Montana AMS Program 2018-2019
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MONTANA AMS PROGRAM 2018-2019 ERIKA BALDRY HAI EPIDEMIOLOGIST MT DPHHS
Transcript of Montana AMS Program 2018-2019
MONTANA AMS PROGRAM 2018-2019
ERIKA BALDRY
HAI EPIDEMIOLOGIST
MT DPHHS
AGENDA
Results from 2017-2018 AMS Year
Requirements and deliverables for 2018-2019 AMS Year
Days of Therapy (DOT) Tool
Questions/Comments
RESULTS 2017-2018 AMS GRANT YEAR
RESULTS: ENROLLMENT
58 facilities participated in the 2017-2018 AMS Program
41
13
1 2 1
Type of Facility Enrolled
CAHs IPPS VA IHS LTAC
7 CORE ELEMENTS
DPHHS DATA
Number of Core Elements Achieved Number of Facilities Percentage1 0 0%2 0 0%3 0 0%4 5 9%5 8 14%6 17 30%7 26 46%
Total 56 100%
*2 facilities did not participate in the AMS program (initially started enrollment process)
* 1 facility did not complete the mid-year deliverables survey
DATA VALIDATION: DPHHS VS NHSN
DPHHS DATA (Modified Comparison)
Number of Core Elements Achieved Number of Facilities Percentage
1 0 0%2 0 0%3 1 2%4 0 0%5 9 18%6 6 12%7 35 69%
Total 51 100%*2 facilities did not participate in the AMS program
* 1 facility did not complete the mid-year deliverables survey
NHSN DATA (Comparison)
Number of Core Elements Achieved Number of Facilities Percentage1 1 2%2 1 2%3 1 2%4 3 6%
5 3 6%6 13 25%7 29 57%
Total 51 100%
* 1facility did not complete the final deliverables survey
*2 facilities did not participate in the AMS program* 1 facility did not complete the mid-year deliverables survey
August 2018 March 2018
DAYS OF THERAPY
40% (18) did it correctly
60% (27) did it incorrectly
DAYS OF THERAPY (DOT)
AUR MODULE
60% (34/57) of the facilities that responded to the final deliverables survey indicated that they were either pursing or already submitting to the AUR module in NHSN
DPHHS has access to AU data for 6 facilities
DPHHS has access to AR data for 2 facilities To learn more about the AUR module, please visit this website: https://www.youtube.com/watch?v=sVpz7eNAQ2s
ANTIBIOGRAM
Facility 40
State 5
Regional5
*Some facilities reported using more than one antibiogram in their facility
PHARMACIST TRAINING
40 (70%) noted having a certified pharmacist
• 5 have a pharmacist certified/currently being certified in MAD-ID• 18 have a pharmacist certified/currently being certified in SIDP• 3 completed post-graduate training • 14 responded other training
2018-2019 AMS GRANT REQUIREMENTS WHAT’S EXPECTED?
OVERVIEW: MAIN DELIVERABLES
Timeframe: December 15th, 2018-July 31st, 2019
1. Pursuit of and/or attainment of the National Healthcare Safety Network (NHSN) Antibiotic Use and/or the complete Antibiotic Use/Resistance (AUR) module access meeting meaningful use optional requirements
2. Attendance at in person and webinar based training events (today’s webinar counts!)
3. Completion of DPHHS surveys (antibiogram survey, final deliverable survey, etc.)
4. Data provision to support state level indicators for C. difficile and Days of Therapy per thousand patient days (working with Montana Hospital Association on this)
5. Number of 7 core elements achieved and maintained during the grant period
SIGNED LETTER OF ENROLLMENT
Signed letter of enrollment can be completed through a survey link this year
Link was included in the deliverable and recruitment documents sent out on 11/5/2018
2018-2019 DPHHS AMS Enrollment Letter
30 facilities have completed the enrollment letter (as of 12/11/18)
Due: December 15th, 2018
SIGN UP TO SUBMIT DATA TO NHSN
Enroll your facility in NHSN (if you aren’t already)
Make sure that you confer rights to DPHHS under the existing DUA
Complete the Annual NHSN Patient Safety Component survey (Due March 31st, 2019) using NHSN
ANTIBIOTIC FORMULARY
Submit an antibiotic formulary to include specific antibiotic agents that need physician or pharmacy approval prior to dispensing by January 31st, 2019
Please send to [email protected]
7 CORE ELEMENTS OF ANTIMICROBIAL STEWARDSHIP
Measured by facility responses on the NHSN Annual Patient Safety Survey
Due: March 31st, 2019
DAYS OF THERAPY (DOT)
Submit DOT on a monthly basis
Data for prior month is due the 15th of the following month
First month of data (December) is due January 15th
Selected data will be used by UM Skaggs School of Pharmacy for analysis
Email deidentified data to [email protected]
Following data will need to be included:*At minimum, include this data
• Facility Name*• Patient Identification (Non-PHI) (e.g.,
MRN or a random number that identifies the patient, etc.)*
• Encounter ID (not the same as #2)• Admission Date*• Discharge Date*• Location/Ward (ED, Med Surg, Swing,
Observation, ICU, etc.)*• Date Transferred into Location • Date transferred out of Location• Antibiotic name*• Route of administration*• Antibiotic start date*• Antibiotic end date*• Prescriber* • Indication for the antibiotic*
AUR MODULE
For Critical Access Hospital (CAHs) that are accessing either the AU component of the AUR module or complete access to the module, an additional $50.00 per month will be provided to help support this activity
For budget purposes, please contact DPHHS by December 28th, if you are interested in perusing this.
Please email [email protected] if you are interested in this activity
IMPORTANT DATES
December 15th: Enrollment Letter and Antibiogram Survey due
December 28th: Contact Karl by this date regarding AUR module if you are interested in pursuing this
January 15th: December DOT data due
January 31st: Antibiotic Formulary due
February 15th: January DOT data due
March 15th: February DOT data due
March 31st: Annual NHSN Patient Safety Component survey due
April 15th: March DOT data due
May 15th: April DOT data due
June 15th: May DOT data due
July 15th: June DOT data due
July 31st: Final Deliverables survey due
DOT TOOL
Jamie Schultz
Current tool can be used for now
New tool coming out soon!
Webinar coming soon!
QUESTIONS
Thank you for your attention!
Contact Information:
HAI/AMS Questions: [email protected]
DOT Tracking Tool Questions: [email protected]
Pharmacy Support: [email protected]
