Welcome to the communities of care antimicrobial stewardship collaborative
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Welcome to the Communities of Care Antimicrobial Stewardship Collaborative. April 8, 2014 Carol Dietz, RN, MBA, CPHQ QI Consultant, Consulting Services, Qualidigm . Thank you to the CDC and the Connecticut Department of Public Health for making this important project possible .

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Welcome to the Communities of Care Antimicrobial Stewardship Collaborative

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Welcome to the communities of care antimicrobial stewardship collaborative

Welcome to the Communities of Care Antimicrobial Stewardship Collaborative

April 8, 2014

Carol Dietz, RN, MBA, CPHQ

QI Consultant, Consulting Services, Qualidigm


Welcome to the communities of care antimicrobial stewardship collaborative

Thank you to the CDC and the Connecticut Department of Public Health for making this important project possible.


Antimicrobial stewardship team members

Antimicrobial Stewardship Team Members

  • DPH

    • Dr. Richard Melchreit, HAI Program Coordinator

    • Alessandra Litro, MPH, Health Program Associate

    • Richard Rodriguez, MPH, Epidemiologist 2

  • Qualidigm

    • Ann Spenard, VP of Operations

    • Deb Quetti, Project Director

    • Carol Dietz, Project Lead

    • Shelia Eckenrode

    • Nicki Fazzi Hereford

    • Abby Dancause

    • Dan Qazi


Who are we

Who are we?


Vision and mission

Vision and Mission…

Our Vision: Quality health care for all.

Our Mission: Improving the quality, safety, and cost-effectiveness of healthcare through transformational change.


Background

Background

  • CT-based, brand recognized, healthcare consulting company with 30+ years of experience

  • Medicare Quality Improvement Organization (QIO) for CT

  • Patient Safety Organization designated by the CT Department of Public Health


Our customers

Our Customers

  • Diverse group of healthcare stakeholders in government, industry and clinical practice

  • Other clients include:

    • Agency for Healthcare Research and Quality

    • Rhode Island Department of Human Services

    • eHealthConnecticut (Regional Extension Center)

    • Academic institutions

    • National and international healthcare consulting firms

    • Local and national foundations

    • Healthcare providers in all settings

    • Payers and purchasers


Our services

Our Services


Welcome to the communities of care antimicrobial stewardship collaborative

Many thanks to the eleven participating

Connecticut Communities of Care!


Welcome to the communities of care antimicrobial stewardship collaborative

Why An Antimicrobial Stewardship Collaborative?

  • To measure and promote appropriate use of antimicrobials by selecting an appropriate agent, dose, duration (the 3 rights of an AMS Program) to:

    • Improve patient outcomes

    • Minimize toxicity

    • Prevent emergence of antimicrobial resistance


Welcome to the communities of care antimicrobial stewardship collaborative

Why the Community Model?

Assisted Living

Long Term Care Facilities

Physicians

Nursing Homes

Hospitals

Community-based organizations

Home Health


History of the communities of care

History of the Communities of Care

  • 2010 – 2012 Qualidigm – CHA Partnership

    • Goal: to reduce preventable readmissions of patients with heart failure

    • 25 hospitals

    • Hospital-based PDSA approach

  • 2010 – Present Qualidigm Communities of Care

    • Goal: to reduce preventable all-cause readmissions

    • 18 hospitals, 88 NHs, 52 HHAs

    • Interactive Leadership Academies, individual training and support, community support


Community successes

Community Successes

  • Breaking down health care silos

  • Relationship building

  • Enhanced communication

    between/across settings

  • Person-centeredness through

    cross continuum care coordination

  • Identification of statewide issues

  • Sharing best practices


Hais and hospital readmissions

HAIs and Hospital Readmissions

*J. Furuno PhD, University of Maryland Medical Center Infection Control and

Hospital Epidemiology, June 2012


Kickoff agenda

Kickoff Agenda

  • Antimicrobial Stewardship Overview – Dr. Topal

  • CT Program Update – Dr. Melchreit

  • Project Overview – Carol Dietz

  • Breakout Session #1

  • Jeopardy

  • Breakout Session #2

  • Evolving Science: The Human Microbiome – Dr. Koll


Handouts

Handouts

  • Agenda

  • CDC Vital Signs – March 2014

    • Making Health Care Safer; Antibiotic Treatment in Hospitals: Proceed with Caution

  • Resource List

  • CDC Transfer Form

  • Ask/Offer form

  • SMART Worksheet and AIM Statement

  • Work Plan (sample of a completed work plan)

  • Evaluation


  • Login