Community Antibiotic Stewardship Hot Topic: Community Approach to - PowerPoint PPT Presentation

Community Antibiotic Stewardship – Hot Topic: Community Approach to Antibiotic Awareness Week

A Rural Community’s Roadmap to Collaborative Communication & Action • Learn how joining forces is making an impact in the Huron community • Describe how the community is sharing awareness with others • Explain how the community is using a community-based antibiogram to guide prescribing practices 2

Our Panel • Dr. Jesse VanHeukelom, Pediatrician • Dr. Eric Chow, Internal Medicine • Len Wonnenberg, PA-C; Horizon Healthcare • Danielle Rathjen, Nurse Practitioner; Tschetter Hohm Clinic • Pam Shoultz, RN, Infection Control; Huron Regional Medical Center • Elliot Hinricher, Registered Pharmacist; Huron Regional Medical Center • Cheri Fast, RN, BSN, WOCN, Program Manager; Great Plains Quality Innovation Network 3

Where is Huron? 4

How we started? 5

Antibiotic Usage Augmentin Amoxicillin Azithromycin Bactrim Ceftin Huron has 4 retail pharmacies and all have been instrumental in data collection and participation in our project: Lewis Drug, Northside Pharmacy, WalMart Pharmacy and Coborns Pharmacy. 6

*Community Antibiogram *Sanford Guide Elliot Hinricher, Registered Pharmacist Huron Regional Medical Center 7

Antibiogram 8

9

10

11

Collaboration Coming together is a beginning. Keeping together is progress. Staying together is success! Leonard Wonnenberg, PA-C Horizon Healthcare, Inc. 12

Collaboration  Working together towards a common goal  Build and strengthen relationships  Local antibiogram  Discuss UTI workflows  Discussed CDC screening guidelines for STDs  Viral prescription pads  Discussing flu shots for community 13

Antibiotic Justification Danielle Rathjen, RN Nurse Practitioner Tschetter Holm Clinic 14

Upper Respiratory Infection 15

Upper Respiratory Infection 16

Supportive Care Bacterial: Increase fluid intake and rest. Supportive measures such as nasal irrigation and OTC for symptom relief. Be sure to take antibiotic as prescribed and until all the medicine is gone. Call if symptoms worsen or if you have questions. Patient education on sinusitis reviewed. Viral: Increase fluid intake and rest. Supportive measures such as nasal irrigation and OTC for symptom relief. Call if symptoms persist beyond 10 days of onset. Patient education on common cold reviewed. 17

Pharyngitis 18

Pharyngitis 19

Urinary Tract Infection 20

Urinary Tract Infection 21

Social Media Messaging Powerful statements from providers make an impact! 22

Social Media Messaging 23

Public Awareness Coborns Pharmacy doing their part! 24

Community Antibiotic Pledge 25

Preserve our antibiotics! Protect ourselves and those we love! 26

Coming in December The Huron workgroup will be featured in the upcoming issue of a local publication, ‘Prairie Tracks’. Stories have also been included in the ‘Well One’ quarterly publication and local radio spots. 27

Our Physician Leaders Dr. Jess Van Heukelom Dr. Eric Chow 28

Overcoming Challenges • Independent providers • Independent labs • Prescribing habits • Public perception 29

Community collaboration can happen by everyone working together! * Physician Clinics * Emergency Departments * Long-Term Care * Home Health * Pharmacies * Urgent Care * Public Health Department * State Department of Health * Rural Health Care Clinics * Dentists, Veterinaries, Ag producers * Schools, Colleges, Universities * Federally Qualified Health Center 30

CDC Core Elements for Antibiotic Stewardship for Hospitals, Outpatient Facilities and Nursing Homes 31

To unmute your line, press #6 to ask a question! *6 will mute your line again. 32

Contact Information Kansas North Dakota Nadyne Hagmeier, RN Jean Roland, RN, BSN, CPHQ nadyne.hagmeier@area-a.hcqis.org jean.roland@area-a.hcqis.org 785-273-2552 x 374 701-989-6227 Nebraska South Dakota Jackie Trojan, RN, BSN, CPHQ Cheri Fast, RN, BSN, WOCN jackie.trojan@area-a.hcqis.org cheri.fast@area-a.hcqis.org 402-476-1399 x 531 605-354-2553 This material was prepared the Great Plains Quality Innovation Network, the Medicare Quality Improvement Organization for Kansas, Nebraska, North Dakota and South Dakota, 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. 11SOW-GPQIN-KS-C3.10-21/1018