— College of Medicine — Department of Internal Medicine — Divisions — Infectious Diseases — Antimicrobial Stewardship Program — Remote Stewardship

Remote Stewardship

Nebraska Medicine Remote Antimicrobial Stewardship Support Program (NM-RASSP)

On September 30, 2019, the Center for Medicare and Medicaid Services (CMS) finalized a new set of Conditions of Participation for hospitals, including critical access hospitals. These regulations are intended to ensure hospitals conform to current practice standards. As part of the new Conditions of Participation, all hospitals are required to establish an antimicrobial stewardship program to monitor and improve antimicrobial use.

To assist hospitals with meeting the new Conditions of Participation, Nebraska Medicine Remote Pharmacy Services is now offering the Remote Antimicrobial Stewardship Support Program (NM-RASSP), a fee-based telehealth antimicrobial stewardship support program designed to help support antimicrobial stewardship implementation and improvement at critical access hospitals. This program is managed by infectious diseases/antimicrobial stewardship pharmacists in collaboration with board-certified infectious diseases physicians from the Nebraska Medicine Antimicrobial Stewardship Center of Excellence.

Each participating hospital can select from a list of services that can be selected individually or combined in ways that best fulfill the facility’s needs. These packages as well as their associated activities are listed below.

Programmatic Assessment and Education

Remote Coaching

Case Review

Optional Services Available

Annual comprehensive review of current antimicrobial stewardship efforts
Provision of facility-specific recommendations to establish or strengthen your antimicrobial stewardship program focused on meeting regulatory requirements
Routinely scheduled educational webinars for stewardship members, prescribers and staff on Infectious diseases/stewardship-related topics
Availability of an expert to answer programmatic questions and address barriers

Monthly support in meeting customized stewardship goals
Preparation and/or review of antimicrobial stewardship policy and treatment guidelines
Review of antimicrobial use reports with provision of datadriven feedback for improvement
Assistance in tracking and reporting stewardship outcome measures
Consultant medical directorship for antimicrobial stewardship activities including regular attendance at organized meetings

Daily contact with ID pharmacists to assist in providing prospective audit and feedback for patients on antimicrobials
Individualized recommendations for antimicrobial stewardship Interventions with Input from ID physicians
Discharge antimicrobial therapy review for spectrum of activity and duration of therapy
Follow-up on microbiology culture results for patients recently discharged from the hospital or emergency department

Benefits of Enrolling:

Compliance with CMS requirements
Improved antibiotic use
Access to Infectious Diseases experts for programmatic and patient-specific questions
Assistance with infection-specific treatment guidance creation and implementation
Potential cost savings

To find out more about the services provided and fee structure related to these activities, please contact Sara Azimi, PharmD, at 402-559-5218 or sazimi@nebraskamed.com. We look forward to hearing from you!

Team Members

Sara Azimi, PharmD

ID/ASP/OPAT Pharmacist, Nebraska Medicine

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Phone: 402-559-5218

Danny Schroeder, PharmD, BCPS

Antimicrobial Stewardship Pharmacist, Nebraska Medicine-Bellevue

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Phone: 402-763-3114

Scott Bergman, PharmD, FCCP, FIDSA, BCIDP

Pharmacist Coordinator, Antimicrobial Stewardship Program (ASP) - Nebraska Medicine
Program Director, PGY2 Infectious Diseases Pharmacy Residency
Clinical Professor, Department of Pharmacy Practice and Science - UNMC College of Pharmacy

Phone: 402-559-4149
Fax: 402-559-8300

Nebraska Medicine's Pharmacy Residency in Infectious Diseases

Trevor Van Schooneveld, MD

Professor, Division of Infectious Diseases
Director, Infectious Diseases Fellowship Program
Medical Director, Antimicrobial Stewardship Program

Phone: 402-559-8650
Fax: 402-559-5581

Jonathan Ryder, MD

Assistant Professor, Division of Infectious Diseases

Phone: 402-559-8650
Fax: 402-559-5581