Antibiotic Stewardship Honor Roll

The Georgia Healthcare-Associated Infections Advisory Committee (GHAIAC) recognizes the following Georgia hospitals for their commitment to antibiotic stewardship.  Applications are reviewed quarterly for the Honor Roll program.  For those interested in applying, we provide Honor Roll program requirements and checklist, as well as additional resources for program development.    

*Facilities marked with an asterisk are in Phase II

(Listed in alphabetical order.)

Athens Regional*

The hospital has integrated antimicrobial stewardship training into its ongoing in-service trainings; the trainings have included hospitalists and other prescribing specialities and community physicians.  The hospital has developed an audit and feedback protocol for five antimicrobials:  pipercillin/tazobactam, meropenem, ertapenem, vancomycin, and fidaxomicin.  These antimicrobials are evaluated twice per week by clinical pharmacists and the ID physician leader for appropriate use.  Feedback acceptance rates are summarized monthly and include the most common interventions and average duration (in days) for accepted interventions.   Between November 2014 and January 2015, average acceptance rates ranged from 92% (42 out of 46) to 83% (51 out of 61).   The stewardship team is led by Roger D. Lovell, MD, and Caroline Gresham, PharmD, BCPS (cgresham@armc.org).

Atlanta Medical Center   

The hospital completed in-service training programs in April and September 2014 on the core concepts of stewardship and using broad spectrum antibiotics in the treatment of sepsis. The programs were attended by medical residents, attendings, nurses and clinical pharmacists. The antimicrobial stewardship team is led by Zandretta Tims-Cook, MD (zltims@yahoo.com) and Teresa Pounds, PharmD (teresa.pounds@tenethealth.com).

Chestatee Regional Hospital

On May 16, 2016, Dr. Alisa Davis, hospital stewardship champion, conducted a training on the need for antimicrobial stewardship, how antimicrobials are misused in hospitals, and the adverse impacts on patients.  This training was conducted for hospital medical staff.  The stewardship team consists of Alisa Davis, MD (maallaire@yahoo.com) and Alice Moore, RPh (alice.moore@chestateerh.com).

Children’s Healthcare of Atlanta – Egleston and Scottish Rite Campuses*

The hospital has developed a Stewardship and Optimization of Antimicrobial Prescribing (SOAP) team.  In June 2014, as part of the SOAP kick-off, Grand Round lectures on antibiotic stewardship were held at both Childrens’ campuses.  The lecture included a history and rationale for stewardship as well as basic principles to help physicians incorporate stewardship into their daily practice.  Drs. Fernandez and Shapiro conduct weekday reviews of inpatient admissions receiving one or more of 19 targeted antimicrobials.  Following review, a SOAP team member may reach out clinicians, via phone or pager, to discuss alternate options.  The stewardship team is led by Craig Shapiro, MD (cshapi2@emory.edu) and A.J. Fernandez, PharmD (Alfred.Fernandez@choa.org).

Clearview Regional Medical Center 

On June 21, 2016, the hospital will conduct an educational session on several stewardship topics, including over and under-prescribing of antibiotics, clostridium difficile infection, and interpreting antibiotic sensitivity panels and minimum inhibitory concentrations.  All hospital prescribers including physician and mid-level providers will be invited as well as nursing staff.  The stewardship team is led by Suji Mathew, MD (Suji.Mathew@CHS14.net), and Michael Wynne (Michael.Wynne@ClearviewRMC.com).

Coffee Regional Medical Center   

The hospital conducted an in-service training 7/30/2014, on The Core Concepts of Antimicrobial Stewardship. It included: 1) Six Sigma project review 2) a CDC video “Three Steps to Antibiotic Stewardship” 3) review of the Facility Antibiogram and 4) review of 12-month antimicrobial cost. The target audience for training was the CRMC Pharmacy and Therapeutics Committee. The stewardship team is led by Charles Cowart, MD (charles.cowart@coffeeregional.org) and Peggy Kirkland, RPh (peggy.kirkland@coffeeregional.org).

Colquitt Regional Medical Center

The hospital has an initiative to conduct a phased-in stewardship education to meet the specific issues and ordering practices at its facility.  Education of nursing staff has been initiated.  Education for pharmacists will be CE based and physician education is being designed based on an analysis of physician ordering practices.  The hospital has completed several stewardship interventions, including a standard 48-hour antibiotic timeout review by pharmacist, automatic stops on fluroquinolone antibiotics, and IV to PO de-escalation protocol.  The stewardship team is led by Marianne Laguerre, MD and Matthew Clifton, PharmD (mclifton@colquittregional.com).  

