TY - JOUR
T1 - Preparing for the New Joint Commission Requirements
T2 - a Model for Tracking Outcomes of an Ambulatory Antibiotic Stewardship Program in Primary Care
AU - Hempel, Eliana V.
AU - Duca, Nicholas
AU - Kipp, Ryan
AU - van Harskamp, John
AU - Caputo, Gregory
N1 - Funding Information:
The authors thank Dr. Thomas Abendroth, Dr. Michael Katzman, and Dr. Jennifer Kraschnewski for their contributions.
Publisher Copyright:
© 2021, Society of General Internal Medicine.
PY - 2021/3
Y1 - 2021/3
N2 - Since 2007, inpatient antibiotic stewardship programs have been required for all Joint Commission–accredited hospitals in the USA. Given the frequency of ambulatory antibiotic prescribing, in June 2019, the Joint Commission released new standards for antibiotic stewardship programs in ambulatory healthcare. This report identified five elements of performance (EPs): (1) Identify an antimicrobial stewardship leader, (2) establish an annual antimicrobial stewardship goal, (3) implement evidence-based practice guidelines related to the antimicrobial stewardship goal, (4) provide clinical staff with educational resources related to the antimicrobial stewardship goal, and (5) collect, analyze, and report data related to the antimicrobial stewardship goal. We provide eight practical tips for implementing the EPs for antimicrobial stewardship: (1) Identify a collaborative leadership team, (2) partner with informatics, (3) identify national prescribing patterns, (4) perform a needs assessment based on local prescribing patterns, (5) review guidelines for diagnosis and treatment of the selected condition, (6) identify systems-level interventions to help support providers in making appropriate treatment decisions, (7) prioritize individual EPs for your institution, and (8) re-assess local data to identify areas of strength and deficiency in local practice.
AB - Since 2007, inpatient antibiotic stewardship programs have been required for all Joint Commission–accredited hospitals in the USA. Given the frequency of ambulatory antibiotic prescribing, in June 2019, the Joint Commission released new standards for antibiotic stewardship programs in ambulatory healthcare. This report identified five elements of performance (EPs): (1) Identify an antimicrobial stewardship leader, (2) establish an annual antimicrobial stewardship goal, (3) implement evidence-based practice guidelines related to the antimicrobial stewardship goal, (4) provide clinical staff with educational resources related to the antimicrobial stewardship goal, and (5) collect, analyze, and report data related to the antimicrobial stewardship goal. We provide eight practical tips for implementing the EPs for antimicrobial stewardship: (1) Identify a collaborative leadership team, (2) partner with informatics, (3) identify national prescribing patterns, (4) perform a needs assessment based on local prescribing patterns, (5) review guidelines for diagnosis and treatment of the selected condition, (6) identify systems-level interventions to help support providers in making appropriate treatment decisions, (7) prioritize individual EPs for your institution, and (8) re-assess local data to identify areas of strength and deficiency in local practice.
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U2 - 10.1007/s11606-020-06365-1
DO - 10.1007/s11606-020-06365-1
M3 - Editorial
C2 - 33420558
AN - SCOPUS:85099244395
SN - 0884-8734
VL - 36
SP - 762
EP - 766
JO - Journal of General Internal Medicine
JF - Journal of General Internal Medicine
IS - 3
ER -