231-883-8604

Traverse City,  MI  49686

USA

©2017 BY ANTIMICROBIAL STEWARDSHIP ADVISORS. PROUDLY CREATED WITH WIX.COM

Mission Statement

Our team will provide healthcare organizations with financially affordable antimicrobial stewardship programs that place the patient as the focus.

"Antimicrobial Stewardship development is a winding road, why travel it alone."

 

The Need for an Antimicrobial Stewardship Program at Your Facility

The definition of antimicrobial stewardship is fairly straightforward, “Optimizing the antibiotic by selecting the correct agent, at the right dose, frequency and duration while at the same time creating a safe environment for the patient, all these together will promote a reduction in antimicrobial resistance in your community."  If it was as easy as it sounds the CDC, CMS, Joint Commission and the White House would not have made it a priority to develop stewardship programs at acute care hospitals, critical access hospitals, and long-term care facilities in the United States by 2017.  

Our team, comprised of infectious diseases physicians and pharmacists, was created to assist in the development of Antimicrobial Stewardship Programs (ASP) at healthcare organization like yours.  We have experience in the establishment of programs at our hospitals and are willing to share our knowledge and expertise.   We understand the importance of establishing an ASP but at the same time realize the financial burden that another service may create at your facility.  Many larger institutions may have the means while smaller hospitals and nursing homes may not have the personnel, economic resources, or expertise to create an ASP.  

 

We feel it necessary to have different levels of involvement for your program.  Level I organizational leadership education, Level II facility assessment, Level III leadership commitment and development of organizational specific strategies, and Level IV is individual patient case evaluation and discussion.  Choose the amount of involvement you desire the ASA to assist you with your program.  Antimicrobial Stewardship optimization is a team effort with the patient being the focus.  These levels can be viewed in the clinical services area of the webpage.

Take your time and review what we have available, more importantly contact us to discuss our services and how we can assist your organization in a cost effective manner.  

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Clinical Services

 Choose the amount of involvement you desire the ASA to assist you with your program.  Antimicrobial stewardship optimization is a team effort with the patient being the focus.

Level I

ORGANIZATIONAL LEADERSHIP EDUCATION

Once contacted our team will visit your facility to inform and educate your key personnel, this may include the C suite, ID physicians, medical, nursing and pharmacy staff, infection prevention/control, microbiology and other departments you feel would value the service.  As a team we can either meet one on one or as a larger group to present our information. We would like to explain the importance of an ASP to your facility and the impact it will have on patient care.  Other educational presentations are available to assist you with this program.  

 

You may choose only this level of involvement or combine this with any of the other levels.

Level II

FACILITY ASSESSMENT

During our visit you may also involve the ASA team in assessment of your current ASP activities using the CDC Core Elements and check list.  This may include data collection, evaluation, and benchmarking of antimicrobial stewardship at your facility.

You may choose only this level of involvement or combine this with any of the other levels.

Level III

LEADERSHIP COMMITMENT AND DEVELOPMENT OF ORGANIZATIONAL SPECIFIC STRATEGIES

We would like to work with the members of your ASP to develop a written statement which would indicate the importance, commitment, and the ongoing success of the ASP at your organization.  Once the ASP activities have been developed we would be involved with tracking, reporting, and continued education of your leadership and staff.

You may choose only this level of involvement or combine this with any of the other levels.

Level IV

INDIVIDUAL PATIENT CASE EVALUATION AND DISCUSSION

We also offer evaluation of individual stewardship cases on a daily or weekly basis as the need arises.  We will discuss with the clinical pharmacist and/or medical provider of the optimal antimicrobial therapy and reasoning for the suggestions.  This is not a substitution for an infectious diseases consultation but will make the recommendations for appropriate therapy if warranted. 

You may choose only this level of involvement or combine this with any of the other levels.