Columbus Regional Health Midtown Medical Center

The hospital established an educational website on 3/12/2010. It includes the core concepts of antibiotic stewardship and is routinely used by medical and pharmacy staff. Medical and pharmacy residents use the web site to complete an annual in-service training.  Additional in-service education is provided to medical staff groups (e.g., the Emergency Department) on an ongoing basis.  The stewardship team is led by Valerie Fletcher, MD and Deanne Tabb, PharmD, MT(ASCP) (deanne.tabb@columbusregional.com). 

DeKalb Medical

The hospital held an in-service training "Antiobiogram 2013 and Antimicrobial Stewardship, the Imperative" on Friday, July 18, 2014 on the core concepts of antibiotic stewardship. This training targeted physicians, nurse practitioners and physician assistants, pharmacists, nurses, and microbiology personnel. The stewardship team is led by Dr. Adam Bressler (bress002@comcast.net) and Jana Mills PharmD. (jana.mills@dekalbmedical.org)

Doctors Hospital of Augusta

The hospital provided a review of “Doctors Hospital’s Antibiogram” on 10/30/2013, Treatment of UTI: A Stewardship Approach 2/25/14, and CAP: A Stewardship Approach on 3/25/14 for hospitalists, physician assistants, nurse practitioners, and pharmacists.  The stewardship team is led by Bruce Friedman, MD (brucefriedman@gmail.com), Tarak Patel, MD (mdtpatel@yahoo.com) and Leslie Mann, PharmD (leslie.mann@hcahealthcare.com).

Dorminy Medical Center

The hospital provided education during the Medical Staff meeting on August 19, 2014 on core concepts of antimicrobial stewardship.  Education will also be provided to clinical staff, due to be completed by November 30, 2014. The stewardship team is led by Thomas Mann, MD and Arthur Hill, RPh (ahill@dorminymedical.org). 

Eastside Medical Center

The hospital conducted an in-service training on the core concept of antimicrobial stewardship.  The training was led by Dr. Edward Septimus and was attended by physicians, hospitalists, pharmacists, physician assistants, nurse practitioners, and nurses. The antimicrobial stewardship team is led by Dr.  Karuna Kusan and Crystal Ullengren, PharmD, BCPS (crystal.ullengren@hcahealthcare.com).

Emory Johns Creek Hospital

In 2015, a pharmacy newsletter describing and encouraging antibiotic stewardship was circulated, as well as a newsletter addressing antibiotic resistance and VRE.  The antimicrobial stewardship team is led by Titu Das, MD (dastitu@hotmail.com) and Roland Tam, PharmD (roland.tam@emoryhealthcare.org). 

Emory University Hospital Midtown

The hospital has developed stewardship curriculum for its medical school and in July 2014 trained its internal medical residents on the core concepts of antimicrobial stewardship.  The stewardship team is led by Jesse Jacob, MD (jtjacob@emory.edu) and Steve Mok, PharmD (Steve.mok@emoryhealthcare.org).  

Fannin Regional Hospital

The hospital conducted its first training event to members of the clinical and medical staff on August 27, 2014.  Additional education will be provided in fourth quarter 2014.  The stewardship team is led by Linda Vaughn, PharmD (Linda_Vaughn@CHS.net) and Benjamin Harris, MD (benjamin_harris@chs.net). 

Floyd Medical Center

The hospital conducted in-service education in February 2015 on the principles of antibiotic stewardship for its hospitalist and residents and has provided MAD-ID training to 10 of its pharmacists in 2014. The in-service training will target Floyd Family Practice Residents and the Hospitalists group (physicians and nurse practitioners from In Compass). The stewardship team is led by John Hostetler, MD and Jody Smith, PharmD (jodsmith@floyd.org).

Georgia Regents Medical Center

The hospital has conducted in-service trainings during 2014 on the core concept of antimicrobial stewardship.  The training targeted different departments within the hospital and include education of physicians, nursing staff, and pharmacists.  The stewardship team is led by Jose Vazquez, MD, FACP, FIDSA (jvazquez@gru.edu) and Sonal Patel, PharmD, BCPS (sonpatel@gru.edu). 

