Optimizing Medications: time to bring the pieces together
January 16 2014

Antimicrobial Stewardship:
Accreditation Canada...
Required Organizational Practices
(ROPs) in Qmentum

© Accreditation Canada/Agrément Canada

2
ROP Handbook
 2014 ROP Handbook:
www.accreditation.ca


Full listing of ROPs,
including updated reference
material

© Ac...
What is Antimicrobial Stewardship

Appropriate
selection,
dosing, route,
and duration of
antimicrobial
therapy

© Accredit...
Aim of Antimicrobial Stewardship
 Optimize the use of antimicrobials to achieve
the best patient outcomes

 Reduce the r...
ROP Development







Key safety issue
Expert input
National Consultation

Expert Working Group
2013 inpatient acut...
Antimicrobial Stewardship ROP
The organization has a program for antimicrobial
stewardship to optimize antimicrobial use.
...
Implementation

Evaluation

Accountability

Antimicrobial
Stewardship
Program

Interventions

© Accreditation Canada/Agrém...
Implementation
The organization implements an
antimicrobial stewardship program. (Major)

© Accreditation Canada/Agrément ...
Accountability
The program includes lines of accountability for
implementation. (Major)
Sure glad the hole isn’t at our en...
Interdisciplinary
The program is inter-disciplinary involving
pharmacists, infectious diseases physicians,
infection contr...
Intervention
The program includes interventions to optimize
antimicrobial use that may include (Major):
 Audit and feedba...
Evaluation
The organization establishes mechanisms to
evaluate the program on an ongoing basis,
and shares results with st...
During the On-Site Survey
REVIEW

TALK and
LISTEN

RECORD

OBSERVE

© Accreditation Canada/Agrément Canada

14
Reference Material

Infectious Diseases Society of America and the Society for Healthcare
Epidemiology of America guidelin...
Next Steps
 Monitor implementation to improve ROP
language and approach over time
Feedback is welcome!

 Work with part...
The leader in raising the bar for health quality
Le leader qui hausse la barre en matière
de qualité de santé
Upcoming SlideShare
Loading in …5
×

Antibiotics are Medications Too!!

607 views

Published on

Presented at the Optimizing Medications Workshop in Vancouver by Heather Howley and Jim Hutchinson

Published in: Health & Medicine, Business
0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total views
607
On SlideShare
0
From Embeds
0
Number of Embeds
21
Actions
Shares
0
Downloads
9
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide

Antibiotics are Medications Too!!

  1. 1. Optimizing Medications: time to bring the pieces together January 16 2014 Antimicrobial Stewardship: Accreditation Canada Requirements Heather Howley, MS Accreditation Canada
  2. 2. Required Organizational Practices (ROPs) in Qmentum © Accreditation Canada/Agrément Canada 2
  3. 3. ROP Handbook  2014 ROP Handbook: www.accreditation.ca  Full listing of ROPs, including updated reference material © Accreditation Canada/Agrément Canada 3
  4. 4. What is Antimicrobial Stewardship Appropriate selection, dosing, route, and duration of antimicrobial therapy © Accreditation Canada/Agrément Canada 4
  5. 5. Aim of Antimicrobial Stewardship  Optimize the use of antimicrobials to achieve the best patient outcomes  Reduce the risk of infections and reduce or stabilize levels of antibiotic resistance  Promote patient safety © Accreditation Canada/Agrément Canada 5
  6. 6. ROP Development       Key safety issue Expert input National Consultation Expert Working Group 2013 inpatient acute care 2014 inpatient cancer, inpatient rehabilitation, complex continuing care © Accreditation Canada/Agrément Canada 6
  7. 7. Antimicrobial Stewardship ROP The organization has a program for antimicrobial stewardship to optimize antimicrobial use.  Medication Management Standards © Accreditation Canada/Agrément Canada 7
  8. 8. Implementation Evaluation Accountability Antimicrobial Stewardship Program Interventions © Accreditation Canada/Agrément Canada Interdisciplinary 8
  9. 9. Implementation The organization implements an antimicrobial stewardship program. (Major) © Accreditation Canada/Agrément Canada 9
  10. 10. Accountability The program includes lines of accountability for implementation. (Major) Sure glad the hole isn’t at our end. © Accreditation Canada/Agrément Canada 10
  11. 11. Interdisciplinary The program is inter-disciplinary involving pharmacists, infectious diseases physicians, infection control specialists, physicians, microbiology staff, nursing staff, hospital administrators, and information system specialists, as available and appropriate. (Major) © Accreditation Canada/Agrément Canada 11
  12. 12. Intervention The program includes interventions to optimize antimicrobial use that may include (Major):  Audit and feedback,  A formulary of targeted antimicrobials and approved indications  Education  Antimicrobial order forms  Guidelines and clinical pathways  Strategies for streamlining or de-escalation of therapy  Dose optimization  Parenteral to oral conversion of antimicrobials © Accreditation Canada/Agrément Canada 12
  13. 13. Evaluation The organization establishes mechanisms to evaluate the program on an ongoing basis, and shares results with stakeholders in the organization. (Minor) © Accreditation Canada/Agrément Canada 13
  14. 14. During the On-Site Survey REVIEW TALK and LISTEN RECORD OBSERVE © Accreditation Canada/Agrément Canada 14
  15. 15. Reference Material Infectious Diseases Society of America and the Society for Healthcare Epidemiology of America guidelines for developing an institutional program to enhance antimicrobial stewardship. MSH / UHN Antimicrobial Stewardship Program www.antimicrobialstewardship.com Public Health Ontario http://www.oahpp.ca/services/antimicrobial-stewardship-program.html © Accreditation Canada/Agrément Canada 15
  16. 16. Next Steps  Monitor implementation to improve ROP language and approach over time Feedback is welcome!  Work with partner organizations to support organizations where necessary  Investigate options for antimicrobial stewardship beyond the acute care sector © Accreditation Canada/Agrément Canada 16
  17. 17. The leader in raising the bar for health quality Le leader qui hausse la barre en matière de qualité de santé

×