New Antibiotic Federal Requirements
New antibiotic federal requirements go into effect in November 2o17. The federal government is requiring skilled nursing facilities and post acute care facilities to implement new systems into their infection control programs to combat antibiotic resistance. This new requirement was part of a series of provisions the Centers for Medicare and Medicaid Services (CMS) issued this past October. These new requirements are a condition of participation in Medicare and Medicaid for long term care and post acute care facilities.
These new CMS requirements call for facilities to designate an infection preventions by November 2019. This individual will be responsible for the facilities infection prevention and control program.
CMS recognizes that the population now being treated in these facilities has become much more diverse and clinically complex. Antibiotic usage has increased, and CMS feels that controlling antibiotic usage and outcomes will lead to quality of care and safety in federally administered programs.
To comply with these new requirements facilities will need to include in their infection control programs strategies to track antibiotic use and record incidents and demonstrate corrective actions.
All of these new requirements are driven by the Centers for disease Control and Preventions estimates that nearly 2 million people in the United States contact some form of bacteria-resistant infections annually. Approximately 23,000 die as a result.
The CDC issued a checklist for nursing and post acute care facilities on handling antibiotic use. Health care facilities have to rethink their use of antibiotics. The desire to attach illness or infections is sometimes too quickly responded to by attending physicians by ordering antibiotics. The over use of antibiotics for viral infections can include not prescribing the correct dosage, issues with the duration of the antibiotic and other contributing factors.
Health care professionals and providers must make a dramatic change in the paradigm shift in the prescribing and usage of antibiotic.