Antibiotic Stewardship

30/30 Education Session - 30 minutes

1501 - Initiating an Antibiotic Stewardship Program in a Tribally-Owned Healthcare Organization

Wednesday, June 14
4:30 PM - 5:00 PM
Location: Oregon Convention Center, D 137-140

The threat of antibiotic resistance to global health has been acknowledged by the White House, the Centers for Medicare & Medicaid Services (CMS), the Center for Disease Control and Prevention (CDC), and The Joint Commission. In an attempt to mitigate this threat, current recommendations from these bodies include the establishment of antibiotic stewardship programs in acute, critical access, long-term care (LTC), and dialysis centers across the nation.

Gila River Health Care is a tribally owned healthcare organization in rural Arizona. It operates a critical access hospital, an LTC facility, two freestanding dialysis units, and several ambulatory service departments and clinics. The diversity of the specialty services made available to the immunocompromised patient population poses many unique challenges including, but not limited to, the initiation and the maintenance of an antibiotic stewardship program. Such a program is critical and tribal culture, traditions, and beliefs necessarily impact its outcome.

This presentation will take the participants through a gap analysis/risk assessment process, identification of the core elements of an antibiotic stewardship program, program development, and the identification of monitors based on best practice guidelines. The application of these principles within a tribally owned healthcare organization and its results shall be examined.

Learning Objectives:


Marcy Hamblin

Infection Preventionist
Gila River Health Care
Sacaton, Arizona

Marcy Hamblin has worked in nursing for the past 49 years: She started as a candy striper and nursing assistant and has become a licensed practical nurse, then a registered nurse and moved on to completed her BSN. She has worked in various settings, including acute care, research, and long-term care. She is presently the infection preventionist for a tribally owned integrated healthcare system. In these various settings, she has implemented shared governance, taught a nursing assistant class, and organized a statewide CNA expo, but recently she has been the pupil and is learning new things every day, such as about new emerging organisms, how old ones are evolving, and how we can help.

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Timothy Bowers

Infection Preventionist
Penn Presbyterian Medical Center
Philadelphia, PA

Timothy Bowers is currently an Infection Preventionist at Penn Presbyterian Medical Center in Philadelphia, PA focusing on educating his assigned units, CDI (CDAD) reduction, MRSA Screening program and the NHSN MDRO Module compliance. Previously he worked

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