Strategic Implementation By Erica Olsen Implementation is the process that turns strategies and plans into actions in order to accomplish strategic objectives and goals. Implementing your strategic plan is as important, or even more important, than your strategy.
Appointing a single leader responsible for program outcomes.
Experience with successful programs show that a physician leader is effective Drug Expertise: Appointing a single pharmacist leader responsible for working to improve antibiotic use. Implementing at least one recommended action, such as systemic evaluation of ongoing treatment need after a set period of initial treatment i.
Monitoring antibiotic prescribing and resistance patterns Reporting: Regular reporting information on antibiotic use and resistance to doctors, nurses and relevant staff Education: Educating clinicians about resistance and optimal prescribing Leadership Commitment Leadership support is critical to the success of antibiotic stewardship programs and can take a number of forms, including: Formal statements that the facility supports efforts to improve and monitor antibiotic use.
Including stewardship-related duties in job descriptions and annual performance reviews, Ensuring staff from relevant departments are given sufficient time to contribute to stewardship activities Supporting training and education Ensuring participation from the many groups that can support stewardship activities.
Financial support greatly augments the capacity and impact of a stewardship program and stewardship programs will often pay for themselves, both through savings in both antibiotic expenditures and indirect costs. Identify a single leader who will be responsible for program outcomes.
Physicians have been highly effective in this role. Identify a single pharmacy leader who will co-lead the program. Clinicians and department heads— As the prescribers of antibiotics, it is vital that clinicians are fully engaged in and supportive of efforts to improve antibiotic use in hospitals.
Infection preventionists and hospital epidemiologists coordinate facility-wide monitoring and prevention of healthcare-associated infections and can readily bring their skills to auditing, analyzing and reporting data.
They can also assist with monitoring and reporting of resistance and CDI trends, educating staff on the importance of appropriate antibiotic use, and implementing strategies to optimize the use of antibiotics.
Laboratory staff can guide the proper use of tests and the flow of results. They can also guide empiric therapy by creating and interpreting a facility cumulative antibiotic resistance report, known as an antibiogram. Lab and stewardship staff can work collaboratively to ensure that lab reports present data in a way that supports optimal antibiotic use.
For facilities that have laboratory services performed offsite, information provided should be useful to stewardship efforts and contracts should be written to ensure this is the case.
Information technology staff are critical to integrating stewardship protocols into existing workflow. Examples include embedding relevant information and protocols at the point of care e.
In addition, nurses review medications as part of their routine duties and can prompt discussions of antibiotic treatment, indication, and duration. Utilize specific interventions that can be divided into three categories: Policies that support optimal antibiotic use Implement policies that apply in all situations to support optimal antibiotic prescribing, for example: Document dose, duration, and indication.
Specify the dose, duration and indication for all courses of antibiotics so they are readily identifiable.Mobius is a SBA HUBZone certified, small, woman-owned systems engineering technical analysis, program management company providing services and solutions to federal and commercial customers.
There are many ways an Enterprise Resource Planning (ERP) implementation process can be troublesome, costly and frustrating, but by trying to adhere to some ground rules the whole process can be pushed in the general direction of success..
The following steps have been the product of years of learning by different customer approaches and implementation methodologies and should be .
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Dec 15, · This strategy document is intended to guide the next phase of FSMA implementation by outlining broadly the drivers of change in FDA’s approach to food safety and the operational strategy .