PALTC23 Conference Recordings SA10 Approaching Antibiotic Stewardship: Get Help, Change the Culture, Use the Tools

Approaching Antibiotic Stewardship: Get Help, Change the Culture, Use the Tools

This presentation will focus on using adaptive solutions to change the culture around the way we view antibiotics in long-term care. For example, while antibiotics have long been seen as something that "can't hurt" and may prevent progression to sepsis, we introduce the potential complications of antibiotics and the way they can risk resident safety. We will introduce the AHRQ safety program for antibiotic use in long-term care, a free web-based program which emphasizes the integral role of CNAs and nurses in the antibiotic prescribing process and how they can affect resident outcomes. We will review outcomes from facilities who enrolled in the program, and the importance of both leadership and direct-care staff engagement. We will also discuss key members to engage in the program such consultant pharmacists and medical directors to ease the burden of implementing interventions and motivate sustained change.

Learning Objectives:

At the completion of this session, learners will be able to:

  • To re-frame antibiotic use as a patient safety issue.
  • To introduce multi-disciplinary, feasible tools to develop and sustain your stewardship program.
  • To identify key personnel to involve in stewardship efforts and how to engage them.

Muhammad Salman Ashraf, MBBS

Muhammad Salman Ashraf, MBBS, is an associate professor in the Division of Infectious Diseases, Department of Internal Medicine, at the University of Nebraska Medical Center, Omaha, NE. He serves as the medical director for the Nebraska DHHS Healthcare-Associated Infections and Antimicrobial Resistance (HAI/AR) program. Dr. Ashraf is a member of PALTmed’s Infection Advisory Committee and State-Based Policy and Advocacy Subcommittee. He works on multiple projects to promote infection prevention and control and antimicrobial stewardship programs in long-term care facilities.

Nicole Osevala, MD

Nicole Osevala, MD, is an Internal and Geriatric Medicine physician at Penn State Health, Milton S. Hershey Medical Center where she is the Interim Chief of Geriatric Medicine and Medical Director for the Penn State Health Post-Acute Care Service. In her clinical roles, Dr. Osevala cares for older adults in a local nursing home as well as providing geriatric medicine consultation for geriatric trauma patients at Hershey Medical Center. Administratively, Dr. Osevala has championed the creation of a post-acute care network for Penn State Health patients with the goal to improve care transitions, quality of care in nursing homes and ultimately improve outcomes for this vulnerable population. In the hospital, Dr. Osevala launched the inpatient geriatric consult service in 2020, and has convened stakeholders in March 2021 to embark upon the goal of becoming an Age Friendly Health System at the Milton S. Hershey Medical Center. Dr. Osevala has led the South Central’s Regional Response Health Collaborative Program, known as RRHCP, the Regional Congregate Care Assistance Team known as RCAT, and currently leads the Resiliency, Infrastructures, Supports and Empowerment (RISE) program which supports 90 nursing homes and 150 personal care homes across 13 counties in South Central PA in Covid-19 outbreak response, staff education, emergency management preparation and community building to create a sustainable response to crises in long term care.

Morgan Katz, MD, MHS

Morgan Katz, MD, MHS, is an Assistant Professor of Infectious Disease at Johns Hopkins University School of Medicine. Dr. Katz has dedicated her research career to understanding how to adapt policies and improve training in antibiotic stewardship and infection prevention to make them feasible and attainable in the long-term care setting. She is a member of IDSA, SHEA, and serves on the infection advisory board for AMDA. She has research support from CDC, AHRQ, and NIH and has published widely on infection prevention and stewardship in the long-term care setting.

  • 1.0 CME
  • 1.0 CMD Management
  • 1.0 MOC
  • 1.0 Pharmacology Hour

Release Date: 03/29/2023   |   Expiration: 03/01/2026

Credit Statements:

Accreditation: Post-Acute and Long-Term Care Medical Association is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. 

CME Designation: Post-Acute and Long-Term Care Medical Association designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

CMD Credit Hours: This CME activity has been pre-approved by the American Board of Post-Acute and Long-Term Care Medicine (ABPLM) for up to 1.0 management hours toward certification or recertification as a Certified Medical Director (CMD) in post-acute and long-term care medicine. Each physician should claim only those hours of credit actually spent on the activity.

The CMD Program is administered by the ABPLM. Each physician should claim only those credit hours that he/she actually spent in the activity. For further information, contact ABPLM at 410-992-3117 or at cmd@paltmed.org.

ABIM Maintenance of Certification (MOC): Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 1.0 Medical Knowledge MOC points and patient safety credit in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program.

Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

Pharmacology: This activity satisfies the requirements for 1.0 Pharmacology Hour(s) for Nurse Practitioners.

Financial Disclosure Statement:

The Association requires the disclosure of all speaker/faculty/planner’s relevant financial relationships; presence of off-label use of a device or medication; and discussion of any experimental, new or evolving topic prior to each accredited education activity.

If the learner perceives any bias toward a commercial product or service, advocation of unscientific approaches to diagnosis or therapy, or recommendation, treatment, or manners of practicing healthcare that are determined to have risks or dangers that outweigh the benefits or are known to be ineffective in the treatment of patients please report this to the Association's staff.

The following speaker(s) disclosed relevant financial relationship(s): 

  • Julie Gammack, MD, CMD (Planner & Speaker): Stockholder: Amarin
  • Kenya Rivas Velasquez, MD, CMD, FAAFP (Planner & Speaker): OptumRx: Stockholder
  • All other planners, speakers, and AMDA staff have no relationships with ineligible companies.

All relevant financial relationships have been identified and mitigated.

Components visible upon registration.