Learn on Demand
Outpatient Antibiotic Stewardship
Presenter: Mandy Palmer, RN, CPHQ, CPPS
View Activity Information

Knowledge Gap: 
The purpose of this activity is to educate healthcare providers with the most up-to-date information on 
Outpatient Antibiotic Stewardship.  

Target Audience
The target audience includes all healthcare professionals such as physicians, nurses, pharmacists and allied health professionals who would like to learn about 
Outpatient Antibiotic Stewardship and how it pertains to their respective profession.

Release and Expiration Dates
12/13/2017 -12/13/2020


1.Define QIO program, identify regional structure and focused projects  

2.Explain CMS 11th statement of work (SOW) Outpatient Antibiotic Stewardship project 

3.Identify CDC’s outpatient 4 core elements and some key interventions







Linder et al, IDWeek 2013 abstract 1022

Sanchez, EID; 2014; 20(12);2041-7.

Knapf Family Practice 2004;21(5):500-6.

Mangione-Smith Pediatrics 1999;103(4):711-8

Meeker, Linder, et al. JAMA 2016;315(6): 562-570

McGinn JAMA Intern Med 2013 Sep 23;173(17):1584-91. Gonzales JAMA Intern Med 2013 Feb 25;173(4):267-73. Linder Inform Prim Care. 2009;17(4):231-40.


Roberts. Am J Manag Care. 2016;22(8): 519-523.

Chow (2012) Clin Infect Dis. Apr;54(8):e72-e112. Rosenfeld (2015) Otolaryngol Head Neck Surg. 152(2 Suppl):S1-S39. Hersh et al. JAMA Int Med 2016;315(17):1864-1873



Meeker et al. JAMA Intern Med. 2014;174(3):425-31




CDC. Antibiotic resistance threats in the United States, 2013. www.cdc.gov/drugresistance/threat-report-2013


OIG report: Adverse Events in Skilled Nursing Facilities: National Incidence Among Medicare Beneficiaries (OEI-06-11-00370), February 2014

Biographical Info:

Mandy Palmer, RN, CPHQ, CPPS

Mandy Palmer, RN, CPHQ, CPPS is the Manager of Quality at Arkansas Foundation for Medical Care (AFMC), the state’s Quality Improvement Organization for the Centers for Medicare and Medicaid Services. She provides oversight for quality improvement initiatives across the state including Value Based Improvement and Outcomes, Care Transitions/Readmissions, Medication Safety, Nursing Home Quality Improvement, and Antibiotic Stewardship. She is a Certified Professional in Healthcare Quality, Certified Professional in Patient Safety and a Master Trainer for Agency for Healthcare Research and Quality (AHRQ) Team-STEPPS. Her healthcare career has included more than 20 years in nursing in a variety of settings, which include Intensive Care, Burn, Cardiac, Utilization Review, Discharge Planning, Hospice, and Quality Improvement.

Speaker Disclosures:
The planners, speakers, moderators, peer reviewers and /or panelists of this CE activity have no relevant financial relationships with commercial interests to disclose.

Kim Miller  
Susan Smith Dodson
Mark Jansen

Mandy Palmer, RN, CPHQ, CPPS

Peer Reviewers: 
Kim Miller, MCHES

Instructions to obtain credit:

1.       Launch the activity 
2.       View the entire activity online 
3.       Complete the post-test 
           (must pass the post-test with a score of 65% to receive credit)
           You may retake the post-test if you do not receive a passing score.
4.       Complete Evaluation 
Print certificate or transcript (Available in the “My Profile” tab).

Direct Provider Statement
In support of improving patient care, University of Arkansas for Medical Sciences is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.

Designation Statement 
The University of Arkansas for Medical Science Office of Continuing Education designates this live activity for a maximum of 1.00 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

The University of Arkansas for Medical sciences designates this enduring activity for a maximum of 1.00 ANCC contact hours. Nursing contact hours will be awarded for successful completion of program components based upon documented attendance and completion of evaluation materials.

Disclosure Policy statement

It is the policy of the University of Arkansas for Medical Sciences Office of Continuing Education to ensure balance, independence, objectivity and scientific rigor in all provided and jointly provided educational activities.  All individuals who are in a position to control the content of the educational activity (course/activity, directors, planning committee members, staff, teachers, or authors of CE) must disclose all relevant financial relationships they have with any commercial interest(s) as well as the nature of the relationship.  Financial relationships of immediate family members must also be disclosed, if the nature of the relationship(s) could influence the objectivity of the individual in a position to control the content.  The ACCME describes relevant financial relationships as those in any amount occurring within the past 12 months that create a conflict of interest.  Individuals who refuse to disclose are disqualified from participation in the development, management, presentation, or evaluation of the CE activity.

UAMS Office of Continuing Education

4301 W. Markham #525
Little Rock, AR 72205
Phone: 501-661-7962 Fax: 501-661-7968

Learn On Demand Contact Us:
For information regarding this educational activity or website, please contact

Center for Distance Health
4301 W. Markham #519
Little Rock, AR 72205
Toll Free: 1-
Email: cdheducation@uams.edu

Type:  Internet Activity (Enduring Material)
59 Registered Users
1 Hours> Non-Accredited

1 Credits> Accreditation Council for Continuing Medical Education> AMA PRA Category 1 Credit

1 Contact Hours> American Nurses Credentialing Center> ANCC

1 CECH, 1 CECH> National Commission for Health Education Credentialing, Inc. > CHES