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. 2022 Nov 30;75(11):2038-2044.
doi: 10.1093/cid/ciac515.

Harnessing the Power of Health Systems and Networks for Antimicrobial Stewardship

Whitney R Buckel  1 , Edward A Stenehjem  2 , Adam L Hersh  3 , David Y Hyun  4 , Rachel M Zetts  4
Affiliations

Harnessing the Power of Health Systems and Networks for Antimicrobial Stewardship

Whitney R Buckel et al. Clin Infect Dis. .

Abstract

Twenty of 21 health systems and network-based antimicrobial stewardship programs (ASPs) who were invited participated in a questionnaire, a webinar, and focus groups to understand implementation strategies for system-wide antimicrobial stewardship. Four centralized ASPs structures emerged. Of participating organizations, 3 (15%) confirmed classification as collaborative, 3 (15%) as centrally coordinated, 3 (15%) as in between or in transition between centrally coordinated and centrally led, 8 (40%) as centrally led, 2 (10%) as collaborative, consultative network. One (5%) organization considered themselves to be a hybrid. System-level stewardship responsibilities varied across sites and generally fell into 6 major categories: building and leading a stewardship community, strategic planning and goal setting, development of validated data streams, leveraging tools and technology for stewardship interventions, provision of subject-matter expertise, and communication/education. Centralized ASPs included in this study most commonly took a centrally led approach and engaged in activities tailored to system-wide goals.

Keywords: antimicrobial stewardship; centralized stewardship; health network; health system.

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Conflict of interest statement

Potential conflicts of interest. A. H. reports grants or contracts from the Centers for Disease Control and Prevention (CDC), EHRQ, and NIHPe all outside of the submitted work; participation on a Data Safety Monitoring Board or Advisory Board for National Institutes of Health (NIH); and leadership or fiduciary role for Pediatric Infectious Disease Society. E. S. reports grants or contracts from CDC – SHEPHERD, CDC – Vision, and CDC – Epicenter all outside of the submitted work. W. R. B. reports leadership or fiduciary role for Society for Healthcare Epidemiology of America. All other authors report no potential conflicts. All authors have submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest. Conflicts that the editors consider relevant to the content of the manuscript have been disclosed.

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