Antibiotic Stewardship in Nursing Homes Collaborative

Overview: The U.S. Centers for Medicare & Medicaid Services has mandated that by November 28, 2017, Medicare-certified nursing homes must have implemented an antibiotic stewardship program. LeadingAge Minnesota is partnering with The University of North Carolina’s (UNC’s) Program on Aging, Disability & Long-Term Care to facilitate and support an Antibiotic Stewardship Collaborative for LeadingAge Minnesota members building on a successful UNC grant project which utilized resources developed specifically for antibiotic stewardship in nursing homes by UNC. Collaborative Goals:

 Optimize appropriate use of antibiotics in LeadingAge Minnesota member nursing homes leading to a decrease in potential undesirable outcomes of inappropriate antibiotic use, such as C. difficile infection, preventable hospitalizations, and antimicrobial resistance.

 Meet the CMS Requirements of Participation for establishing an Antibiotic Stewardship program by November 2017. Collaborative Structure:

 Participation Agreement - Complete an Antibiotic Stewardship participation form signed by leadership and designating a champion to serve as the lead for the collaborative.

 Convene Team – Establish an Antibiotic Stewardship team (i.e., DON, infection control nurse, medical director, others as desired).

 Kick-Off – Participate in a kick-off virtual session with UNC faculty providing content expertise.

 Data Collection – Collect standardized data on infections diagnosed, antibiotics prescribed and outcomes such as hospitalizations with analysis and feedback reports provided back to participants by UNC.

 Monthly Champion Check-Ins – Meet virtually with the UNC faculty monthly to review data and discuss barriers and successes.

 Quarterly Team Check-Ins – Participate in conference calls with UNC faculty and Collaborative colleagues to learn and discuss new content and address implementation barriers.  Continued Improvement & Sustainment – Following the initial 6-month implementation phase, continue virtual meetings to reinforce sustainment, address implementation barriers, and share new innovations.

 Resources - A comprehensive set of training resources are available to participants designed specifically to support nursing homes in establishing an effective antibiotic stewardship program. Resources include:

o Infection Tracking Spreadsheets

o Training Materials for Nursing Staff

o Training Materials for Physicians, Nurse Practitioners, and Physician Assistants

o Instructional Materials for Residents and Families

o Manual on How to Implement an Antibiotic Stewardship Program

 Individual Technical Support – Up to 2 hours of individual technical support is available from UNC faculty. Lead Staff:

 Dr. Philip Sloane, MD, MPH, Co-director, the Program on Aging, Disability, and Long- Term Care of the Cecil G. Sheps Center for Health Services Research at UNC-CH

 Kimberly Ward, Project director and data management specialist

 Julie Apold, Vice President of Quality & Performance Excellence, LeadingAge Minnesota

 Liz Sether, Nurse Consultant/Policy Analyst, LeadingAge Minnesota Timeline:

 Call to Participate: February 2017

 Collaborative Kick-off: May 2017

 Initial Data Collection: May – July 2017

 Collaborative Implementation Phase: May – November 2017

 Collaborative Maintenance Phase: (includes quarterly supporting webinars): November 2017 – May 2018 Costs:

 $300 (plus shipping for materials) per participating organization for 1-year all-inclusive program (materials, training, technical assistance) o For larger organizations, there is an opportunity to purchase a larger package of materials for $450 (plus shipping for materials). Antibiotic Stewardship in Nursing Homes Collaborative Interest Form

I am interested in participating in the Antibiotic Stewardship Collaborative.

I am interested in getting more information about the Collaborative.

Name:______Organization:______Primary Contact Name: ______Primary Contact Email:______

Return form to: Julie Apold | Vice President of Quality & Performance Excellence LeadingAge Minnesota | 2550 University Avenue West, Suite 350 South, Saint Paul, MN 55114 [email protected]