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February 2016
Stewardship: Putting ID at the Helm, and Giving You the Tools You Need
Much has been said about the strategic priorities of IDSA, but it has become clear that we need to do a better job of sharing our efforts and the progress we are making with IDSA members. So, in this letter, I will highlight the work we are doing to prepare for the anticipated Centers for Medicare and Medicaid Services (CMS) regulation requiring antimicrobial stewardship programs (ASPs) in acute care hospitals as directed in the National Action Plan for Combatting Antibiotic-Resistant Bacteria (CARB). Whether or not you work in a hospital setting, this change is important to the field and will very likely impact your work.
I should begin by reiterating that IDSA has a clear strategic objective: To position ID specialists as the leaders of antimicrobial stewardship programs across the health care system. Several initiatives are well-underway to promote the benefits of ID leadership in stewardship programs, and a host of resources is available to help you develop and lead an ASP in your health care setting. 
Under the leadership of our Clinical Affairs Committee, IDSA has been actively contributing to the discussion of ASPs on the national level, including commenting on the CMS Proposed Rule requiring stewardship in long-term care facilities, providing input on the Joint Commission’s Proposed Standard for stewardship, and participating in the National Quality Forum’s effort to establish ASP quality measures. IDSA will also provide comment on the CMS Proposed Rule requiring stewardship in acute care hospitals, which is expected this year. 
In addition, IDSA has provided comment to the Presidential Advisory Council on CARB regarding surveillance and data collection needs, and is developing a white paper regarding the value of ID led stewardship to be presented to hospital leadership as well as policymakers. Our Standards and Practice Guidelines Committee is hard at work developing new stewardship guidelines that are to be published this year, and the IDWeek Program Committee has several sessions focused on stewardship in development for IDWeek 2016. 
The time to start preparing for this regulation is now, and there are several resources to assist you including: 
• Specific AS resources within IDSA’s The Value of ID Toolkit, including an ASP Policy and Procedure template that includes suggested language describing procedures, personnel composition, interventions, surveillance and more (member login required).
These lists serve to provide a glimpse of the depth and breadth of the commitment IDSA is making to ID-led stewardship. We have received input from several members who have shared their thoughts on additional activities that would make such programs under the leadership of ID specialists most effective and others that would assist our members in developing successful ASPs. We welcome that input. Please let us hear from you as well!

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