TeleMed2U Antimicrobial Stewardship Program

California State Law, Senate Bill 739, mandates that acute care hospitals have in place a program to monitor and evaluate the utilization of antibiotics as well as a quality improvement committee with the responsibility for oversight of the judicious use of these medications. Multiple California hospitals have been cited for their failure to comply with this legislation since its inception in 2010. As state officials continue their audits the number is predicted to rise.

An infectious diseases physician is the appropriately trained individual to oversee the development, implementation and monitoring of an antimicrobial stewardship program. However, there continues to be a shortage of infectious diseases physicians in community and rural hospitals.

In its ongoing effort to provide value through telemedicine to the hospitals it serves, TeleMed2U has developed the first of its kind telemedicine-based Antimicrobial Stewardship Program to meet the clinical and statutory needs of a hospital.

Headed by Chief Medical Officer and infectious diseases physician, Dr. Javeed Siddiqui, our program is fully compliant and based in the guidelines set forth by the Infectious Diseases Society of America for Components of Antimicrobial Stewardship Programs. It includes:

  • Prospective audit with intervention and feedback
  • Formulary restriction and preauthorization requirements for specific agents
  • Provision of education
  • Development of guidelines and clinical pathways
  • Identification of combination therapy for prevention of resistance vs. redundant antimicrobial coverage
  • Identification of a process for streamlining and de-escalation of therapy
  • Dose optimization
  • Conversion of parenteral therapy to oral therapy

For more information on the state legislation, please visit:
http://www.cdph.ca.gov...