Welcome to the Communities of Care Antimicrobial Stewardship Collaborative

1. Welcome to the Communities of Care Antimicrobial Stewardship Collaborative April 8, 2014 Carol Dietz, RN, MBA, CPHQ QI Consultant, Consulting Services, Qualidigm

2. Thank you to the CDC and the Connecticut Department of Public Health for making this important project possible.

3. 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

4. Who are we?

5. Vision and Mission… Our Vision: Quality health care for all. Our Mission: Improving the quality, safety, and cost-effectiveness of healthcare through transformational change.

6. 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

7. 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

8. Our Services

9. Many thanks to the eleven participating Connecticut Communities of Care!

10. Why An Antimicrobial Stewardship Collaborative? • 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

11. Why the Community Model? Assisted Living Long Term Care Facilities Physicians Nursing Homes Hospitals Community-based organizations Home Health

12. 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

13. 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

14. HAIs and Hospital Readmissions *J. Furuno PhD, University of Maryland Medical Center Infection Control and Hospital Epidemiology, June 2012

15. 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

16. 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