Click HERE to hear a special video message from a friend!
Where did the ASP come from?
Effective Nov. 28, 2017, all Medicare and Medicaid-certified nursing homes must have an antibiotic stewardship program that includes antibiotic-use protocols and a system to monitor antibiotic use as part of their infection prevention and control program (IPCP), according to §483.80 (Infection Control) of the Code of Federal Regulations. The antibiotic stewardship program is a component of the Phase 2 rollout of the Reform of Requirements for Long-term Care Facilities, and surveyors will assess compliance with this new requirement of participation under F-tag 881 (ASP) during the Infection Control Facility Task that is a mandatory part of the new survey process.
Is the ASP in effect now?
Yes, it went into effect on Nov. 28, 2017 but CMS has given an 18-month enforcement moratorium to all SNFs for several of the F-tags associated with the Phase 2. This includes F-Tag 881 for Antibiotic Stewardship. This mean they need to the best of their abilities to follow the ASP but when the State does their annual survey they will not be penalized at this point.
What is the purpose of the ASP?
Antimicrobial stewardship is a coordinated program with CMS and each individual state that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms. In a nutshell; reduce the use of antibiotics in SNFs to prevent creation of superbugs.
“…a set of commitments and actions designed to optimize the treatment of infections while reducing the adverse events associated with antibiotic use.”
-Centers for Disease Control and Prevention
How will this be done at the SNF level?
Who serves on the committee for the SNF?
How Often do they need to meet and communicate?
Once a month for the operational staff, Quarterly for the Medical Director. Communications need to be distributed monthly to all members and in person to operational members.
What are the penalties if SNFs do not meet these standards?
There will be combination of the following; civil money penalties, payment denials for new admissions, or termination of their Medicare certification. Failure to comply will also affect their Star rating.
What is the 5 Star Rating for SNF?
CMS created the Five-Star Quality Rating System to help consumers, their families, and caregivers compare nursing homes more easily and to help identify areas about which you may want to ask questions. The ratings are based on the State Surveys for Health Inspections, Staffing and Quality Measures (QMs). A drop in Star Rating can have a great financial impact just as an increase in the Star Rating can increase profitability.
Are most Skilled Nursing Facilities prepared for the ASP?
NO!!!! They are looking for a Champion to come in and show them the best way to meet the regulations while not putting more of a burden on the existing staff.
What Solution can Volente Healthcare provide?
Program vs Product – Yes, Volente is Diagnostic Laboratory but when it comes to Antibiotic Stewardship we are Volente Healthcare which has a packaged solution to ASP. There are several aspects the SNFs are looking for when they think about ASP; Education, Clinical, Pharmacy, Reporting, Staffing, Compliance and Cost. The Volente Healthcare program for ASP will address each of these issues.
How does the Volente Healthcare ASP Program solve these issues?
You can contact Volente direct by going to their website www.volentedx.com