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Transitioning antimicrobial stewardship beyond the hospital: The cleveland clinic's community‐based parenteral anti‐infective therapy (CoPAT) program
Author(s) -
Gordon Steven M.,
Shrestha Nabin K.,
Rehm Susan J.
Publication year - 2011
Publication title -
journal of hospital medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.128
H-Index - 65
eISSN - 1553-5606
pISSN - 1553-5592
DOI - 10.1002/jhm.867
Subject(s) - medicine , antimicrobial stewardship , stewardship (theology) , health care , intensive care medicine , community hospital , hospital medicine , acute care , liberian dollar , nursing , family medicine , antibiotic resistance , politics , political science , law , microbiology and biotechnology , economics , biology , economic growth , antibiotics , finance
One of the tenets of value‐based health care is a focus on providing benefits to patients, as measured by better health outcomes per dollar spent rather than minimizing costs. In fact, proponents of value‐based health care argue that the best way to reduce health care costs is through a focused approach to improving health outcomes. Associated with this approach is the need to measure outcomes over the full cycle of care, not simply for services rendered while an inpatient. This article examines the community‐based parenteral anti‐infective therapy program at the Cleveland Clinic as a model for antimicrobial stewardship for patients requiring parenteral antimicrobial therapy at the time of discharge from the inpatient setting. The program is a patient needs‐focused, coordinated team effort that mandates inpatient infectious disease consultation for patients requiring community‐based parenteral anti‐infective therapy. An examination of some of the features of the Cleveland Clinic program should provide guidance for other institutions seeking to improve the care of their patients requiring parenteral anti‐infectives when transitioning care from the acute setting. Journal of Hospital Medicine 2011;6:S24‐S30. © 2011 Society of Hospital Medicine.