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    The Roadmap to Success: Implementing Outpatient Antibiotic Stewardship

  • Mile Marker 1

    Task Rationale

    Step

    1 Sign the participation agreement Allows Mountain-Pacific to recognize your facility as a

    quality leader in antibiotic stewardship and provide support along your journey!

    Step

    2 You Choose • Establishes a point person for Mountain-Pacific to contact

    • Provides structure to antibiotic stewardship (AS) activities • Satisfies Core Element #1: CommitmentIdentify a single leader to direct activities in your facility

    Step

    3 Complete the Centers for Disease Control and Prevention (CDC) Core Elements checklist

    • Assesses current AS activities • Identifies gaps • Directs focus for activities and priorities

    Complete Assessment* Here *Paper copy available upon request.

    Step

    4 Display a public commitment letter/ poster supporting AS. Download your letter and/or posters here.

    • Demonstrates dedication and accountability for AS • Satisfies Core Element #1: Commitment

    Step

    5 Celebrate! You have met 25% of the CDC Core Elements for Outpatient Antibiotic Stewardship

    = Mountain-Pacific-provided resource = You choose! = Complete assessments = Celebrate with your team!

    https://www.cdc.gov/antibiotic-use/community/pdfs/16_268900-A_CoreElementsOutpatient_check_1_508.pdf

  • Mile Marker 2

    Task Rationale

    Step

    1 Review the CDC Core Elements for Outpatient Antibiotic Stewardship.* *Paper copy available upon request.

    Familiarizes your facility with CDC expectations from the CDC Core Elements source document

    1. Commitment 2. Action 3. Tracking and Reporting 4. Education and Expertise

    Step

    2 • Core Element #1: Commitment • Identifies opportunities for improvement and narrows the

    focus to a manageable population • Informs the choice of intervention • Sets expectation with clinical staff members

    You Choose

    Identify one or more high-priority conditions for intervention (page 10 of the CDC Core Elements)

    Step

    3 You Choose Directs AS activities, for example barriers might include:

    • Patient pressure to prescribe antibiotics • Physicians feel rushed to see patients quickly • Need to review clinical guidelines for antibiotic use

    Identify barriers that lead to deviation from best practices specific to your high-priority condition (page 10 of the CDC Core Elements)

    Step

    4 • Provides structure and focus for activities to reduce or

    eliminate barriers • Can you query your electronic health record system for

    disease/prescribing patterns? If not, your Mountain- Pacific contact can assist you in identifying internal and external data source opportunities and barriers.

    • Satisfies Core Element #2: Action (once implemented)

    You Choose

    Develop actions to address all or part of your barriers. Ensure actions are in sync with Core Element checklist item #2: Action

    = Mountain-Pacific-provided resource = You choose! = Complete assessments = Celebrate with your team!

    https://www.cdc.gov/getsmart/community/improving-prescribing/core-elements/core-outpatient-stewardship.html https://www.cdc.gov/antibiotic-use/community/pdfs/16_268900-A_CoreElementsOutpatient_508.pdf

  • Mile Marker 3

    Task Rationale

    Step

    1 Check in with your Mountain-Pacific Quality Improvement Specialist:

    (307) 472-0507

    Allows you to: • Report progress to date • Discuss barriers; identify how Mountain-Pacific can help -

    visit Tools and Resources on Mountain-Pacific’s Outpatient Antibiotic Stewardship web page: http:// mpqhf.com/QIO/quality-improvement-tools- resources/antibiotic-stewardship/

    • Verify completion of Core Element #2: Action A 15–30 minute call is helpful

    so Mountain-Pacific can assist with problem-solving or provide resources.

    Step

    2 Celebrate! You have met 50% of the CDC Core Elements for Outpatient Antibiotic Stewardship

    = Mountain-Pacific-provided resource = You choose! = Complete assessments = Celebrate with your team!

    http://www.hsag.com/as http://mpqhf.com/QIO/quality-improvement-tools-resources/antibiotic-stewardship/ http://mpqhf.com/QIO/quality-improvement-tools-resources/antibiotic-stewardship/ http://mpqhf.com/QIO/quality-improvement-tools-resources/antibiotic-stewardship/ http://mpqhf.com/QIO/quality-improvement-initiatives/antibiotic-stewardship/

  • Mile Marker 4

    Task Rationale

    Step

    1 Complete AS tracking and education readiness assessment

    • Helps determine “level of readiness” and resource availability (electronic medical record [EMR], staff members, etc.) to support Core Element #3: Tracking and Reporting

    • Helps customize education to clinicians, staff, and patients Complete a self-assessment! Ask what works best for educating patients? For tracking/trending prescribing data in your setting?

    Step

    2 Based on your self-assessment, Mountain-Pacific Quality Improvement Specialist will review available data for the identified high priority conditions, provide feedback and/or find resources to support your needs

    • Provides Mountain-Pacific with more information about your facility so we can help assess provider needs and customize resources to help you complete Core Elements #3 and #4

    • Determines time frame to complete Core Elements #3 and #4

    • Can set goals around completing Core Elements #3 and #4

    Step

    3 Mountain-Pacific’s Quality Improvement Specialist will assist you with identifying and acquiring the tools and/or resources to provide AS education to you patients, providers and staff

    • Satisfies Core Element #3: Tracking and Reporting

    • Satisfies Core Element #4: Education and Expertise

    = Mountain-Pacific-provided resource = You choose! = Complete assessments = Celebrate with your team!

  • Mile Marker 5

    Task Rationale

    Step

    1 Complete the second assessment of the CDC Core Element checklist. Check all boxes that have been completed

    • Verifies all the hard work that has been completed • Assures sustainability of AS activities

    Complete Assessment Here

    Step

    2 Celebrate!

    You have met 100% of the CDC Core Elements for Outpatient Antibiotic Stewardship!

    Mountain-Pacific will provide a certificate of completion for you to post in your location

    This material was prepared by Health Services Advisory Group and has been repurposed and distrubuted by Mountain-Pacific Quality Health, the Medicare Quality Innovation Network- Quality Improvement Organization (QIN-QIO) for Montana, Wyoming, Alaska, Hawaii and the U.S. Pacific Territories of Guam and American Samoa and the Commonwealth of the Northern Mariana Islands, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. Contents presented do not necessarily reflect CMS policy. 11SOW-MPQHF-AS-C310-17-05

    If you want to go even further, please contact your Mountain-Pacific Specialist!

    = Mountain-Pacific-provided resource = You choose! = Complete assessments = Celebrate with your team!

    https://www.cdc.gov/antibiotic-use/community/pdfs/16_268900-A_CoreElementsOutpatient_check_2_508.pdf