Harnessing the Power of Health Systems and Networks for Antimicrobial Stewardship

Twenty multihospital health system and network-based antimicrobial stewardship programs (ASPs) completed a questionnaire and participated in breakout sessions to better understand the implementation strategies for system-wide ASPs. Four different structures and 6 major responsibility categories of centralized ASPs were identified. 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.

Automated summary

This study investigated the implementation strategies of 20 health systems and network-based antimicrobial stewardship programs (ASPs), identifying different structures and responsibility categories of centralized ASPs. System-level stewardship responsibilities include building management teams, strategic planning, data development, tool utilization, expertise provision, and communication/education.