1. Alaska Antimicrobial Stewardship Collaborative September 19, 2014
Department of
Health and Social Services
DIVISION OF PUBLIC HEALTH
Section of Epidemiology

3. Agenda Establish ground rules
Intro to A2SC Collaborative Concept—Review of current environment, outline of partnership, goals, timeline
11:40 Survey Tool overview--Thaddus Wilkerson, PharmD, ANMC
11:50 Facilitated round table discussion--your participation is critical
12:25 Next Steps
12:30 Adjourn

4. Ground Rules and Orientation
One representative from each participating acute and LTC facility
All respectful comments/suggestions/questions are welcome
Ways to communicate
Raise your hand
Chat in the chat box
Speak out
Downloads and links on platform available to all
Webinar will be recorded and accessible to all participants

5. A2SC Alaska Antimicrobial Stewardship Collaborative
New and GROWING Partnership
Alaska Native Tribal Health Consortium
State of Alaska—Section of Epidemiology
Mountain Pacific Quality Improvement Network
Alaska State Hospital and Nursing Home Association
PeaceHealth Ketchikan Medical Center
And…hopefully growing to include all acute care and long term care facilities throughout the state of Alaska
Perhaps to include other community entities in the future

6. Announced Sept 18, 2014

7. Why now? Antibiotic Resistance(AR)
Responsible for over 2 million illnesses annually
Responsible for over 23,000 deaths annually

8. ASTHO Survey
Completed by HAI Coordinators in 36 states Stewardship defined as "efforts to improve antimicrobial prescribing and use in any setting." 1) what activities and policies the health agencies are using to promote antimicrobial stewardship 2)what incentives and tools the health agencies need 3) promising practices to share with other states and territories

9. …and the Survey Says!
50% of states collect surveillance data related to antimicrobial resistance
only 12% receive funding for this activity
25 states reported conducting Antimicrobial stewardship activities
5 states have developed and implemented policies on stewardship
11 states are considering policies
18 states have advisory committees
members include health departments, physicians, infection preventionists, pharmacists, laboratorians, hospital associations, and others
Two states have a formal plan to address resistance

10. Joint Commission and State Surveys
Hospitals and LTC are being cited for lack of Antimicrobial Stewardship Activities

11. Where there is a will there is a way!
Antibiotic Resistance(AR)
Responsible for over 2 million illnesses annually
Responsible for over 23,000 deaths annually

12. A2SC Purpose
To provide a platform for peer learning, education, and problem solving to develop comprehensive antimicrobial stewardship programs at the facility level and to assist in the development of a statewide antimicrobial stewardship plan.

13. A2SC Tentative Timeline
Survey distribution early October
Standing, monthly A2SC webinars—education, peer-to-peer learning, problem solving
Spring 2015 A2SC Conference
Re-survey at 6 months to measure progress

14. Establishing Alaska’s Baseline
Thaddus Wilkerson, PharmD, ANMC
Introduction
Review of survey that will be critical in establishing baseline knowledge, activity and interest in antimicrobial stewardship

15. Roundtable Discussion
Your report-out will help identify gaps and challenges in the development of antimicrobial stewardship programs at the facility level that will guide future A2SC activities

16. Next Steps?
Incorporate roundtable discussion into A2SC goals and activities
Finalize survey and distribute in October
Develop monthly webinar calendar based on discussion and survey results and distribute
Begin planning Spring Conference

17. Thank you for all you do!