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

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.


Antimicrobial stewardship team members
Antimicrobial Stewardship Team Members Public Health for making this important project possible

  • 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? Public Health for making this important project possible


Vision and mission
Vision and Mission… Public Health for making this important project possible

Our Vision: Quality health care for all.

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


Background
Background Public Health for making this important project possible

  • 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 Public Health for making this important project possible

  • 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 Public Health for making this important project possible


Many thanks to the Public Health for making this important project possibleeleven participating

Connecticut Communities of Care!


Why An Antimicrobial Stewardship Collaborative? Public Health for making this important project possible

  • 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


Why the Community Model? Public Health for making this important project possible

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 Public Health for making this important project possible

  • 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 Public Health for making this important project possible

  • 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 Public Health for making this important project possible

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

Hospital Epidemiology, June 2012


Kickoff agenda
Kickoff Agenda Public Health for making this important project possible

  • 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 Public Health for making this important project possible

  • 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


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