 

FINANCIAL CONSIDERATIONS


The CDC estimates that 30-50% of the antimicrobial use in the U.S. is inappropriate or unnecessary.   Antimicrobial resistant bacteria infect 2 million people and cause 23,000 deaths per year nationally.  If antibiotics continue to be abused in this way it is estimated that by 2050 ten million deaths annually will be attributed to multi-drug resistant bacteria worldwide.  Antimicrobial Stewardship Programs, which are required as of January 1st 2017 by CMS, will begin to deal with this global threat.


The primary goals of an effective Antimicrobial Stewardship Program (ASP) are:

  • Optimizing appropriate antimicrobial regimen including dose, duration and route

  • Promoting patient safety by reducing adverse drug events

  • Reducing the potential for antimicrobial resistance


Often when the above mentioned goals are supported and/or achieved there is a secondary cost savings associated with the program’s initiation.  The medical literature regarding antimicrobial stewardship cost savings/reduction/avoidance is robust and these annual savings are frequently able to support such activities. 


The fees associated with the Antimicrobial Stewardship Advisors (ASA) will be individualized to your organization’s needs.  We understand the potential financial burden that initiating an ASP may have on your facility.

We will determine the fee based on many factors:

  • Size of the organization

  • Type of organization 

  • Hours the ASA team will be involved with the development

  • Expenses incurred 


The primary objective of the Antimicrobial Stewardship Advisors is to assist your organization in the development of an Antimicrobial Stewardship Program at your facility.  Please contact us so we can discuss our services and to optimize antimicrobial therapy at your institution.

 

MEMBERS OF ASA TEAM


 

Michael Tiberg, PharmD, BCPS (AQ-ID)

Clinical Pharmacy Specialist in Infectious Diseases

Dr. Michael Tiberg has 38 years of experience as a clinical pharmacist in community teaching hospitals and also has experience as a consultant pharmacist at longterm care facilities.  He obtained his B.S. in Pharmacy from Ferris State University and Doctor of Pharmacy Degree from the University Illinois at Chicago.  Dr. Tiberg is board certified in pharmacotherapy with added qualifications in infectious diseases.  He was instrumental in developing and leading the Antimicrobial Stewardship Program at Munson Medical Center in Traverse City, MI.  Dr. Tiberg is the founder of the Antimicrobial Stewardship Advisors.

Karen Speirs, DO, MSA FIDSA

Infectious Disease Physician Specialist

Dr. Karen Speirs is a board certified infectious disease physician.  She obtained her Doctor of Osteopathic Medicine Degree from Michigan State University.  She completed her Internal Medicine Residency and Infectious Disease Fellowship from Genesys Regional Medical Center and William Beaumont Hospital respectively.  Dr. Speirs also obtained a Master of Science in Administration.  She is a Fellow of the Infectious Diseases Society of America and past president of the Medical Staff at Munson Medical Center in Traverse City, MI.  Dr. Speirs has been extensively involved with establishment and management of the Antimicrobial Stewardship Program at Munson Medical Center.

Christopher Ledtke, MD

Infectious Disease Physician Specialist

Dr. Christopher Ledtke is a board certified infectious disease physician.  He obtained his medical degree from the Medical School of the University of the Caribbean.  He completed his Internal Medicine Residency and Infectious Disease Fellowship from the Cleveland Clinic.  He is currently the Section Chief of Infectious Diseases at Munson Medical Center in Traverse City, MI.  He is actively involved with daily Antimicrobial Stewardship Team rounds.

Michael Klepser, PharmD

Clinical Pharmacy Specialist in Infectious Diseases

Dr. Michael Klepser is Professor Pharmacy at Ferris State University College of Pharmacy.    Dr. Klepser obtained his Doctor of Pharmacy degree from the University of Michigan.  He completed his Pharmacy Practice Residency and Fellowship in Infectious Diseases from Detroit Receiving Hospital and Hartford Hospital respectively.  He specializes in outpatient antimicrobial stewardship research.

Contact

Take your time, review what we have available.  More importantly contact us, at your convenience,  to discuss our services and how we can assist your organization in a cost effective manner.  

Email:

Phone:

231-883-8604