Grady Health System

The educational program includes several Grand Round events with Emory School of Medicine and Morehouse School of Medicine between July and September 2014.  An MD Showcase that targets training for nurses, physician assistants, and nurse practitioners was conducted in September 2014.  The stewardship team is led by Sheena Kandiah, MD, MPH (sheetal.kandiah@emory.edu), Manish Patel, PharmD, BCPS, SAIRA RAB, PHARMD, BCPS (mpatel1@gmh.edu), and Jordan Wong, PharmD (jwong@gmh.edu).

Gwinnett Medical Center

The hospital conducted an education session on December 16, 2014 titled, Fun with Infectious Disease: A Month in the Life of an ID Specialist, by Dr. Paul Martin. The session addressed tactics to improve outcome, decrease side effects, and avoid unnecessary testing in order to prevent the development of resistant organisms. The education session also entailed a focus on antibiotic stewardship; attendees included hospitalists, physician assistants, nurse practitioners, and pharmacists.  The stewardship team is led by Raizes, Elliot, MD., Chairman(eraizes@cdc.gov), Karuna Kusan, MD., Team leader (k_karuna@comcast.net), Paul Martin, MD (PDmartin12@gmail.com) and Mary George, PharmD (MGeorge@gwinnettmedicalcenter.org).

Hamilton Health Care System*

In 2016 the antibiotic stewardship team completed a risk assessment tool for prolonged antibiotic therapy in community acquired pneumonia and other lower respiratory tract infections.  An order form with duration of therapy was developed, and days of therapy per 1,000 patient days decreased for all antibiotics as a result.  The hospital provided an educational program on September 15, 2015, that included physicians, nurse practitioners, physician assistants, pharmacists, nurses and laboratory technicians. The program was titled “Rethinking Antimicrobial Stewardship: 2015 Update” and was presented by Dr. James Sizemore.  The program included core concepts of antibiotic stewardship, information on the hospital’s current antibiotic stewardship program initiatives, and identification of educational resources. The stewardship team is led by James Sizemore, M.D. (jays@chattanoogacares.org) and Cathy Barbree, PharmD (cbarbree@hhcs.org).

Houston Healthcare   

The hospital initiated stewardship training in April 2014. Expansion of stewardship training is scheduled for Spring 2015. The hospital is planning an initial in-service training via electronic competency assignment and annual competency updates on the core concepts of antibiotic stewardship. This training will target pharmacists. The stewardship team is led by Dr. Nalini Patel, MD (nbamrit@hotmail.com) and Rita Bandt, PharmD, BCPS (rbandt@hhc.org)

Kindred Hospital Atlanta

The hospital had an in-service training in June 2014 on the core concepts of antibiotic stewardship.  This training targeted registered nurses, physicians, physician assistants, and pharmacists.  The stewardship team is led by Lee Diamond, MD (leeadiamond@gmail.com) and Chika Onyegam, PharmD (chikanele.onyegam@kindred.com). 

Mayo Clinic Health System of Waycross

The hospital conducted an educational event on September 11, 2014 to inform providers, resident physicians, pharmacists, nurses and other members of the health care team what an antibiotic stewardship is, its value for patients and the key operational components of our program.  A formal presentation to medical residents and teaching staff will be conducted during 2014.  The stewardship team is led by Claudia Libertin, MD (libertin.claudia@mayo.edu) and Stephanie Watson, PharmD (watson.stephanie1@mayo.edu). 

Meadows Regional Medical Center

The hospital conducted in-service training to medical staff (August 2014), nursing staff (September 2014), and to the public (during November 2014 Get Smart About Antibiotics Week), as well as providing it to new employees during their orientation. The stewardship team is led by Mark Hoerman, MD and Chris Weeks, PharmD (cweeks@meadowsregional.org).

