Participation Agreement for the Outpatient Antibiotic Stewardship Project

Under contract with the Centers for Medicare & Medicaid Services (CMS), Quality Insights Quality Innovation Network invites you to participate in the quality improvement initiative: Combatting Antibiotic Resistant Bacteria through Antibiotic Stewardship in Communities. 
 
Part of the task of CMS’ quality improvement program in this arena will be to spread the principles of antibiotic stewardship among recruited outpatient settings at the point of care, where antibiotics are being prescribed. 
 
Quality Innovation Networks-Quality Improvement Organizations (QIN-QIOs) have been working on antibiotic stewardship in concert with work on preventing healthcare-associated infections (HAIs) and have a strong history of working in communities to facilitate transitions of care. 
 
The goal of this project is to increase the number of outpatient settings that have incorporated all the Centers for Disease Control and Prevention (CDC)’s Core Elements of Outpatient Antibiotic Stewardship.
 
Benefits
You will...
  • Receive education for outpatient settings on the fundamentals of antimicrobial stewardship and the risks of inappropriate or overuse of antibiotics in healthcare 
  • Receive education on the Core Elements of Outpatient Antimicrobial Stewardship
  • Gain experience in assessing and determining which core elements of antimicrobial stewardship are already in place or need to be implemented
  • Acquire tools to assess and implement outpatient antimicrobial stewardship
  • Receive education and resources for educating patients and caregivers in antimicrobial stewardship
  • Network with and learn from other experts in your state and the country working together on antimicrobial stewardship
  • Participate in Learning and Action Network (LAN) activities that promote and spread best practices in antibiotic stewardship in outpatient settings 

Expectations
You will...
  • Agree to remain active in this initiative through July 2019
  • Agree to publicly disclose participation in this initiative
  • Form an interdisciplinary team to incorporate the Core Elements of Outpatient AS into practice
  • Identify a team sponsor/champion and a day-to-day leader
  • Participate in LAN events, other educational sessions, webinars, and conference calls
  • Share results, best practices, and lessons learned

Participation Agreement Outpatient Antibiotic Stewardship
Our facility would like to participate in the Quality Insights Combatting Antibiotic Resistant Bacteria through Antibiotic Stewardship in Communities project. We understand the expectations for this collaborative project and agree to participate fully through July 2019. We commit to: 
  • Remain active in this initiative through July 2019
  • Grant permission to Quality Insights to publicly disclose participation in this initiative
  • Form an interdisciplinary team to incorporate all Core Elements of Outpatient Antibiotic Stewardship into practice 
  • Identify a team sponsor/champion and a day-to-day leader
  • Participate in LAN events, other collaborative educational sessions, conference calls and webinars
  • Share results, best practices and lessons learned

 

facility information
Please include complete address including suite no., etc.

Outpatient setting clinical Leader
Leader will commit to engage staff, help implement clinically relevant antibiotic stewardship activities, and oversee results.

outpatient setting Champion
for champion, consider Physician, nurse or pharmacist