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Welcome to the GHA Infection Prevention Power HourDecember 19, 2013
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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
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How Are We doing at Preventing Infection Harm?
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CAUTI Still A Challenge
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SSI: Colon
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SSI Abdominal Hysterectomy
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Coming
• Hospital wide CLABSI and CAUTI• Additional SSI: Hip and knee prosthesis• VAE: IVAC, Possible, probable VAP
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LEAPT to GAPP
Innovation for rapid safety improvement Sepsis C. diff with antimicrobial stewardship
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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
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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
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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
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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
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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
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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
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Focus Group QuestionsWhat 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?
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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
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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
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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
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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
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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
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• 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
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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
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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
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• 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
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Thank you!
Jeanne Negley, MBAGeorgia Department of Public Health
2 Peachtree Street, NW, #14-225Atlanta, GA 30303
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Alliant/GMCF/QIO Update
Cindy Prosnak
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Contact Information Denise M. Flook, RN, MPH, CIC
Georgia 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].