1002 - Antibiotic Indications and Duration of Therapy: Clinical Decision Support for Antimicrobial Stewardship

With direction from the HCA Antimicrobial Management Program (AMP), clinical decision support was designed and developed to optimize the duration of treatment for antibiotics based upon the prescribed indication. The new functionality will also assist facilities in meeting the CDC Hospital Antibiotic Stewardship Program Core Elements, TJC Antimicrobial Stewardship elements, and CMS’ recently proposed Condition of Participation (COP). Risa C. Rahm is the Director on the Medication Management and Pharmacy Services Clinical Informatics team for Hospital Corporation of America (HCA) in Nashville, Tennessee. Dr. Rahm provides leadership for enterprise wide adoption for multiple EHR projects including meaningful use, ePrescribe, medication reconciliation, and CPOE. She leads multiple projects in the medication management informatics space across the enterprise, which includes more than 250 hospitals and freestanding surgery centers located in 20 U.S. States and the United Kingdom. Dr. Risa Rahm received her Doctor of Pharmacy degree from Mercer University College of Pharmacy in Atlanta, GA. and is CPHIMS certified. Prior to joining the HCA CSG team in an informatics role, she held multiple positions in HCA including Clinical Supervisor, Director of Pharmacy, Division Director of Pharmacy, and Corporate Director of Pharmacy Operations. Dr. Rahm is involved with multiple professional organizations, including FSHP where she was president from 2005-2006. Marilyn Williams received her Pharmacy Degree from Oklahoma University. Currently, she works for HCA Information Technology Services in Nashville, TN.  She has held several positions in the Customer Service and Product Development areas at HCA, and currently serves as Director of Pharmacy Product Development.  Her areas of responsibility include the development of HCA’s Electronic Health Record, design and implementation of HCA’s plan to meet Meaningful Use, development and support of CPOE, BCMA (Barcode Medication Administration/ eMAR), ePrescribing and the Pharmacy systems used by HCA, Lifepoint, and others supported by HCA ITS.  Marilyn has been heavily involved in implementing BCMA in approximately 190 hospitals, CPOE and ePrescribing in approximately 160 hospitals, including CPOE in ED. Currently, most of her time is spent in working on EHR, Meaningful Use, Medication Reconciliation, and ePrescribing including working on software enhancements in these areas. Before coming to HCA ITS, Marilyn worked as Assistant Director of Pharmacy at Medical Center of Plano in Plano, Texas, and held staff positions at other hospitals in the Dallas area. Learning objectives:

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