Memorial Health University Medical Center*

The hospital hosted a Grand Rounds for the hospital staff on 1/7/2015 on “Infectious Diseases: Best Practices” that included the core concepts of antibiotic stewardship, tentatively titled AMP: Antimicrobial Stewardship at MUMC. Dr. Avramovski presented at a second Grand Rounds (3/11/2016) entitled “Antibiotic Stewardship.”  In January 2012, the major health care facilities in Savannah, Georgia collaborated to create a unique city-wide program. Patients receiving one of 16 targeted agents, patients on >4 anti-infectives, patients started on antiretroviral therapy, or patients with bug-drug mismatches are assessed daily.  After comprehensive review by a clinical pharmacist and an ID physician, recommendations are communicated to the responsible prescriber, including other ID physicians.  Memorial's current metrics include: (1) Antimicrobial days of therapy (DOT)/1000 patient days (DOT defined by CDC: AUR Module); (2) Antimicrobial spend – Annual; (3) # Patients reviewed; (4) # AMP recommendations: Accepted/Rejected; (5) Mortality (AMP reviewed); (6) Hospital acquired CDl rate; (7) +KPC and +ESBL rate.  The stewardship team is led by Nenad Avramovski, MD (nenad67@me.com), and Jason Lin, PharmD (linja1@memorialhealth.com). 

Memorial Hospital & Manor

The hospital conducted an in-service training during November 11, 2014, with Drs. Prince and King presenting on the core concepts of antibiotic stewardship and on the implementation of the extended infusion protocol for piperacillin/tazobactam.  This training was attended by the entire medical staff, including primary care physicians, surgeons, hospitalists and nurse practitioners. The hospital is considering including other antibiotics that may benefit from the pharmacodynamics of extended infusion therapy, and its pharmacy has added tracking/reporting for length of antibiotic therapy on all inpatients and uses this data to provide feedback to providers.  The stewardship team is led by Linda Jones, MD (lindaj@mh-m.org), Winston Price, MD (winstonp@mh-m.org), and Ellen King, PharmD, MBA (ellenk@mh-m.org).

Morgan Memorial Hospital

The hospital is planning an in-service training/educational event in November 2014 consisting of the core concepts of antibiotic stewardship and an antibiogram demonstrating the efficacy of antibiotics used. At a minimum, this training will target hospitalists, physician assistants, nurse practitioners, local primary care physicians and all nursing personnel.  The stewardship team is led by Dennis Spencer, MD (DSpencer@yahoo.com) and Michael Azzolin, PharmD (Michaela@mmh.org).

Mountain Lakes Medical Center   

The hospital has initiated its in-service training in July 2014 on the core concepts of stewardship for its clinical staff. The stewardship team is led by Bart Flick, MD (mountainmedicalinc@gmail.com) and Lisa Ferraro, PharmD (lferraro@inmedgroup.com).

Newton Medical Center

The hospital conducted an in-service training on February 25, 2014 and discussed core concepts of antimicrobial stewardship.  Physicians, physician assistants, nurse practitioners, lab personnel, nurses and pharmacists attended the training.  The stewardship team is led by Suji Mathews, MD (smathew@newtonmedical.com) and Leigh Wilson, PharmD. (lwilson@newtonmedical.com)

North Fulton Hospital

The hospital provided antimicrobial stewardship education at its annual safety fair on November 4, 2014; the fair is open to all employees and physicians.  The stewardship team is led by M. Rabiul Alam, MD (ralam@idsga.com) and Misty Boachie, PharmD, BCPS (misty.boachie@tenethealth.com).

Northside Hospital Atlanta

The hospital provided an in-service training in the form of a continuing medical education event in June 2014 on antimicrobial resistance and the core concepts of antibiotic stewardship. The training included hospital resistance patterns and the stewardship efforts currently taking place at the facility. This training targeted internal medicine hospitalists, pediatricians, infectious disease physicians, emergency medicine physicians, pulmonologists, and critical care physicians, as well as physician assistants, nurse practitioners, and pharmacists. The stewardship team is led by Northside Hospital Antibiotic Subcommittee of Pharmacy and Therapeutics Committee, Victoria Carroll, PharmD, and Judy Gardner, PharmD (judy.gardner@Northside.com).

Northside Hospital Cherokee

The hospital provided an in-service training in the form of a continuing medical education event in June 2014 on antimicrobial resistance and the core concepts of antibiotic stewardship. The training included hospital resistance patterns and the stewardship efforts currently taking place at the facility. This training targeted internal medicine hospitalists, pediatricians, infectious disease physicians, emergency medicine physicians, pulmonologists, and critical care physicians, as well as physician assistants, nurse practitioners, and pharmacists. The stewardship team is led by Northside Hospital Antibiotic Subcommittee of Pharmacy and Therapeutics Committee, Barbara Rutt, PharmD, and Judy Gardner, PharmD (judy.gardner@Northside.com).

