Medical Center Rochester, NY
More informationAntimicrobial Stewardship at Swedish Medical Center. John Pauk MD, MPH Medical Director Infection Control and Epidemiology Antimicrobial Stewardship
Antimicrobial Stewardship at Swedish Medical Center John Pauk MD, MPH Medical Director Infection Control and Epidemiology Antimicrobial Stewardship John Zarek, RPH Director of Clinical Pharmacy Swedish
More informationAssessment of Appropriateness of ICU Antibiotics (Hospital Level Sheet) PQC, Revised 02/16/2017
Assessment of Appropriateness of Antibiotics (Hospital Level Sheet) PQC, Revised 02/16/2017 For this assessment, antibiotic use is defined as receiving when it is not necessary, not making timely adjustments
More informationModerator: Kayla R. Stover, Pharm. D. Assistant Professor of Pharmacy Practice, University of Mississippi Medical Center, Jackson, Mississippi
Infectious Diseases PRN Focus Session Standards of Antimicrobial Stewardship Activity Number: 0217-0000-16-141-L01-P, 1.50 hours of CPE credit; Activity Type: A Knowledge-Based Activity Tuesday, October
More informationWEBINAR: Making the Numbers Count-Using Your Pharmacy Data to Support Antibiotic Stewardship and Infection Control
WEBINAR: Making the Numbers Count-Using Your Pharmacy Data to Support Antibiotic Stewardship and Infection Control New England Nursing Home Quality Care Collaborative Webinar Will Begin Shortly. Call-In
More informationCode Sepsis: Wake Forest Baptist Medical Center Experience
Code Sepsis: Wake Forest Baptist Medical Center Experience James R. Beardsley, PharmD, BCPS Manager, Graduate and Post-Graduate Education Department of Pharmacy Wake Forest Baptist Health Assistant Professor
More informationThank 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 informationMedication Related Changes Phase 1&2
Medication Related Changes Phase 1&2 Medicare and Medicaid Programs Reform of Requirements for Long-Term Care Facilities Published January 23, 2017 Medication- Related Changes* Changes will be implemented
More informationMHA/OHA HIIN Antibiotic Stewardship/MDRO Collaborative
MHA/OHA HIIN Antibiotic Stewardship/MDRO Collaborative Place picture here March 14, 2017 Reminders For best sound quality, dial in at 1-800-791-2345 and enter code 11076 Mute your phone during the presentation
More informationCMS 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 informationThe Core Elements of Antibiotic Stewardship for Nursing Homes
The Core Elements of Antibiotic Stewardship for Nursing Homes National Center for Emerging and Zoonotic Infectious Diseases Division of Healthcare Quality Promotion 1 CS273578-A The Core Elements of Antibiotic
More informationAntibiotics - Are they OVERUSED? 4/6/2018. Antibiotic Stewardship Key Clinical Strategies for Successful Outcomes. Pathway Health 1.
