Antimicrobial Stewardship, Resistance and Emerging Pathogens
30/30 Education Session - 30 minutes
The CDC released the Core Elements of Outpatient Antibiotic Stewardship in November 2016. Most organizations were hesitant to address this location until the inpatient setting met all seven core elements. CMS requested the Quality Innovation Network-Quality Improvement Organizations (QIN-QIO) support the implementation of four core elements including commitment, the action for policy and practice, tracking and reporting, and education and expertise without requesting reimbursement for the service.
This session describes how Wisconsin developed and implemented a plan to achieve these goals. Participants will learn the strategies and techniques used throughout the implementation process, including:
• Recruiting 90 outpatient locations that ranged from emergency services, urgent care centers, physician clinics, and community pharmacies to implement least one item per core element by December 2018.
• Communication tactics to ensure success, including one-on-one teleconferences for project and goal review and evaluation.
• Implementation of quarterly reviews and the provision of technical assistance and tools based on identified gaps.
• Remediation strategies for facilities who had not their goals within the first nine months
In July 2017, 11 of the 90 locations had all core elements in place. This increased to 73 locations by December and 81 in May of 2018. All sites had at least one item for each core element in place by July 2018. The most difficult core element to implement was tracking and reporting due to limitations in the electronic health records. Success was attributed to a social media campaign with on-demand video on each subject and the creation of toolkit and supporting documents based upon best practice. Participants will explore how these tactics helped support the program and achieve a 100% success rate.