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Welcome to the Communities of Care
Antimicrobial Stewardship Collaborative
April 8, 2014
Carol Dietz, RN, MBA, CPHQQI Consultant, Consulting Services, Qualidigm
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Thank you to the CDC and the Connecticut Department of
Public Health for making this important project possible.
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?
Mission-driven, health
care consulting company
Experts in quality
improvement and patient
safety across the continuum
of care
Neutral convener/facilitator
Local and national
contract and grant work
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Vision and Mission…
Our Vision: Quality health care for all.
Our Mission: Improving the quality, safety, and cost-effectiveness of healthcare through transformational change.
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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
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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
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Our Services
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Healthcare Quality
Consulting
Change Management
Patient-Centered
Medical Home
Patient Safety Care Transitions
Data Evaluation &
Analysis
Consumer & Provider
Education
Quality of Care Reviews
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Farmington Middlesex Meriden New Britain
ECHN Waterbury Derby Bristol
Putnam Torrington New Haven
Many thanks to the eleven participating Connecticut Communities of Care!
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• 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 An Antimicrobial Stewardship Collaborative?
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Why the Community Model?
Home Health
Long Term Care Facilities
Assisted Living
Physicians
Nursing Homes
Community-based organizations
Hospitals
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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
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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
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HAIs and Hospital ReadmissionsPatients with + cultures for MRSA, VRE or C. difficile
(> 48 hours post hospital admission) were:
40% more likely to be readmitted within one year
60% more likely to be readmitted within 30 days*
*J. Furuno PhD, University of Maryland Medical Center Infection Control andHospital Epidemiology, June 2012
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
• 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
“If you want to go fast, go alone. If you want to go far,
go together.”-African proverb
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