Antibiotic Stewardship Key Clinical Strategies for Successful Outcomes Louann Lawson, BA, RN, RAC-CT, CIMT Nurse Consultant Clinical Reimbursement Team Leader/Clinical Education Manager Pathway Health
More informationThe implementation of a clinical training program for staff pharmacists
The implementation of a clinical training program for staff pharmacists AUDREY LITTLEFIELD, PHARM.D., BCPS CLINICAL PHARMACY MANAGER, CTICU NEW YORK PRESBYTERIAN HOSPITAL WEILL CORNELL MEDICAL CENTER NEW
More informationID-FOCUSED HOSPITAL EFFICIENCY IMPROVEMENT PROGRAM
ID-FOCUSED HOSPITAL EFFICIENCY IMPROVEMENT PROGRAM A guide to implementing services aimed at mitigating healthcare associated infections and other infectious diseases-related issues, under the leadership
More informationUniversity of Virginia Health System Department of Pharmacy Services PGY2 Drug Information Residency Residency Purpose Statement
University of Virginia Health System Department of Pharmacy Services PGY2 Drug Information Residency Residency Purpose Statement Pharmacists completing this program will be equipped with the skills and
More informationDecreasing Readmissions in Outpatient Parenteral AntImicrobial Therapy (DROP IT)
*There are no conflicts of interest for the investigators involved and the outcome of this research Decreasing Readmissions in Outpatient Parenteral AntImicrobial Therapy (DROP IT) Beth Stacy, PharmD PGY2
More informationPfizer 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 informationHow we Got Here: Implementing Stewardship in Rochester Nursing Homes
How we Got Here: Implementing Stewardship in Rochester Nursing Homes Ghinwa Dumyati, MD Professor of Medicine Center for Community Health University of Rochester Medical Center Ghinwa_dumyati@urmc.rochester.edu
More informationOriginal Article Implementation of an Antimicrobial Stewardship Program in a Community Hospital: Results of a Three-Year Analysis
Hosp Pharm 2012;47(8):608 616 2012 Ó Thomas Land Publishers, Inc. www.thomasland.com doi: 10.1310/hpj4708-608 Original Article Implementation of an Antimicrobial Stewardship Program in a Community Hospital:
More informationA 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 informationCommissioning for Quality and Innovation (CQUIN) Guidance for 2016/17 Published March 2016
Commissioning for Quality and Innovation (CQUIN) Guidance for 2016/17 Published March 2016 Commissioning for Quality and Innovation (CQUIN) Introduction1 The CQUIN scheme is intended to deliver clinical
More informationMontana Antibiotic Stewardship Collaborative. Presented by Jack King, Director, MT Flex Program
Montana Antibiotic Stewardship Collaborative Presented by Jack King, Director, MT Flex Program MT ABS Collaborative Goals: Project Goal: Implement the core elements established by the Centers for Disease
More informationPHARMACY PRACTICE. Residency Program
PHARMACY PRACTICE Residency Program PGY-1 Pharmacy Practice RESIDENCY OVERVIEW The Pharmacy Practice Residency Program is a comprehensive post-graduate training program that provides unique learning opportunities
More information4/28/17. 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 informationPGY1 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 informationSession 74X Leveraging Your Hospital's Hidden Assets to Drive Meaningful Change
Prepared for the Foundation of the American College of Healthcare Executives Session 74X Leveraging Your Hospital's Hidden Assets to Drive Meaningful Change Presented by: James Vieira, PharmD EIleen Dohmann
More informationBoard of Pharmacy Specialties Portfolio Requirements for Added Qualifications in Infectious Diseases Pharmacotherapy
Effective 2016-2017 Application cycle Board of Pharmacy Specialties Portfolio Requirements for Added Qualifications in Infectious Diseases Pharmacotherapy Board Certified Pharmacotherapy Specialists (BCPS)
More informationTransition of Care Practices. Nancy MacDonald, PharmD, BCPS, FASHP Henry Ford Hospital Detroit, MI
Transition of Care Practices Nancy MacDonald, PharmD, BCPS, FASHP Henry Ford Hospital Detroit, MI Objectives Pharmacist 1. Describe transition of care opportunities 2. Explain ways to use pharmacist extenders
More informationImproving 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 informationAugust 22, Dear Sir or Madam:
