Implementation Resources for Health Departments

Leadership Commitment

• Eight Ways Health Department Leaders Can Support Effective HAI/AR Programs
  • Lists principles that can be applied to antibiotic stewardship programs at state and local health departments.

Stewardship Expertise

• Educational resources, formal training, and certificate programs to help support expanding stewardship expertise:
  • CDC’s Antibiotic Stewardship Course — CDC TRAIN
  • Antimicrobial Stewardship Programs – MAD-ID
  • LearningCE @ SHEA Online Education Center
  • SIDP Antimicrobial Stewardship Certificate Program

Action

• Examples of Stewardship Collaboratives
  • Rochester Patient Safety Collaborative (University of Rochester Medical Center)
  • Minnesota One Health Antibiotic Stewardship Collaborative (MN Dept. of Health)
  • Center for Stewardship in Medicine (University of Washington)
• Framework for Implementing the Interim LHD Strategy
• Hospital Quality Incentive Payment Program (Colorado Department of Health Care Policy & Financing)

Tracking

• Antibiotic Use & Stewardship A.R. & Patient Safety Portal
• National Healthcare Safety Network resources:
  • DUA FAQs for Health Departments and Facilities
  • AUR Training
  • AU Data Quality Line List [PDF – 5 pages]
• Tracking data on stewardship activities and Core Elements uptake:
  • Infection Control Assessment Tools
  • Health Deficiencies Provider Data Catalog
• Tracking data on antibiotic use:
  • Be Antibiotics Aware Guide to Using Outpatient Antibiotic Prescription Data for Peer Comparison Audit & Feedback [PDF – 1 page]
  • Measurement and Evaluation Approaches to Improve Outpatient Antibiotic Prescribing in Health Systems [PDF – 14 pages]

Reporting

• Examples of state honor rolls:
  • Minnesota Antibiotic Stewardship Honor Roll (MN Dept. of Health)
  • Antimicrobial Stewardship Honor Roll (Washington State Department of Health)
  • California Department of Public Health HAI ASP Honor Roll
  • Long-term Care Antibiotic Stewardship Honor Roll – Infection Prevention and Control Resource Hub
• Reporting antibiotic use data and providing prescriber-level audit and feedback with peer comparison
  • CHARM Project
    CHARM (Collaboration to Harmonize Antimicrobial Registry Measures) collaborative utilizes electronic medical records data to quantify and assess local antibiotic prescribing practices.
  • OASIS – Stewardship Simplified
    OASIS (Outpatient Automated Stewardship Information System) is a statistical code that can be used with any electronic health record to provide individualized audit and feedback reports to medical providers on their antibiotic prescribing patterns compared to their peers.
  • State Health Department Editable Letter  [PDF – 2 pages]
• Example of a stewardship annual report:
  • Antibiotic Use and Stewardship in Minnesota-2023 UPDATE ON PROGRESS AND OPPORTUNITIES [PDF – 32 pages]

 Education

• Educational Resources for Healthcare Professionals
• Continuing Education and Informational Resources
• Patient Resources – Print Materials
• Be Antibiotics Aware Partner Toolkit
• Health Equity Guiding Principles for Inclusive Communication