The Joint Commission has developed a new Medical Management (MM) antimicrobial stewardship standard for hospitals, critical access hospitals, and nursing care centers. The Joint commission is an independent, not-for-profit organization, which accredits and certifies nearly 21,000 health care organizations and programs in the United States. In 2015 they participated in the White House Forum on Antibiotic Stewardship and subsequently has now developed the standard which becomes effective January 1, 2017. The Antimicrobial Stewardship Standard lists the following 8 main points for hospitals:
1. Establish antimicrobial stewardship as an organizational priority
2. Educate staff involved in antimicrobial ordering, dispensing, administration and monitoring about antimicrobial resistance and antimicrobial stewardship practices.
3. Educate patients and their families regarding the appropriate use of antimicrobial medications, including antibiotics.
4. Establish an antimicrobial stewardship multidisciplinary team, which includes infectious disease physician infection preventionist(s), pharmacist(s) and practitioner
5. The antimicrobial stewardship program should include the following core elements: leadership commitment, accountability drug expertise, action, tracking, reporting and education.
6. Ensure the antimicrobial stewardship program uses organization-approved multidisciplinary protocols
7. Collect, analyse and report data on the antimicrobial program
8. Take action on improvement opportunities identified in the antimicrobial stewardship program.
As part of the preparation of the standard, the Commission performed stakeholder calls, including Centers for Medicare & Medicaid Services (CMS), the CDC and the Society for Healthcare Epidemiology of America (SHEA). There was significant support for the antimicrobial stewardship standard for the hospital, critical access hospital and nursing care center accreditation programs. The work continues: the Joint Commission is now developing similar Antibiotic Stewardship Standard for Joint Commission –accredited ambulatory care organisations and office-based surgery practices.
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