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Antimicrobial Stewardship in Outpatient Settings

Contact Us Now!

Martha Jaworski, MS, RN, CIC
Fax (208) 343-4705
Phone (208) 383-5944

Washington State
Jason Lempp, MPH, CIC
Fax (206) 366-3370
Phone (206) 288-2553

Qualis Health is working to help improve antimicrobial stewardship in the Northwest by working with Idaho and Washington State outpatient care settings to develop and improve their antimicrobial stewardship (AMS) programs.

Why Antimicrobial Stewardship is Important:

AMS Bacteria

Use of antibiotics selects for multidrug resistant bacteria at a population level.

AMS Heart

Antibiotic use is the highest risk factor for development of Clostridium difficile infection.

AMS Stone

23,000 people die each year in the U.S. due to antibiotic resistant bacterial infections.

AMS Pill Bottle

Fewer new antibiotics are being developed each year to treat resistant infections.


Use, misuse and overuse of our existing antibiotics increases the likelihood of developing drug resistant infections.  With fewer new antibiotic resources, and decreased effectiveness of our existing options to treat multidrug resistant organisms, it is imperative that we prescribe antibiotics appropriately now!  Appropriate use today will help to preserve antibiotic effectiveness in the future.

Your partners in Idaho and Washington State are working together in the fight against antibiotic misuse and drug-resistant infections, in part, through building and improving antimicrobial stewardship programs. Improving outpatient antimicrobial stewardship practices are essential as we, work as a region, towards protecting our valuable antibiotic resources.  Efforts are underway across the healthcare continuum and communities, to promote stewardship in all areas antibiotics are used, including human and animal health settings.


AMS Threat1

This report, Antibiotic Resistance Threats in the United States, 2013 gives a first-ever snapshot of the burden and threats posed by the antibiotic-resistant germs having the most impact on human health.


Qualis Health's Antimicrobial Stewardship in Outpatient Settings Program

Qualis Health is reaching out to all Idaho and Washington State outpatient care settings to improve antimicrobial stewardship programs by helping practices meet and exceed CDC’s Core Elements of Outpatient Antibiotic Stewardship Guidelines. Eligible settings include primary care, urgent care, emergency departments, ambulatory surgery centers, and any other outpatient setting.

How does your setting answer each of these core questions?

COMMITMENT Does your leadership actively support optimizing antibiotic prescribing and patient safety related to antibiotics?

View our complimentary, customized attestation posters.

AMS Poster ID thumbnail


AMS Poster WA thumbnail





ACTION - Are you implementing policies to improve antibiotic prescribing? Do you assess the impact of these policies?

TRACKING & REPORTING - Do you have a method to track your antibiotic use? What about complications and resistance trends among your patients?  Do you give feedback to prescribers?

EDUCATION & EXPERTISE - Do you educate prescribers on evidence-based guidelines to optimize antibiotic prescribing?  How do you communicate to your patients about appropriate antibiotic use?


These questions address the Core Elements of Outpatient Antibiotic Stewardship, recently released by The Centers for Disease Control and Prevention (CDC). These recommendations align with foundational stewardship program elements for hospitals and nursing homes, ensuring the same best practices are in place across the healthcare continuum. However, as 80% of all antibiotics are prescribed outside of the hospital setting, we need to expand these critical efforts beyond inpatient care to post-acute and ambulatory facilities. 

Through this project we will also be providing access to tools for providers and patients to allow informed decision-making when considering antibiotic prescriptions for upper respiratory infections, and other commonly misdiagnosed conditions, through distributing consumer education, encouraging patient activation, and sharing clinical guidelines.

What Qualis Health Needs from You

  • Commit to working on implementing elements of an antimicrobial stewardship program in your facility
  • Communicate progress toward implementation to Qualis Health on a quarterly basis

What Qualis Health Can Provide for You

Assistance with developing strategies to implement an antimicrobial stewardship program in your organization.

  • Customized evaluation and consultation on core element implementation
  • Educational opportunities with experts in the field
  • Peer sharing opportunities to learn from your peers
  • Medicare data reports on antibiotic prescribing
  • Complimentary, customized attestation posters for Idaho and Washington State
  • Opportunity to contribute to state-wide antimicrobial stewardship committee

For those practices and facilities that are already achieving CDC’s Core Elements, we want to hear from you!  Your leadership and sharing of best practices can help other facilities and providers in Idaho and Washington strengthen stewardship efforts to improve the quality of care and protect patients across the Pacific Northwest.

Interested? Join today!  Contact us (above) for more information about access to our free educational opportunities and technical expertise.