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Physician Champion

Medical Director Infection Prevention and Epidemiology

Source: HCA Clinical Services Group, Nashville, TN


  • Basic knowledge of antibiotics
  • Must show interest in taking a leadership role in their local community
  • Respected by his or her peers
  • Good interpersonal skills
  • Good team player
  • Basic understanding of human factors and culture transformation
  • Should be paid

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Development and implementation:

Phase 1

  • Education-academic detailing one-on-one or in small groups best sustainable approach (clinical decision support when available in Meditech)
  • Formulary management which responds to local patterns
  • Teaching to facilitate understanding and use of antibiograms
  • Microbiology partnership-review local lab methods (must be able to detect ESBL, hVISA, KPCs etc.)
  • Adoption of locally customized published practiced guidelines with measurements.  These must be continually reviewed and updated.  Below are a few for consideration: (prophylaxis and treatment building on core measures)
    • CAP
    • SIP
    • CR-BSI
    • UTI (look at treatment of asymptomatic bacteriuria)
    • CDI
  • Standardize definition and diagnosis of an infection based on national guidelines and NHSN definitions
  • Colonization vs. contamination
  • Approve criteria for IV to PO conversion
  • Based on cost analysis implement criteria for linezolid and echinocandins use (use either front-end or back-end approach based on local resources and culture)

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Phase 2

  • Surviving sepsis protocol
  • Empiric therapy guidelines based on local antibiograms
  • De-escalation after 72 hours based on pathogen specific diagnosis-may want to start with only positive blood cultures
  • Renal and hepatic dosing (could be in phase 1)
  • Antimicrobial optimization to include weight-based dosing, pharmacokinetics, and duration
  • Review all patients on ≥3 antibiotics for 72 hours, duration >10 days, microbiology mismatches
  • Add additional drug reviews based on prescribing patterns and cost (e.g. daptomycin, tigycycline)
  • Review expanded application of molecular diagnostics (MRSA, MSSA, CDI, VRE etc.)
  • Vaccine preventable infections

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Contact Us:
  • Centers for Disease Control and Prevention
    1600 Clifton Rd
    Atlanta, GA 30333
  • 800-CDC-INFO
    TTY: (888) 232-6348
  • Contact CDC–INFO The U.S. Government's Official Web PortalDepartment of Health and Human Services
Centers for Disease Control and Prevention   1600 Clifton Road Atlanta, GA 30329-4027, USA
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