Layered Implementation Of An Antibiotic Stewardship Program
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Abstract
Infectionmanager.com is an eHealth project containing interventions for an antibiotic stewardship program (ASP). Such ASPs consist of a combination of complementary interventions to optimize antibiotic use in care organizations to reduce resistance, hospital infections and costs, without compromising patient outcomes. In our program five of these interventions are eHealth technologies and we offer these as web applications on infectionmanager.com. Implementing eHealth technologies in their intended care setting can be complex. Many stakeholders are involved and they have diverse, sometimes even contradictory, demands. We face this complexity even more in our program as there are multiple eHealth interventions that are also dependable on each other. Through our CeHRes Roadmap approach and specifically its business modelling approach, we use value dialogues to determine a fitting implementation. Determining a business model for the program as a whole is not feasible, hence we use the concept of a ASP maturity model. With this model we can implement each ASP intervention individually without losing the big picture of the program, and go more in-depth with value dialogues with smaller subgroups of stakeholders. This maturity model will contain specific business models for each intervention and provides a strategy for implementing an antibiotic stewardship program as a whole.
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