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New Clostridium Difficile Guidelines
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New Clostridium Difficile Guidelines

A lot has changed in the diagnosis and treatment of Clostridium Difficile Infection (CDI) since the Infectious Disease Society of America (IDSA) and the Society for Healthcare Epidemiology of America (SHEA) last published guidelines in 2010. The new guidelines recommend the development of an antibiotic stewardship program, which should focus on reducing the frequency and...

Antibiotic Stewardship
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Antibiotic Stewardship

There were two important changes that took place when Phase Two of the CMS “Mega Rule” became effective on November 28, 2017: 1) limiting PRN psychotropic medication orders to 14 days and 2) implementing an Infection Prevention and Control Program (IPCP) that includes an Antibiotic Stewardship Program. Last month we discussed specific limits on PRN...

The “Mega Rule”
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The “Mega Rule”

At this point everyone has heard of the so-called CMS “Mega Rule” or the nursing home Requirements for Participation, and the resulting changes. On September 28, 2016, CMS issued the Mega Rule with a three-phase implementation. Phase 1 became effective on November 28, 2016. Phase 2 became effective on November 28, 2017, and Phase 3...