Upcoming Webinar
Antibiotic Stewardship for the 21st Century
Thursday, February 22, 2018 | 3 to 4 p.m. ET

This educational webinar is for clinicians across the continuum of care to raise awareness of the threat of antibiotic resistance and the importance of appropriate prescribing and use; and to differentiate and evaluate approaches to antibiotic stewardship.
After attending this webinar, the attendee will be able to:
  • Understand the current landscape of antibiotic resistance.
  • Be familiar with tactical, strategic, and grand strategic approaches to antibiotic stewardship.
  • Be familiar with strengths and weakness of stewardship approaches.
Speaker: Brad Spellberg, MD, FIDSA, FACP
Brad Spellberg, MD, is the Chief Medical Officer at the Los Angeles County-University of Southern California (LAC+USC) Medical Center. He is also a Professor of Clinical Medicine and Associate Dean for Clinical Affairs at the Keck School of Medicine at USC. He received his BA in Molecular Cell Biology-Immunology from UC Berkeley. He then attended medical school at UCLA, where he received numerous academic honors, including serving as the UCLA AOA Chapter Co-President, and winning the prestigious Stafford Warren award for the topic academic performance in his graduating class. Dr. Spellberg completed his Residency in Internal Medicine and subspecialty fellowship in Infectious Diseases at Harbor-UCLA Medical Center. 
CMS New Regulations
In October 2016, the Centers for Medicare & Medicaid Services (CMS) adopted a final rule to make major changes and updates to the federal regulations surrounding long-term care facilities. The new regulations require nursing homes to:
  • Establish and maintain an infection prevention and control program (IPCP) designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infections (§483.80).
  • Establish and maintain an infection prevention and control program (IPCP) designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infections (§483.80).
  • Designate an Infection and Prevention Control Officer (IPCO) for whom the IPCP is their major responsibility and who would serve as a member of the nursing home’s quality assessment and assurance (QAA) committee by November 28, 2019.
How HSAG Can Help
Nationwide, nursing homes and Quality Innovation Networks-Quality Improvement Organizations (QIN-QIOs), including Health Services Advisory Group (HSAG), are working together in the CMS National Nursing Home Quality Care Collaborative (NNHQCC), in part to implement antibiotic stewardship and prevent and control healthcare associated infections.
Online Nursing Home Training Sessions
Purpose of the Online Nursing Home Training Sessions  
  • To provide nursing home leaders with a set of training materials that they can use to enhance understanding of important concepts and practices that promote effective communication, antibiotic stewardship, and C. difficile prevention; and to provide information, tools, and resources to take action to improve practices.
  • To provide an opportunity to apply for certificates of participation or a total of 11.3 nursing continuing education credits at no cost.
  • To develop and disseminate materials that can be accessed and used by long-term care (LTC) partners and stakeholders interested in these topics.
Antibiotic Stewardship; Session 4
Welcome and Overview

This session will describe antibiotic stewardship and how it helps to prevent antibiotic resistance and problems associated with antibiotic use. The session will discuss the core elements of an antibiotic stewardship program (leadership, commitment, accountability, drug expertise, actions to improve antibiotic use, tracking, reporting, and education) and the need for community-wide efforts. This session focuses on the practical aspects of stewardship, so you can think about and describe what this looks like in your organization.

This session is one of a series of six sessions for nursing home s to support implementation of principles and practices of antibiotic stewardship and prevention and management of C. difficile infections.

Learning Objectives
  • Define antibiotic stewardship.
  • Identify elements of an antibiotic stewardship program.
  • Describe the role of antibiotic stewardship in preventing the development of antibiotic resistant bacterial infections.
  • Discuss measures that can be used to determine success of an antibiotic stewardship program.
Nursing Home Training Session 4 Digest
HSAG developed this PowerPoint presentation for your convenience to go through the training session at your own pace or as an in-service with your staff members.
This material was prepared by Health Services Advisory Group, the Medicare Quality Improvement Organization for Florida, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy.
Publication No. FL-11SOW-C.2-01192018-01