Premier assists in development of National Quality Forum’s Antibiotic Stewardship Playbook

Leading experts from the public and private sectors released an urgently needed tool to help acute-care hospitals implement strategies to promote appropriate, safe use of antibiotics. Antibiotic Stewardship in Acute Care: A Practical Playbook was released by The National Quality Forum (NQF) and the Centers for Disease Control and Prevention (CDC) and developed by more than 25 experts and organizations, including Premier.

Premier’s commitment to support National Action Plan for Combating Antimicrobial Resistance

Premier and its alliance members recognize the critical need for antimicrobial stewardship (AMS) and are committed to reducing antibiotic resistance. Antimicrobial stewardship encompasses appropriate use of antimicrobial agents that inhibit or kill micro-organisms, including bacteria, viruses and fungi – antibiotics that act against bacteria are the most common. Premier, along with a number of its members, joined 150 major stakeholders in the June 2, 2015, White House Forum on Antibiotic Stewardship to share commitments to implement initiatives over the next five years to slow the emergence of resistant bacteria and prevent the spread of resistant infections, to include improvement in antibiotic use and prescribing.

Premier will be focusing its efforts on the first two goals of the National Action Plan for Combating Antibiotic-Resistant Bacteria: (1) Slowing emergence of resistant bacteria and preventing the spread of resistant infections, and (2) Strengthening national surveillance efforts to combat resistance. Premier will continue to align its antimicrobial stewardship offerings to achieve the outcomes related to these goals by 2020 as identified in the White House Action Plan.

National Action Plan for Combating Antibiotic Resistant Bacteria

Goal 1: Slow the emergence of resistant bacteria and prevent the spread of resistant infections

By 2020 the significant outcomes will include:

  • Establishing antimicrobial stewardship programs in all acute care hospitals and improving antimicrobial stewardship across all healthcare settings; and
  • Reducing inappropriate antibiotic use by 20 percent in inpatient settings.

Goal 2: Strengthen national surveillance efforts for resistant bacteria

By 2020 the significant outcomes will include:

  • 95 percent of Medicare eligible hospitals, DoD and VA facilities to report antibiotic use and resistance to NHSN.

Premier’s commitment on antibiotic stewardship

As part of the commitment to promote antimicrobial stewardship (AMS), Premier launched a QUEST mini collaborative of 50 healthcare organizations on September 3, 2015 to run to June 2016. The goal of the AMS collaborative is to reduce harm associated with the delivery of care. Participants will work to implement CDC Core Elements for hospital antibiotic stewardship programs and reduce potentially inappropriate use of redundant combinations of intravenous anti-anaerobic antibiotics, similar to those identified in Premier-CDC Research study. The results and findings will be shared widely The goals directly support the National Action Plan for Combating Antibiotic-Resistant Bacteria (CARB).

Premier research helps focus antimicrobial initiatives

Research by Premier and the CDC published in September 2014 found that 78 percent (394) of hospitals studied had evidence of at least of 23 potentially unnecessary or redundant combinations of antibiotics being prescribed for two or more days. In addition to potential harm and drug resistance, these cases represented more than $13 million in avoidable healthcare costs to antimicrobial drugs.

Premier’s commitment on antibiotic stewardship

As part of the commitment to promote antimicrobial stewardship (AMS), Premier launched a QUEST mini collaborative of 50 healthcare organizations on September 3, 2015 to run to June 2016. The goal of the AMS collaborative is to reduce harm associated with the delivery of care. Participants will work to implement CDC Core Elements for hospital antibiotic stewardship programs and reduce potentially inappropriate use of redundant combinations of intravenous anti-anaerobic antibiotics, similar to those identified in Premier-CDC Research study. The results and findings will be shared widely The goals directly support the National Action Plan for Combating Antibiotic-Resistant Bacteria (CARB).

QUEST® – Premier’s ongoing national quality and safety collaborative

doctorsQUEST is one of the most comprehensive hospital collaboratives in the nation. Currently including approximately 350 members, QUEST has become one of the only initiatives to help healthcare organizations deliver the best possible care to each patient, every time. QUEST members have avoided approximately 220,000 hospital deaths; and saved approximately $18 billion since its inception in 2008.

QUEST uses healthcare informatics to provide the best patient care and drive performance in seven domains: mortality, safety, evidence-based care, cost and efficiency, appropriate hospital use, patient and family engagement, and community health.

QUEST collaborative on antimicrobial stewardship (AMS)

A QUEST mini collaborative was conducted in 2015 to 2016. The goal of the AMS collaborative was to reduce harm associated with the delivery of care. Specifically, participants worked to reduce potentially inappropriate use of redundant combinations of intravenous anti-anaerobic antibiotics, similar to those identified in Premier-CDC Research study. The goals directly supported the National Action Plan (NAP) for Combatting Antibiotic-Resistant Bacteria (CARB).

Fifty organizations representing 24 states participated in this collaborative which ran for 8 months.

QUEST sprint webinar series on antimicrobial stewardship

Sprints are rapid-cycle performance improvement webinar series to help drive changes in specific indicators.  Premier recent completed an AMS sprint that included reducing redundant antibiotics use, learning steps needed to start or enhance a successful antibiotic stewardship program and decreasing cost opportunities in anti-infective drug utilization. The AMS sprint concluded in June 2015 with nearly 250 individuals participating.

Education, training, news

Article: Action for Better Healthcare Blog Antimicrobial resistance: Manage what you measure by L. Schultz(9/17/15)

AdvisorLive®

Antimicrobial stewardship (AMS) Why now and how? Featuring Dr Arjun Srinivasan, CDC and Michael Postelnick, Northwestern Memorial Hospital, discussing tools and strategies for AMS, and measuring antimicrobial use and resistance.