August 22, 2012 Office of Disease Prevention and Health Promotion 1101 Wootton Parkway Suite LL100 Rockville, MD 20852 Attention: Draft Phase 3 Long-Term Care Facilities Module Dear Sir or Madam: The Society
More informationDash, GP. Infection Prevention in Real Time Automating Your Surveillance System. APIC MN, Sept. 28,
Dash, GP. Infection Prevention in Real Time Automating Your Surveillance System. APIC MN, Sept. 28, 2010. gpdash@capecodhealth.org Resource List APIC Surveillance Technology Resources Use this resource
More informationTransition of Care Practices. Nancy MacDonald, PharmD, BCPS, FASHP Henry Ford Hospital Detroit
Transition of Care Practices Nancy MacDonald, PharmD, BCPS, FASHP Henry Ford Hospital Detroit Henry Ford Hospital Detroit Transition of Care (TOC) Services Introduction to Pharmacy Services Pharmacy Transition
More informationJUMP START STEWARDSHIP
Education Quality Infection Prevention Critical Access Hospitals Training and Professional Development Program JUMP START STEWARDSHIP Implementing Antimicrobial Stewardship in a Small, Rural Hospital SPONSORS
More informationHealthONE Sepsis Program
HealthONE Sepsis Program Gary Winfield, MD Lindy Garvin, MPA, CPHRM June 12, 2017 0 0 This activity is jointly-provided by SynAptiv and the Colorado Hospital Association 1 1 Conflict of Interest Disclosure
More informationDisclosures. Attendance Code. Development and Support. Accreditation Information. House of Delegates Policy Topic Webinar Point of Care Testing
House of Delegates Policy Topic Webinar Point of Care Testing Development and Support Wednesday, October 21, 2015 1:00 pm 2:00 pm EDT Alex Adams, PharmD, CAE, MPH Executive Director Idaho State Board of
More informationQAPI & 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 informationNational Priorities for Improvement:
National Priorities for Improvement: Standardization of Performance Measures, Data Collection, and Analysis Dale W. Bratzler, DO, MPH Principal Clinical Coordinator Oklahoma Foundation Contracting for
More informationOHA HEN 2.0 Partnership for Patients Letter of Commitment
OHA HEN 2.0 Partnership for Patients Letter of Commitment To: Re: Request to Participate in the Ohio Hospital Association Hospital Engagement Contract Date: September 24, 2015 We have reviewed the information
More informationMedicare Beneficiary Quality Improvement Project
Rural Hospital Performance Improvement Medicare Beneficiary Quality Improvement Project Paul Moore, DPh Senior Health Policy Advisor Department of Health and Human Services Health Resources and Services
More informationPharmacy Leadership and Administration Learning Experience Rev 12/16/16
Pharmacy Leadership and Administration Learning Activities (Longitudinal): Preceptors: Jordan Dow, PharmD MS FACHE (Regional Pharmacy Director); Michele Richmond, RPh (Outpatient Pharmacy Director); Maggie
More informationPGY1 Infectious Disease Longitudinal Rotation
PGY1 Infectious Disease Longitudinal Rotation Preceptor: Immanuel Ijo, PharmD, BCPS-AQ ID Hours: will vary with the resident s schedule and primary rotation Contact: (541)789-4460, Immanuel.Ijo@asante.org
More informationSaving Lives: EWS & CODE SEPSIS. Kim McDonough RN and Margaret Currie-Coyoy MBA Last Revision: August 2013
Saving Lives: EWS & CODE SEPSIS Kim McDonough RN and Margaret Currie-Coyoy MBA Last Revision: August 2013 Course Objectives At the conclusion of this training, you will be able to Explain the importance
More informationCMS Final Rule Pharmacy Services Update: What You Need to Know!
CMS Final Rule Pharmacy Services Update: What You Need to Know! Presented by: Dr. William C. Hallett, Pharm.D., MBA, CGP, C-MTM Guardian Consulting Services, Inc. (855) 675-6235 whallett@guardianconsulting.com
More informationDrilling 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 informationExpanding Antimicrobial Stewardship to Urgent Care Centers Through a Pharmacist-Led Culture Follow-up Program
Infect Dis Ther (2017) 6:453 459 DOI 10.1007/s40121-017-0168-8 BRIEF REPORT Expanding Antimicrobial Stewardship to Urgent Care Centers Through a Pharmacist-Led Culture Follow-up Program Lisa E. Dumkow.
More informationPGY-1 Pharmacy Practice
Lutheran Health Network PGY-1 Pharmacy Practice Residency Program LHN Pharmacy Residency Program Mission Statement The mission of the LHN Pharmacy Residency Program is to empower pharmacy residents to
More informationTHE JCPP PHARMACISTS PATIENT CARE PROCESS: TIME TO REINVENT THE WHEEL?
