Proposed Standard for Antimicrobial Stewardship in AHC, CAH, HAP, NCC, and OBS
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1 in AHC, CAH, HAP, NCC, and OBS Standard MM AHC CAH The organization has an antimicrobial stewardship program based on evidence-based national guidelines. The critical access hospital has an antimicrobial stewardship program based on evidence-based national guidelines. 5 HAP The hospital has an antimicrobial stewardship program based on evidence-based national guidelines. 6 7 NCC The organization has an antimicrobial stewardship program based on evidence-based national guidelines. 8 OBS The practice has an antimicrobial stewardship program based on evidence-based national guidelines. Elements of Performance for MM EP Text for MM , EP AHC 1. CAH 1. HAP 1. NCC OBS 1. Leaders establish antimicrobial stewardship as an organizational priority. EP Text for MM , EP AHC 2. CAH 2. HAP 2. NCC 2. Page 1 of 6
2 OBS 2. EP Text for MM , EP AHC 3. CAH 3. HAP 3. NCC 3. OBS 3. Educate residents, and their families as needed, regarding the appropriate use of antimicrobial EP Text for MM , EP AHC 4. CAH 4. The organization has an antimicrobial stewardship multidisciplinary team that includes the following The critical access hospital has an antimicrobial stewardship multidisciplinary team that includes the following Page 2 of 6
3 HAP 4. NCC 4. OBS 4. The hospital has an antimicrobial stewardship multidisciplinary team that includes the following The organization has an antimicrobial stewardship multidisciplinary team that includes the following The practice has an antimicrobial stewardship multidisciplinary team that includes the following EP Text for MM , EP AHC 5. CAH 5. The organization s antimicrobial stewardship program includes the following core elements: (See also IC , EP 1) The critical access hospital's antimicrobial stewardship program includes the following core elements: (See also IC , EP 1 and NPSG , EP Page 3 of 6
4 HAP 5. NCC 5. OBS 5. The hospital's antimicrobial stewardship program includes the following core elements: (See also IC , EP 1 and NPSG , EP The organization s antimicrobial stewardship program includes the following core elements: (See also IC , EP 1) Note: These core elements were cited from the Centers for Disease Control and Prevention s The Core Elements of Antibiotic Stewardship for Nursing Homes ( The Joint Commission recommends that nursing care centers use this document when designing their antimicrobial stewardship The practice's antimicrobial stewardship program includes the following core elements: (See also IC , EP 1) Page 4 of 6
5 EP Text for MM , EP AHC 6. CAH 6. HAP 6. NCC 6. OBS 6. The organization s antimicrobial stewardship program uses organization-approved multidisciplinary - Guidelines for Antimicrobial Use in Adults - Guidelines for Antimicrobial Use in Pediatrics - Treatment Guidelines for Common Infections - "Wait-and-See" Antibiotic Protocol The critical access hospital's antimicrobial stewardship program uses organization-approved multidisciplinary - Guidelines for Antimicrobial Use in Adults - Guidelines for Antimicrobial Use in Pediatrics The hospital's antimicrobial stewardship program uses organization-approved multidisciplinary - Guidelines for Antimicrobial Use in Adults - Guidelines for Antimicrobial Use in Pediatrics The organization s antimicrobial stewardship program uses organization-approved multidisciplinary - Facility Guidelines for Antimicrobial Use in Adults - Care of the Long Term Care Patient with a Urinary Tract Infection The practice's antimicrobial stewardship program uses organization-approved multidisciplinary - Use of Prophylactic Antibiotics EP Text for MM , EP AHC 7. The organization collects and analyzes data on its antimicrobial stewardship program, including antimicrobial prescribing and resistance patterns. (See also MM , EPs 1 and 2) Page 5 of 6
6 CAH 7. HAP 7. NCC 7. OBS 7. The critical access hospital collects and analyzes data on its antimicrobial stewardship program, including antimicrobial prescribing and resistance patterns. (See also MM , EPs 1 and 2) The hospital collects and analyzes data on its antimicrobial stewardship program, including antimicrobial prescribing and resistance patterns. (See also MM , EPs 1 and 2) The organization collects and analyzes data on its antimicrobial stewardship program, including antimicrobial prescribing and resistance patterns. (See also MM , EPs 1 and 2) The practice collects and analyzes data on its antimicrobial stewardship program, including antimicrobial prescribing and resistance patterns. (See also MM , EP 1) EP Text for MM , EP AHC 8. CAH 8. HAP 8. NCC 8. OBS 8. The organization takes action on improvement opportunities identified in its antimicrobial stewardship (See also MM , EP 6) The critical access hospital takes action on improvement opportunities identified in its antimicrobial stewardship (See also MM , EP 6) The hospital takes action on improvement opportunities identified in its antimicrobial stewardship (See also MM , EP 6) The organization takes action on improvement opportunities identified in its antimicrobial stewardship (See also MM , EP 6) The practice takes action on improvement opportunities identified in its antimicrobial stewardship (See also MM , EP 6) Page 6 of 6
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