‘Big Bang’ of Antimicrobial Stewardship Programs Comes to All Hospitals on January 1: What Labs, Pharmacies, and Clinicians Must Do Collaboratively to Meet New Medicare and TJC Requirements

Webinar was held Wednesday,
November 16, 2016, 2017 at 1 PM EST

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It’s a major deal for the nation’s hospitals and health systems! As the CMS announces its proposal to update the requirements that must be met to participate in Medicare and Medicaid, and as the Joint Commission moves to implement similar requirements for ASBs, clinical laboratories and pathologists are scrambling not only to determine both their roles related to these proposed changes, but also the potential impact to their labs.

Among the proposed changes on the table: The requirement that hospitals and CAHs have facility-wide infection prevention and control, that they have antibiotic stewardship programs for the surveillance, prevention, and control of healthcare-associated infections and other infectious diseases, and that there be designated leaders of the infection prevention and control program and the antibiotic stewardship program, respectively.

Though these proposed changes unquestionably have the potential to improve standards of practice and support an enhanced quality of care and improved patient outcomes, there is a huge caveat— and that caveat is, in order for the initiatives to succeed, hospitals and health systems must cultivate greater collaboration between their pharmacies and clinical laboratories. In turn, pharmacies and labs will be required to interact more rigorously with clinicians in ways that ensure the antimicrobial stewardship program succeeds in all of its goals.

To help clinical laboratories and anatomic pathology groups better understand the challenges—and the opportunities—these new ASP requirements present for their labs, The Dark Report has arranged a 90-minute webinar entitled “‘Big Bang’ of Antimicrobial Stewardship Programs Comes to All Hospitals on January 1: What Labs, Pharmacies, and Clinicians Must Do Collaboratively to Meet New Medicare and TJC Requirements.” This special webinar will be presented Wednesday, November 16, at 1 PM EST, and will discuss this new ruling and its impact on the clinical lab and anatomic pathology marketplace in 2017.

Joining the webinar will be Michael Broyles, PharmD, Pharmacy Director at Five Rivers Medical Center in Pocahontas, Arkansas, and owner of Clinical Concepts, a company established to help labs optimize their antimicrobial stewardship programs. As a participant of this session on November 16, you’ll hear Broyles share how, for the past four years, one hospital’s antimicrobial stewardship program has produced substantial improvements in antibiotic use as well as impressive gains in patient outcomes.

Three examples form Five Rivers Medical Center shows the power of the information to be shared at this webinar. (This study included 967 patients pre-implementation and 1,167 patients post-implementation):

  • 42% Reduction in Antimicrobial Days of Therapy: Pre-implementation it was an average of 16.43 days of therapy. After implementation that fell to 9.52 days of therapy.
  • 47.2% Reduction in 30-day Readmissions: Pre-implementation it was an average of 18%. After implementation, it decreased to 9.5%.
  • 64.6% Reduction in C. difficile Infections: C difficile rate as 9.5% pre-implementation and that declined to 0.9% post-implementation.

Your second expert to speak is Monique Dodd, Pharm D, PhC, MLS(ASCP)CM, Enterprise Clinical Solutions Specialist for Tricore Laboratories in Albuquerque, New Mexico. Because Dodd is trained in both pharmacy and as a medical laboratory scientist, her perspectives on establishing an effective antimicrobial stewardship program will be highly relevant to microbiologists, pathologists, and clinical laboratory scientists participating in this special webinar.

Equally notable is that TriCore is an independent clinical laboratory that is owned by two major health systems. Dodd will discuss how the ASP teams at the hospitals are establishing clinical priorities, working to integrate laboratory and pharmacy data into the Epic EHR systems in use at the hospitals, and developing algorithms designed to improve how antibiotics are utilized. This will be essential information for pharmacists, pathologists, and medical laboratory professionals working in multi-hospital health systems who are working to standardize care protocols and informatics tools across the different hospitals in their health systems.

You’ll also come away with solid information about how your laboratory or pathology group can seize the opportunity to position itself as an equal collaborator in these new antimicrobial stewardship initiatives as they move forward.

Learn these, and many more secrets to success:

  • Standards of performance that comprise this new medication management standard
  • Coordination of disciplines within antimicrobial stewardship programs
  • Improving utilization of clinical laboratory tests, including the best ways to use procalcitonin
  • Informatics capabilities that will optimize your program’s success, including developing interpretive reports and working with the EPIC EHR
  • Developing protocols for bacterial and viral infections, along with guidelines for prescribing antibiotics and antivirals
  • Ways that the clinical lab can help identify patients at high risk of drug-resistant infections when in the ER or at admission

Best of all, at the conclusion of the presentation, there will be a Q&A period. during which you’ll be able to submit your own specific questions regarding ASPs. This Q&A represents particularly high value for you and your management team!

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New Antimicrobial Stewardship requirements represent a unique opportunity for your lab

Whether your lab is involved in the creation of a new ASP program or is participating in the enhancement of an existing program, learn what you need to know to be a fully engaged and successful collaborator, and get the tools you need to prepare and move forward in 2017!


Michael R. Broyles, PharmD, Pharmacy Director, Five Rivers Medical Center, Pocahontas, AR, Owner Clinical Concepts, Jonesboro, AR.

Mike Broyles is a Doctorate Prepared Pharmacist with 25 years of experience as a Hospital Pharmacy Director, providing patients with current concepts in the clinical use of drugs. Working for a large IDN as their pharmacy advisory chairman to develop and implement clinical initiatives, he also consults for several IDN’s, Alaris, Cardinal Health, CareFusion, bioMerieux, ICNet, and independently serving hospitals from 35 to 1200 beds in size. Projects include TheraTrac 2, Stellara, ABX Alert, TheraDoc, coagulation, sepsis management, and antimicrobial stewardships programs including those using the biomarker procalcitonin to reduce antimicrobial exposure. Broyles’ goal is to provide the leading thought processes in patient management and use technology to enhance the ability of clinicians to have the best options in patient’s clinical status, decision support, and documentation to improve outcomes.Gaurav Sharma, M.D. aspires to be a transformative physician-leader who utilizes his education, training, and experience to bring about Lean- and ISO15189-inspired change in anatomical and clinical pathology laboratories. As a medical student and intern, he completed formal auditor training in ISO 9001, ISO 17025 and ISO 15189 and led the accreditation of India’s first ISO 9001 compliant voluntary external proficiency program (VILAC). As a Chief Resident, he contributed to the development and implementation of numerous process improvements aimed at patient safety.

Monique Dodd, PharmD, PhC, MLS(ASCP)CM, Enterprise Clinical Solutions Specialist, TriCore Laboratories, Albuquerque, NM.

Monique Dodd is uniquely positioned to contribute to antimicrobial stewardship programs. After working as a medical laboratory scientist for several years at Tricore Reference Laboratories, she pursued a degree in pharmacy. In a joint program with Tricore and the University of New Mexico’s (UNM) College of Pharmacy, Dodd was selected to help create a collaboration for pharmacists and laboratorians to partner in the laboratory environment to improve patient outcomes. Laboratorians and pharmacists create a powerful team to affect the Triple Aim of: improved patient experience, reduced healthcare costs, and improved population health. In this role, she is working in multiple clinical environments. These include involvement in the antimicrobial stewardship programs at University of New Mexico Health and Presbyterian Health, as well as related efforts to improve the utilization of lab tests and antibiotics involving office-based physician clients of Tricore, and public health laboratories in New Mexico.