Northside Hospital Forsyth

The hospital provided an in-service training in the form of a continuing medical education event in June 2014 on antimicrobial resistance and the core concepts of antibiotic stewardship. The training included hospital resistance patterns and the stewardship efforts currently taking place at the facility. This training targeted internal medicine hospitalists, pediatricians, infectious disease physicians, emergency medicine physicians, pulmonologists, and critical care physicians, as well as physician assistants, nurse practitioners, and pharmacists. The stewardship team is led by Northside Hospital Antibiotic Subcommittee of Pharmacy and Therapeutics Committee, Jennifer Maddux, PharmD, and Judy Gardner, PharmD (judy.gardner@Northside.com).

Phoebe Putney Memorial Hospital

The hospital conducted a grand rounds presentation, Providing a Review of Antibiotics and Core Concepts of Antimicrobial Stewardship on 12/30/2013.  The training targeted resident physicians from the Southwest Georgia Family Medicine Group.  The stewardship team is led by Daniel Chastain, PharmD (dchastain@ppmh.org).

Phoebe Sumter Medical Center

Christy Hardin and Tracy Greene presented an inservice on "Antibiotic Stewardship: MIC panels and Antibiotic Selection" at the Department of Surgery and Medicine meeting in October 2014.  Providers from two local counties were invited to this educational program.  The stewardship program team includes four physicians that are sharing responsibilities, including Jill Olek (jolek@phoebesumter.org) and Dale Lawson (dlawson@phoebesumter.org). 

Piedmont Atlanta 

Since June 2015, the hospital has conducted monthly in-service training on antibiotic stewardship for Piedmont Hospitalists, Piedmont Intensivists, Piedmont Heart Institute, as well as physician assistants and nurse practitioners that work in these groups.  Stewardship trainings held in the spring of 2016 included pneumonia, appropriate c diff testing and treatment, IDSA guidelines for treatment of skin and soft tissue infections. The stewardship team is led by Christine Zurawski, MD (zurawski@mindspring.com) and Todd Parker (todd.parker@piedmont.org). 

Piedmont Henry

The hospital had a kickoff meeting for its stewardship team on August 18, 2014 with its physician champion.  The hospital is planning to train its pharmacists and hospital staff on the on the core concepts of stewardship on November 14, 2014.  The stewardship team in led by Dr. Lee Diamond (Infectious Diseases specialist) and Obioma Ubaka, PharmD, BCPS (Obioma.Ubaka@piedmont.org).

Piedmont Mountainside

The hospital is implementing an Antimicrobial Stewardship Initiative, which partners the hospital antimicrobial stewardship team with the Hospitalist team with the goal to have daily bedside rounding include narrowing/streamlining antibiotic therapy. In October 2015, hospitalists were educated on "Antibiotic Stewardship in the Treatment of CAP and HCAP" with recommendations to move from empiric therapy to probable organisms in regard to narrowing therapy, IV to PO/switch therapy and IDSA guidelines of LOT. This presentation was provided to pharmacy staff to support their development of antimicrobial treatment recommendations during daily bedside rounding.  The stewardship team is led by Richard Van Dam, MD, Pam Mingo, RPh, and Ouida Corry-Wiggens, RPh (ouida.corry@piedmont.org).

Piedmont Newnan

The hospital conducted an in-service program in March 2015 on interpreting urinalysis results as well as appropriate selection and use of antimicrobials for urinary tract infections.  This training was attended by hospitalists, physician assistants, nurse practitioners, nurses, as well as other clinical and ancillary staff.Additional stewardship educational activities have included a talk and poster presentation on influenza and a detailed explanation of a local antibiogram.    The antimicrobial stewardship team is led by Ayesha Faruqi, MD (ayesha.faruqi@piedmont.org) and John Marsalis, PharmD (john.marsalis@piedmont.org). 

