Building a Novel Antibiotic Stewardship Intervention for Nursing Homes

The Optimizing Antibiotic Stewardship In Skilled Nursing Facilities." (OASIS) Collaborative is a system redesign initiative to improve antibiotic prescribing in skilled nursing facilities. The study aims to improve antibiotic prescribing in nursing homes by facilitating \ antibiotic decision-making. Improvements target two decisions: the initial antibiotic decision before an antibiotic is prescribed, and a subsequent review of the antibiotic order after the antibiotic is prescribed. The intervention is being implemented using a Quality Improvement Collaborative (QIC) process, a facilitated implementation that includes coaching facilities both individually and in groups.

Project Duration: 09/01/14-08/31/17

Primary Personnel

Principal Investigator: Chris Crnich
Co-Investigator: Barbara Bowers
Co-Investigator: James H. Ford II
Co-Investigator: Meghan Brennan
Co-Investigator: Tosha Wetterneck
David Nace, University of Pittsburgh

Funding Source

AHRQ

Links

AHRQ
OASIS

Presentations/Publications

  • Ramly E, Ford J, Nace DA, Bahrinian M, Crnich C. Reducing Unnecessary Use of Antibiotics in Nursing Homes with a Complex Multi-Level Intervention: A Study Protocol. Poster session presented at the annual conference of the Agency of Health Care Research and Quality (AHRQ) cohosted with Academy Health. 2015 Oct 4-6. Arlington, VA.
  • Ramly E, Ford J, Nace DA, Bahrinian M, Crnich C. Work System Redesign to Reduce Unnecessary Use of Antibiotics in Nursing Homes: A Mixed-Methods Study. Presented at the YoungOR19 conference of the Operations Research Society. 2015 Sep 22-24. Birmingham, UK. 
  • Crnich C, Nace DA, Ramly E, Ford, J, Wetterneck T. Improving Antibiotic Prescribing in Nursing Homes through Work System Redesign. Presented at the annual conference of AMDA The Society for Post-Acute and Long-Term Care Medicine. 2016 Mar 17-20. Orlando, FL.