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Welcome to the GHA Infection Prevention Power HourDecember 19, 2013
Brief Agenda
GHA/HEN Update Review of CMS, Georgia HAI Reporting for
2014 Georgia DPH Update – Antibiotic Stewardship
Program GMCF, QIO Update – NHSN Reporting: CDI
How Are We doing at Preventing Infection Harm?
CAUTI Still A Challenge
SSI: Colon
SSI Abdominal Hysterectomy
Coming
• Hospital wide CLABSI and CAUTI• Additional SSI: Hip and knee prosthesis• VAE: IVAC, Possible, probable VAP
LEAPT to GAPP
Innovation for rapid safety improvement Sepsis C. diff with antimicrobial stewardship
Stepping up to Antibiotic Stewardship in Georgia
Jeanne Negley, MBAGeorgia HAI Coordinator
Georgia Department of Public Health
Georgia Hospital Association Infection Prevention Power HourDecember 19, 2013
Impetus to Engage in Stewardship
Awareness of stewardship work conducted in Oregon
New to Georgia (with no program for stewardship)
Need for state to engage with providers in prevention activities
Antibiotic stew-ardship program?
Activities
Convened subcommittee Recommended: Create statewide strategic plan Conducted research on resources and evidence of
resistant disease in the state:• Within the State HD: Emerging Infections Program,
Gonococcal Isolate Surveillance Project, Vaccine Preventable Disease, Evaluation Resources
• Outside the State HD: Centers for Disease Control and Prevention (subject matter and evaluation experts), South Dakota, and Maryland
Initial Results
Developed statewide strategic plan Initial focus on acute care
Logic Model Adapted from CDC DHQP logic model Policy implementation through partnerships Phased-in approach
Recognition Program for Antibiotic Stewardship
Association of State and Territorial Health Officials (ASTHO) Grant
Opportunity
Applied for and received ASTHO HAI Capacity Grant
“Changed Gears” to focus on training for acute care pharmacists and physicians
Grant Activities: Developed ASP assessment tool with CDC
October 9, 2013 training for pharmacists
Conducted post-training focus group with pharmacists
Physician webinars scheduled for December 2013
October 9, 2013
A lot of people in one room Challenge of partial government shutdown
Georgia Antibiotic Stewardship Subcommittee members step up to the challenge
Jeanne conducts focus group
Meeting runs over time; extended Q&A session
Focus Group Questions
What did you like most/least about training?
What is one most useful idea of technique you learned today?
What are the barriers to antimicrobial stewardship programs (ASP)?
What can the State Health Department do to help promote enhance … ASP?
Initial thoughts on Honor Roll?
Anything we have not
discussed?
Physician Training
One-hour webinar offered on three dates Dec. 9, 11, and 12 (noon and 5 pm)
Program highlights need, hospitalist/community program, ASP for larger facility
Live Q&A session for each broadcast CMEs through Emory
Preliminary Assessment Data
26 of 50 facilities had a multidisciplinary committee focused on antimicrobial use
• 19 (73.1%) reported physician or pharmacist leader for stewardship activities
• 4 (15.4%) have neither physician nor pharmacist leaders
• 3 (11.5%) did not meet regularly
Preliminary Focus Group Data
Participants like the training: speakers, content, format
Wanted more education:
Supported for pharmacists and physicians
Partner with pharmacy and medical schools
Supported Honor Roll program
Need to be sensitive of resources at smaller facilities
Existing Partners to Support our Work
HAI Advisory Committee and Antibiotic Stewardship Subcommittee Development of Honor Roll; Created Toolkit; Speakers
Bureau; Development of new partnerships Georgia Hospital Association, Quality
Improvement Organization, Georgia Infection Prevention Network Marketing training; Development of new partnerships
Centers for Disease Control and Prevention Assessment tool Focus group questions Subject matter consultation
New Partnerships Developed
Georgia Society of Health System Pharmacists and Emory School of Medicine Marketing, continuing education, sustainability (pharmacy
association)
Medical Association of Georgia, Atlanta Infectious Disease Society, Atlanta Chapter of Hospital Medicine Marketing training
Potential Future Partners: state pharmacy and medical schools To offer antimicrobial stewardship training to
pharmacists and physicians
• The Georgia HAI Advisory Committee and Antibiotic Stewardship Subcommittee are developing an honor roll to recognize facilities engaged in stewardship.