Polk Medical Center*  

The Polk Medical Center team is working to decrease urine contamination rates by implementing new collection processes and using new collection products in order to reduce the number of patients treated unnecessarily, especially in the ED.  PMC has 3 day soft stops/automatic stop orders that print in the pharmacy, daily pharmacist review of culture/sensitivity reports, and IV to PO conversion reports.  Theradoc is being implemented to provide multiple alerts to the pharmacy.  PMC is also focusing on antibiotics prescribed for ER patients with acute nasopharyngitis.  In August 2014, the hospital conducted training on the core concepts of antibiotic stewardship for its nursing staff.  Additional nursing training in September 2014 focusing on the appropriate collection of urine specimens to decrease contaminants and the appropriate use of antibiotics for urinary tract infections for physician staff.   The stewardship team is led by Steven Ziemer, MD (SZiemer@Floyd.org) and Neeve Owen, PharmD (Nowen@Floyd.org).

Redmond Regional Medical Center

The hospital conducted an in-service training through departmental meetings in July 2014. The training covered core concepts of antibiotic stewardship and targeted our hospitalists and rehab physicians. The stewardship team is led by Melissa Kehl, MD, Pam Young, PharmD., and Allen Gandhi, PharmD (Allen.Ghandi@hcahealthcare.com).

Roosevelt Warms Springs Hospitals

The hospital conducted a prescriber training on 3/20/2014 that covered why an antibiotic stewardship team is being started and core concepts of stewardship.  The training targeted Medical Staff Executive Committee including physicians and nurse practitioners.  The stewardship team is led by Cindy Freed, DO and Kim Wells, RPh (kiwells@gru.edu).

South Georgia Medical Center

The hospital will initiate its antibiotic stewardship training program at its December 18, 2014 hospitalist meeting and next plans to train pharmacy staff.  In the Spring of 2015, the hospital plans to provide stewardship training for the entire medical staff of its medical system.  The stewardship team is led by Roberta Garcia, MD, Todd Woodard, PharmD, and Cindy Vickery, RPh (cindy.vickery@sgmc.org). 

Southeast Georgia Health System Brunswick Campus

The hospital conducted an in-service training during July 21-25, 2014 on the core concepts of stewardship. This training targeted physicians, physician assistants, and nurse practitioners. Laura Limburg (Pharmacist) educated the public regarding antibiotic-resistant bacteria and resistance in a Brunswick News article on 6/3/2014.  The stewardship team is led by Steven Mosher, MD (smosher@sghs.org) and Laura Limburg, PharmD (llimburg@sghs.org). 

St. Joseph’s/Candler Health System*

Beginning in September 2014, the hospital added stewardship training to its orientation program for new patient care employees; the training includes the hospital’s antimicrobial stewardship mission, goals, and activities.  Through June 2015, stewardship staff will conduct presentations on stewardship activities at the hospital to several committees, including the Quality Analysis and Implementation, Infection Control, Nursing Quality Practice Council, and Pharmacy and Therapeutics.  In January 2012, the major health care facilities in Savannah, Georgia collaborated to create a unique city-wide program. Patients receiving one of 16 targeted agents, patients on >4 anti-infectives, or patients with bug-drug mismatches are assessed daily.  After comprehensive review by a clinical pharmacist and an ID physician, recommendations are communicated to the responsible prescriber, including other ID physicians.  St. Joseph’s/Candler Health System’s current metrics include: (1) Antimicrobial days of therapy (DOT)/1000 patient days (DOT defined by CDC: AUR Module); (2) Antimicrobial expenditures – Annual; (3) # Patients reviewed; (4) # AMP recommendations: Accepted/Rejected; (5) Mortality (AMP reviewed); (6) Hospital acquired CDl rate; (7) +KPC and +ESBL rate. The stewardship team is led by Nenad Avramovski, MD (nenad67@me.com) and Geneen Gibson, PharmD, MS, BCPS (AQ-ID), (gibsong@sjchs.org). 

St. Mary’s Health Care System

The facility is planning an in-service training in October 2014 on the core concepts of antibiotic stewardship. This training will target the hospital pharmacists. The stewardship team is led by Dr. Mark Visitacion and April Hunter, PharmD (April.Hunter@stmarysathens.org).

Stephens County Hospital

The hospital conducted in-service educational trainings in October 2014 for both nursing and pharmacy staffs, as well as information/education for medical staff and nurse practitioners. The stewardship team is led by Mark Hancock, MD, Enrique Puertos, PharmD, and Robin Hart, RPh (rhart@stephenscountyhospital.com).

