Module 4 Case Assignment
BHM320: Management of Health Programs
Dr. Eileen Ringerman
8 Jul 2013
Module 4 Case Assignment Questions:
1) Briefly discuss the program and what led to its implementation.
2) In general, what are the different types of program evaluation available to a manager?
3) What are the advantages and disadvantages of each one?
4) What program evaluation was used in this case?
5) Based upon the data and other information in the article, was this the best approach?
6) What did the evaluation reveal about the program? Did it achieve what it was supposed to? Should it be continued or even replicated elsewhere?
The article, Implementation of an antimicrobial stewardship program in a rural hospital addresses Antimicrobial Stewardship (AMS) program and the growing concerns of the appropriate use of antimicrobials. The Center for Disease Control and Prevention launched a campaign to improve antimicrobial use through the implementation of AMS programs. National and international organizations have recognized this growing problem and have published guidelines and recommendations to combat it (CDC, 2012). Antimicrobial stewardship refers to coordinated interventions designed to improve and measure the appropriate use of antimicrobials by promoting the selection of the optimal antimicrobial drug regimen, dose, duration of therapy, and route of administration. Antimicrobial stewards seek to achieve optimal clinical outcomes related to antimicrobial use, minimize toxicity and other adverse events, reduce the costs of health care for infections, and limit the selection for antimicrobial resistant strains. Survey was completed to assess pharmacist involvement in and the presence of antimicrobial surveillance in rural community hospitals in Idaho, Nevada, Utah and eastern Washington in 2000. In that survey, only 5% of responding hospitals reported 24-hour onsite pharmacist availability. While many
References: CDC (2012). Antimicrobial Stewardship for the Community Hospital: Practical Tools & Techniques for Implementation. Center of Disease Control and Prevention. Retrieved on 1 July 13 from http://www.cdc.gov/getsmart/healthcare/learn-from-others/CME/antimicrobial-stewardship.html Yam, P., Fales, D., Jemison, J., Gillum, M., & Bernstein, M. (2012). Implementation of an antimicrobial stewardship program in a rural hospital. American Journal of Health-System Pharmacy. Retrieved on 25 June 13 from http://web.ebscohost.com.ezproxy.trident.edu:2048/ehost/pdfviewer/pdfviewer?vid=3&sid=c3bc3b16-30e7-428e-be31-e32acc5f5f9e%40sessionmgr113&hid=113 McNamara, C. (2006). Basic Guide to Program Evaluation (Including Outcomes Evaluation). Field Guide to Nonprofit Program Design, Marketing and Evaluation. Retrieved on June 24, 2013 from http://managementhelp.org/evaluation/program-evaluation-guide.htm#anchor1581634