• The requirements of the Honor Roll support the stewardship principles and tools provided in pharmacists and physician training programs.
Georgia Honor Roll for Antibiotic Stewardship
STEPPING UP TO ANTIMICROBIAL STEWARDSHIP IN GEORGIA
Phase 1- Engagement:1. Letter of Commitment from Leadership2. Antibiotic Stewardship Team3. Educational Event
Phase 2- Implementation4. Antibiotic Stewardship Programs5. Measurement of Impact of Program
Elements of Honor Roll
STEPPING UP TO ANTIMICROBIAL STEWARDSHIP IN GEORGIA
AcknowledgementsGeorgia Department of Public HealthMatthew CristStephanie Lambert (former intern)Lauren LorentzsonMichele MindlinAshley MooreMelissa Tobin D’AngeloNadine Oosmanally
Georgia Antibiotic Stewardship SubcommitteeJesse Jacob, MD, MS, Emory University Hospital, co-chairRenee Watson, RN, CIC, Children’s Healthcare of Atlanta, co-chairAngelina Davis, PharmD, MS, BCPS (AQ-ID) WellStar Health SystemDenise Flook, RN, CIC, Georgia Hospital AssociationKimberly Hazelwood, PharmD, Georgia Department of Public HealthSheena Kandiah, MD, Emory University Hospital
Armando Nahum, SafeCare CampaignCindy Prosnak, RN, CIC, Georgia Medical Care FoundationCraig Smith, MD, University Health System, Augusta
Centers for Disease Control and PreventionLoria PollackRonda Sinkowitz-CochranHeidi GruhlerArjun SrinivasanSusan FullerTurquoise Griffith
ASTHOCatherine CairnsVirginia Dolen
• Kathryn Arnold, MD, Centers for Disease Control and Prevention• Ryan Deal, Georgia Department of Public Health• Marcia L. Delk, MD, MBA , WellStar Health System • Denise Flook, RN, MPH, CIC, Georgia Hospital Association • Jesse T. Jacob, MD, MSc, Emory University Hospital Midtown• Robert C. Jerris, PhD, D (ABMM), Children’s Healthcare of Atlanta/Emory School of Medicine• Mary Key, BSN, CIC , Tift Regional Medical Center• Denise Leaptrot, BSMT(ASCP), RN, CIC, MBA , Coliseum Medical Centers• Peggy McGee , RN, CIC, Liberty Hospital• Armando Nahum , SafeCare Campaign• Cindy Prosnak, RN, CIC , Alliant/Georgia Medical Care Foundation• Susan M. Ray, MD , Emory School of Medicine• Lynn A. Reynolds, RN, CIC, Southeast Georgia Health System • Craig E. Smith, MD, MS, CTropMed, FACP, FIDSA, University Health Care System• James P. Steinberg, MD , Emory University School of Medicine • Nimalie Stone, MD, Centers for Disease Control and Prevention• Robert Thornton, MPH, Georgia Department of Public Health (District 9-1) • Renee Watson, BSN, RN, CIC, Children’s Healthcare of Atlanta• Rebecca Walker, RN, CIC, Georgia Regents University
Georgia HAI Advisory Committee
Thank you!
Jeanne Negley, MBAGeorgia Department of Public Health
2 Peachtree Street, NW, #14-225Atlanta, GA 30303
Alliant/GMCF/QIO Update
Cindy Prosnak
Contact Information
Denise M. Flook, RN, MPH, CICGeorgia Hospital Association770-249-4518, [email protected].
Jeanne Negley, HAI CoordinatorGeorgia Dept. of Public Health(404) 657-2593 | [email protected].
Cindy Prosnak, RN, BSN, CIC Alliant GMCF706.836.8361 | [email protected].