Tift Regional Medical Center

The hospital conducted an educational activity on January 13, 2015 on the core concepts of antimicrobial stewardship; the training was led by Dr. Craig Smith and included effective team member collaboration to support stewardship and integration of evidence-based practices and resources to improve antimicrobial use.  This training targeted all physicians in the hospital, associated nurse practitioners and physician assistants, pharmacists, and other interested health professionals. The antimicrobial stewardship team is led by Richard McCullough, MD, Rubal Patel, MD (Dr.Rubal.Patel@tiftregional.com) and Will Nesmith, PharmD (will.nesmith@tiftregional.com). 

Ty Cobb Regional Medical Center*   

The pharmacy at the hospital prepared and presented a series of educational in-services the week of August 4, 2014 during morning rounds with pharmacy, hospitalist, nurses, and other ancillary personnel.  The core concepts of antibiotic stewardship including antibiogram, site of normal pathogens, antibiotic overview and community acquired pneumonia were presented. The hospital used the CDC “Checklist for Core Elements of Hospital Antibiotic Stewardship Program” to identify the hospital’s need for an IV to PO conversion protocol.  The hospital has identified criteria for the IV to PO switch and measured the percentage of pharmacy recommendations accepted by the prescribing physician. The stewardship team is led by Charles Outz, MD (Charles.Outz@tcrmc.com) and Donna Toney, RPh (Donna.Toney@tycobbhealthcare.com).

University Hospital

The hospital is planning an in-service training by Spring 2015 on the core concepts of antimicrobial stewardship.  The training will include education of physicians, nursing staff, and pharmacists.  The hospital completed an educational program on urinary tract infections, presented as a noon conference to University Hospital Staff on 3/27/2014.  The hospital conducted in-service training on appropriate antimicrobial prophylaxis in surgical patients in 2014 that will also include core concepts on antimicrobial stewardship.  This training  targeted anesthesiologists, anesthetists, and surgeons. The stewardship team is led by Ioana Chirca, MD and Adrienne Albrecht, RPh (aalbrech@uh.org).

Wellstar Cobb Hospital*

Provider and staff education include Bugs and Drugs newsletters to all providers; lectures to critical care providers, hospitalists and advanced practice practitioners; and provision of pharmacy clinical pearls to pharmacy staff.  In May 2014, the hospital provided Antimicrobial Stewardship training focused on bridging the transition of care as an in-service to the multi-disciplinary medical team.  Recent antimicrobial stewardship activities at Cobb Hospital include: 1) the prevention of antiretroviral medication errors upon inpatient admission where antimicrobial management team review met the goal of ensuring that complete and appropriate antiretroviral regimens were prescribed for >90% of all admitted patients with HIV and 2) Algorithm based prescribing of fidaxomicin with the achievement of >90% overall adherence to restriction criteria. The stewardship team is led by Lisa Oakley, MD lisaoakley06@comcast.net), Yona Roberts, PharmD, BCPS (yona.roberts@wellstar.org), and Tanea Womack, PharmD, MBA, BCPS (tanea.womack@wellstar.org).  

WellStar Kennestone*

The hospital in two of its units piloted a policy to allow select clinical pharmacists to write orders and place future stop dates on antimicrobials based on physician's progress notes.  Pilot resulted in the decreased antimicrobial duration of therapy, prescribers increased writing of their own stop order dates, and prescribers accepting 100% of the pharmacy interventions (with no antimicrobials resumed).  The corporate stewardship policy has been revised to support pharmacists writing antimicrobial stop orders and applied to all non-critical care units in the hospital.  The stewardship team is led by Victor Nunez, MD (victor.nunez@wellstar.org), Danny Branstetter, MD (danny.branstetter@wellstar.org) and Joy Peterson, PharmD, BCPS (Joy.Peterson@wellstar.org).

West Georgia Health

The hospital conducted an initial in-service / training session for the Pharmacy Department on September 2014 entitled “Antimicrobial Stewardship, Our Role as Pharmacists.”  This training covered the core concepts of antimicrobial stewardship and included the application of The American Society of Health System Pharmacists and Infectious Disease Society of America’s guidelines.  Another in-service, targeting emergency physicians, hospitalists, physician assistants, and nurse practitioners, will be scheduled for November 2014. The stewardship team is led by Dr. Ken Horlander and Annette Brady, PharmD (bradya@WGHealth.org). 

 

 


Page last updated 07/27/16