Alexa Carlson, RPh, PharmD, BCPS a.carlson@northeastern.edu Margarita DiVall, RPh, PharmD, MEd, BCPS m.divall@northeastern.edu THE JCPP PHARMACISTS PATIENT CARE PROCESS: TIME TO REINVENT THE WHEEL? Objectives
More information2/23/2017. Preparing to Meet New Infection Prevention Requirements in Skilled Nursing Facilities. Objectives
Preparing to Meet New Infection Prevention Requirements in Skilled Nursing Facilities Aimee Ford, Qualis Health Patricia Montgomery, WA State Department of Health Washington Health Care Association Winter
More informationRole of the C-Suite in High Reliability Antimicrobial Stewardship
Role of the C-Suite in High Reliability Antimicrobial Stewardship 1 st Annual Texas Medical Center Antimicrobial Resistance and Stewardship Conference January 19, 2018 M. Michael Shabot, MD, FACS, FCCM,
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 informationCare Transitions. Jennifer Wright, NHA, CPHQ. March 21, 2017
Oregon Office of Rural Health Medicare Beneficiary Quality Improvement Project Training Series Care Transitions Jennifer Wright, NHA, CPHQ March 21, 2017 Agenda Overview of care transitions Emergency Department
More informationCONTINUING EDUCATION ACTIVITY PLANNING WORKSHEET
CONTINUING EDUCATION ACTIVITY PLANNING WORKSHEET Rutgers Biomedical and Health Sciences is accredited by the American Nurses Credentialing Center (ANCC), the Accreditation Council for Pharmacy Education
More informationHouse Staff Orientation Department of Pharmacy
House Staff Orientation Department of Pharmacy Paul Nowierski, Senior Director of Pharmacy Nicholas Zerilli, Clinical Pharmacist Advanced Practice, BCPS Lenox Hill Hospital Department of Pharmacy June
More informationSection 727 of the Carl Levin and Howard P. Buck McKeon National Defense Authorization Act for Fiscal Year 2015 Public Law
Section 727 of the Carl Levin and Howard P. Buck McKeon National Defense Authorization Act for Fiscal Year 2015 Public Law 113-291 Antimicrobial Stewardship Program Plan Medical Facilities Department of
More informationIHI Expedition. Antibiotic Stewardship Session 2: Promoting a Culture for Optimal Antibiotic Use. April 3, Diane Jacobsen, MPH Loria Pollack, MD
April 3, 2014 These presenters have nothing to disclose IHI Expedition Antibiotic Stewardship Session 2: Promoting a Culture for Optimal Antibiotic Use Diane Jacobsen, MPH Loria Pollack, MD Today s Host
More informationChrista Pardue, MBA, MT(AMT) - Director of Laboratory Services University Healthcare System, Augusta, GA
How Our Microbiology Lab s Lean Redesign Supported Improved Workflow, Helped Balance Staffing, and Contributed to Gains in Antimicrobial Stewardship Outcomes Christa Pardue, MBA, MT(AMT) - Director of
More information2014 Partnership in Prevention Award. November 21, :00-1:00PM EST. Introduction
2014 Partnership in Prevention Award November 21, 2014 12:00-1:00PM EST Introduction Don Wright, MD, MPH Deputy Assistant Secretary for Health (Disease Prevention and Health Promotion) U.S. Department
More informationIHI Expedition. Today s Host 9/17/2014
September 6, 204 Begins at 3:00 PM EST These presenters have nothing to disclose IHI Expedition Expedition: Appropriate Use of Blood Products Session 3: Transfusion Safety Program Infrastructure: Measures
More informationIHI Expedition. Antibiotic Stewardship Session 3: Our Learning Journey: IHI & CDC Antibiotic Stewardship Partnership.
