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
CMS Proposed Rule requiring stewardship in long-term care facilities, providing input
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
The time to start preparing for this
regulation is now, and there are several resources to assist you including:
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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