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Open AccessArticle

Implementation of a Health-System Wide Antimicrobial Stewardship Program in Omaha, NE

1
Department of Pharmacy Services, CHI Health, Omaha, NE 68124, USA
2
School of Medicine, Creighton University, Omaha, NE 68178, USA
3
School of Pharmacy & Health Professions, Creighton University, Omaha, NE 68178, USA
*
Author to whom correspondence should be addressed.
Pharmacy 2019, 7(4), 156; https://doi.org/10.3390/pharmacy7040156
Received: 8 October 2019 / Revised: 19 November 2019 / Accepted: 21 November 2019 / Published: 25 November 2019
(This article belongs to the Special Issue Antimicrobial Stewardship across the Continuum of Care)
The Centers for Medicare and Medicaid Services (CMS) have mandated that acute care and critical access hospitals implement an Antimicrobial Stewardship (AMS) Program. This manuscript describes the process that was implemented to ensure CMS compliance for AMS, across a 14-member health system (eight community hospitals, five critical access hospitals, and an academic medical center) in the Omaha metro area, and surrounding cities. The addition of the AMS program to the 14-member health system increased personnel, with a 0.5 full-time equivalent (FTE) infectious diseases (ID) physician, and 2.5 FTE infectious diseases trained clinical pharmacists to support daily AMS activities. Clinical decision support software had previously been implemented across the health system, which was also key to the success of the program. Overall, in its first year, the AMS program demonstrated a $1.2 million normalized reduction (21% total reduction in antimicrobial purchases) in antimicrobial expenses. The ability to review charts daily for antimicrobial optimization with ID pharmacist and physician support, identify facility specific needs and opportunities, and to collect available data endpoints to determine program effectiveness helped to ensure the success of the program. View Full-Text
Keywords: antimicrobial stewardship; healthcare system; pharmacy service antimicrobial stewardship; healthcare system; pharmacy service
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MDPI and ACS Style

Anthone, J.; Boldt, D.; Alexander, B.; Carroll, C.; Ased, S.; Schmidt, D.; Vivekanandan, R.; Destache, C.J. Implementation of a Health-System Wide Antimicrobial Stewardship Program in Omaha, NE. Pharmacy 2019, 7, 156.

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