TY - JOUR
T1 - In-depth assessment of critical access hospital stewardship program adherence to the CDC Core Elements in Iowa and Nebraska
AU - Ryder, Jonathan H.
AU - Preusker, Jenna
AU - Watkins, Andrew B.
AU - Tigh, Jeremy
AU - Schroeder, Danny
AU - Ashraf, Muhammad Salman
AU - Van Schooneveld, Trevor C.
N1 - Funding Information:
M.S.A. has received investigator-initiated research grant from Merck & Co, unrelated to this study. All other authors report no conflicts of interest relevant to this article.
Funding Information:
Assessments and interviews were performed by infectious diseases (ID) physician- and pharmacist-led telehealth stewardship support programs. In Nebraska, ASP assessment has been available by request through the Nebraska Antimicrobial Stewardship Assessment and Promotion Program (ASAP) since 2018, and 5 CAHs requested assessment in 2022. Nebraska ASAP is funded by the Nebraska Department of Health and Human Services healthcare-associated infection and antimicrobial resistance (HAI/AR) program through a grant from the CDC. In Iowa, Nebraska Medicine’s Remote Antimicrobial Stewardship Support Service was funded by the Iowa Department of Public Health’s (DPH) Rural Hospital Medicare Flexibility Program to assess CAHs. Among 82 CAHs in Iowa, the Iowa DPH offered assessments to 21 CAHs that self-identified as not meeting all 7 core elements, and 16 accepted. A self-assessment was distributed to all facilities, followed by a virtual interview with ASP experts to assess adherence to the core elements (Supplementary Fig. 1 online). A standardized feedback report was generated for each ASP documenting adherence to the core elements and recommending strategies and implementation resources to address deficiencies.
Funding Information:
This research was performed as a collaborative effort between Nebraska Medicine/University of Nebraska Medical Center and the Nebraska Antimicrobial Stewardship Assessment and Promotion Program (ASAP), which is funded by the Nebraska Department of Health and Human Services through the CDC Epidemiology and Laboratory Capacity Grant. Similarly, a collaborative effort between Nebraska Medicine/University of Nebraska Medical Center and the Iowa Department of Public Health were funded via a Rural Hospital Medicare Flexibility Program grant through the Health Resources Services Administration’s Federal Office of Rural Health Policy.
Publisher Copyright:
© 2023 The Author(s).
PY - 2023
Y1 - 2023
N2 - In 21 antimicrobial stewardship programs in critical-access hospitals in Nebraska and Iowa that self-reported nonadherence to a CDC Core Element or Elements, in-depth program assessment and feedback revealed that accountability and education most needed improvement. Recommendations included providing physician and pharmacist training, tracking interventions, and providing education. Program barriers included lack of time and/or personnel and antimicrobial stewardship and/or infectious diseases expertise.
AB - In 21 antimicrobial stewardship programs in critical-access hospitals in Nebraska and Iowa that self-reported nonadherence to a CDC Core Element or Elements, in-depth program assessment and feedback revealed that accountability and education most needed improvement. Recommendations included providing physician and pharmacist training, tracking interventions, and providing education. Program barriers included lack of time and/or personnel and antimicrobial stewardship and/or infectious diseases expertise.
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U2 - 10.1017/ice.2023.179
DO - 10.1017/ice.2023.179
M3 - Article
C2 - 37534519
AN - SCOPUS:85167669504
SN - 0899-823X
JO - Infection Control and Hospital Epidemiology
JF - Infection Control and Hospital Epidemiology
ER -