Journal article
An Implementation Roadmap for Establishing Remote Infectious Disease Specialist Support for Consultation and Antibiotic Stewardship in Resource-Limited Settings
Open forum infectious diseases, Vol.9(12), pp.ofac588-ofac588
12/02/2022
DOI: 10.1093/ofid/ofac588
PMCID: PMC9757681
PMID: 36544860
Abstract
Infectious Disease (ID)-trained specialists, defined as ID pharmacists and ID physicians, improve hospital care by providing consultations to patients with complicated infections and by leading programs that monitor and improve antibiotic prescribing. However, many hospitals and nursing homes lack access to ID specialists. Telehealth is an effective tool to deliver ID specialist expertise to resource-limited settings. Telehealth services are most useful when they are adapted to meet the needs and resources of the local setting. In this step-by-step guide, we describe how a tailored telehealth program can be implemented to provide remote ID specialist support for direct patient consultation and to support local antibiotic stewardship activities. We outline 3 major phases of putting a telehealth program into effect: pre-implementation, implementation, and sustainment. To increase the likelihood of success, we recommend actively involving local leadership and other stakeholders in all aspects of developing, implementing, measuring, and refining programmatic activities.
Telehealth is an effective tool for sharing Infectious Disease specialist expertise with resource-limited settings. In this step-by-step guide, we outline how a telehealth program can be implemented to provide remote ID specialist support for patient consultation and/or antibiotic stewardship.
Details
- Title: Subtitle
- An Implementation Roadmap for Establishing Remote Infectious Disease Specialist Support for Consultation and Antibiotic Stewardship in Resource-Limited Settings
- Creators
- Daniel J. Livorsi - Iowa City VA Health Care SystemRima Abdel-Massih - University of Pittsburgh Medical CenterChristopher J. Crnich - University of Wisconsin–MadisonElizabeth S. Dodds-Ashley - Duke UniversityCharlesnika T. Evans - Edward Hines, Jr. VA HospitalCassie Cunningham Goedken - Iowa City VA Health Care SystemKelly L. Echevarria - Department of Veterans Affairs, Antimicrobial Stewardship Task Force , Washington, DC , USAAllison A. Kelly - Veterans Health AdministrationS. Shaefer Spires - Duke UniversityJohn J. Veillette - Intermountain HealthcareTodd J. Vento - Intermountain HealthcareRobin L. P. Jump - Geriatric Research Education and Clinical Center
- Resource Type
- Journal article
- Publication Details
- Open forum infectious diseases, Vol.9(12), pp.ofac588-ofac588
- DOI
- 10.1093/ofid/ofac588
- PMID
- 36544860
- PMCID
- PMC9757681
- NLM abbreviation
- Open Forum Infect Dis
- ISSN
- 2328-8957
- eISSN
- 2328-8957
- Publisher
- Oxford University Press
- Number of pages
- 9
- Grant note
- 03611 / Veterans Health Administration, Office of Rural Health, Veterans Rural Health Resource Center Iowa City CDA 16-204 / VA Health Services Research and Development Service; US Department of Veterans Affairs Geriatric Research Education and Clinical Center at the VA Pittsburgh Healthcare System, Pittsburgh, Pennsylvania
- Language
- English
- Date published
- 12/02/2022
- Academic Unit
- Infectious Diseases; Internal Medicine
- Record Identifier
- 9984362295702771
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