Completed AMS Working sessions:

• 8/3 with John Lynch – reviewed CDC AMS assessment and discussed next steps for facility (see notes “Shoshone AMS” PDF under resources)

Goals (short term)

•  Have stewardship as regular agenda item (report out) – integrates into hospital structure and maintain visibility about progress
• Skin and soft tissue infections are common and putting order set together can be useful
• Sepsis – early intervention – build robust sepsis response where nurses and physicians work together
• Quality improvement project – discharge protocol/antibiotics to address restarting duration
• Monitoring antibiotic adherence to policies/recommendations

Goals (long term)

• With Epic implementation, look at prescription dosage, length
• With Epic, antibiotic use reporting to NHSN

Main Takeaways

• Start small: one antibiotic, one location, one practice, one diagnosis
• Stewardship in ambulatory setting o Limited information, could address antibiotic prescribing
• Disease treatment match (using guidelines)
  • Firm diagnosis
  • Ear infections, ASB
  • Interested in joining IQIC