Premier’s Commitment and Solution to Support Antimicrobial Stewardship
In September, 2018, Premier announced its commitment opens in a new tab to the Centers for Disease Control and Prevention’s (CDC’s) Antibiotic Resistance (AMR) Challenge. opens in a new tab Premier has helped hundreds of healthcare organizations implement successful antimicrobial stewardship programs that strengthen surveillance, reduce inappropriate use and prevent the spread of resistant infections.
Using an array of data-driven solutions, research and educational services, and performance improvement collaboratives, Premier is participating in actionable, impactful, measurable and timely initiatives to further combat AMR. Specifically, Premier is acting on three of the AMR Challenge’s Core Challenge Areas: Tracking and Data, Infection Prevention and Control, and Antibiotic Use. Premier is working to enable increased reporting of antimicrobial usage and resistance (AUR) data; to leverage our deep analytics to benchmark and understand usage patterns; and apply our collaborative methodology to target, implement and measure performance improvement efforts.
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 opens in a new tab 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 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 several 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 opens in a new tab: (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.
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.
- Schultz L, Lower TJ, Srinivasan A, Neilson D, Pugliese G. Economic impact of redundant antimicrobial therapy in US hospitals. opens in a new tab Infect Control Hosp Epidemiol 2014 Oct; 35(10):1229-35
As part of the commitment to promote antimicrobial stewardship (AMS), Premier launched a QUEST mini collaborative of 50 healthcare organizations that ran September 2015 to June 2016. With the goal of reducing harm associated with the delivery of care, participants worked to implement CDC Core Elements for hospital antibiotic stewardship programs and reduce potentially inappropriate use of redundant combinations of intravenous anti-anaerobic antibiotics, like those identified in Premier-CDC Research study. The goals directly support the National Action Plan for Combating Antibiotic-Resistant Bacteria (CARB). An earlier webinar series on Antimicrobial Stewardship wrapped up in June 2015 with nearly 250 individuals participating.
QUEST is a nationally-recognized collaborative that was launched in 2008 to help health systems provide high-value care across U.S. communities. Participants have reported avoiding more than 200,000 deaths and saving $18 billion in costs.
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.
The QUEST collaborative has been nationally recognized by the National Quality Forum and The Joint Commission as a recipient of the John M. Eisenberg Patient Safety & Quality Award.