April 17, 2014 These presenters have nothing to disclose IHI Expedition Antibiotic Stewardship Session 3: Our Learning Journey: IHI & CDC Antibiotic Stewardship Partnership Arjun Srinivasan, MD Scott Flanders
More informationAugust 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 informationA New Clinical Operating Model Transforms Care Delivery and Improves Performance
A New Clinical Operating Model Transforms Care Delivery and Improves Performance The Unified Clinical Organization (UCO) Paul Conlon, PharmD, JD SVP, Clinical Quality and Patient Safety, Trinity Health
More informationNurse-driven Antibiotic Stewardship: Multisite Qualitative Study of Perceived Barriers to Recommended Practices
Nurse-driven Antibiotic Stewardship: Multisite Qualitative Study of Perceived Barriers to Recommended Practices Eileen J. Carter, PhD, RN Assistant Professor at CUMC Nurse Researcher, New York-Presbyterian
More informationInfectious Diseases- HAI Tennessee Department of Health, Healthcare Associated Infections and Antimicrobial Resistance Program/ CEDEP
Infectious Diseases- HAI Tennessee Department of Health, Healthcare Associated Infections and Antimicrobial Resistance Program/ CEDEP Nashville, Tennessee Assignment Description The Fellow will be located
More information2015 Executive Overview
An Independent Licensee of the Blue Cross and Blue Shield Association 2015 Executive Overview Criteria for the Blue Cross and Blue Shield of Alabama Hospital Tiered Network will be updated effective January
More informationCDPH 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 informationDecreasing Triage to Antibiotic Time for Suspected Sepsis Patients
Decreasing Triage to Antibiotic Time for Suspected Sepsis Patients Strong Memorial Hospital October/November 2017 Strong Memorial Hospital University of Rochester Medicine Upstate New York Tertiary/quaternary
More informationGreetings 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 informationInaugural 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 informationPresentation Outline
Pharmacist Practice Expectations Weighing Value and Setting Priorities Nick Honcharik, Pharm. D. Presentation Outline Pharmacist Practice Expectations Background/rationale Development Selective examples
More informationUsing Facets of Midas+ Hospital Case Management to Support Transitions of Care. Barbara Craig, Midas+ SaaS Advisor
Using Facets of Midas+ Hospital Case Management to Support Transitions of Care Barbara Craig, Midas+ SaaS Advisor What does Transitional Care Include? Transitional Care is the smooth conversion of a patient
More informationHRET HIIN MDRO Taking MDRO Prevention to the Next Level!
HRET HIIN MDRO Taking MDRO Prevention to the Next Level! October 17, 2017 12:30 p.m. 1:30 p.m. CT 1 Kristin Preihs Senior Program Manager, HRET WELCOME AND INTRODUCTIONS 2 Webinar Platform Quick Reference
More informationDisclosures. 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 informationAdministrators. Medical Directors. 61% The negative impact on our hospital-based program s. 44% We will need to consider the most appropriate or most
2016 This annual survey, which began in 2009, provides key insight into nationwide developments in the business of cancer care. To better capture information from its multidisciplinary membership, this
More informationCourse Descriptions for PharmD Classes of 2021 and Beyond updated November 2017
Course Descriptions for PharmD Classes of 2021 and Beyond updated November 2017 PHRD 510 - Pharmacy Seminar I Credit: 0.0 hours PHRD 511 Biomedical Foundations Credit: 4.0 hours This course is designed
More informationInfection Prevention and Control and Antibiotic Stewardship: More than Counting Beans
Infection Prevention and Control and Antibiotic Stewardship: More than Counting Beans Teresa Fox, CIC Quality Improvement Advisor teresa.fox@area-g.hcqis.org Welcome Beth Greene, Quality Improvement Advisor
More informationMBQIP Phase 3: Pharmacist Verification of Medication Orders Within 24 Hours
MBQIP Phase 3: Pharmacist Verification of Medication Orders Within 24 Hours Megan Meacham, MPH Paul Moore, DPh December 17, 2013 Department of Health and Human Services Health Resources and Services Administration
More information