Nebraska ASAP: Antimicrobial Stewardship Assessment and Promotion Program

Promoting Appropriate Use Of Antibiotics to Improve Patient Outcomes and Prevent Antibiotic Resistance Throughout Nebraska

"As antibiotic resistance grows, the antibiotics used to treat infections do not work as well or at all. The loss of effective antibiotic treatments will not only cripple the ability to fight routine infectious diseases but will also undermine treatment of infectious complications in patients with other diseases. Many of the advances in medical treatment—joint replacements, organ transplants, cancer therapy, and treatment of chronic diseases such as diabetes, asthma, rheumatoid arthritis—are dependent on the ability to fight infections with antibiotics. If that ability is lost, the ability to safely offer people many life-saving and life improving modern medical advantages will be lost with it." --- CDC Report on Antibiotic Resistance Threats in the United States, April 23, 2013

How could your facility benefit from a partnership with ASAP?

  • Receive assistance in development of an effective stewardship program or improving an existing program, that can result in
    • More appropriate antimicrobial use
    • Improved patient outcomes
    • Decreased healthcare costs, including pharmacy and laboratory expenses
    • Decreased C. difficile infections and isolation of resistant pathogens
  • Access a pharmacist coordinator and Infectious Diseases physician with expertise in antimicrobial stewardship for consultative support in program development
  • Gain access to relevant toolkits, policies, and strategies for antimicrobial stewardship

What type of assistance will be provided?

  • Assessment of facility using the CDC Core Elements of Antimicrobial Stewardship
  • Provision of leadership support and resources such as justification material, policy support, and business plan
  • Assistance with NHSN data submission
  • Education of antimicrobial stewardship personnel and clinicians in the facility
  • Provision of consultative expertise (ID physician, Pharmacist, Infection Preventionist) to implement best practices for antimicrobial stewardship
  • Some facilities will be invited to participate in an environmental services project to improve cleaning to prevent C. difficile infection.

What is the cost?

  • ASAP is funded by a grant. There is no cost for services provided by the grant team
  • The facility should be prepared to
    • designate project leadership (physician and pharmacy support within facility)
    • collect and share antimicrobial usage data
    • collect and share microbiology reports
    • implement recommendations

CDC Core Elements of Antimicrobial Stewardship

Hospital: http://www.cdc.gov/getsmart/healthcare/pdfs/core-elements.pdf

Long Term Care: http://www.cdc.gov/longtermcare/pdfs/core-elements-antibiotic-stewardship.pdf

Outpatient: http://www.cdc.gov/getsmart/community/improving-prescribing/outpatient-stewardship.html

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