This session will discuss algorithms developed by the Optimizing Patient Transfers, Impacting Medical Quality and Improving Symptoms: Transforming Institutional Care (OPTIMISTIC) team to manage urinary tract infections (UTIs), skin and soft tissue infections, and pneumonia in the nursing home. The diagnosis, treatment, and interpretation of lab and imaging studies will be discussed for each of the three categories of infection. Antimicrobial stewardship also will be discussed relevant to each category. The intended audience is physicians, nurse practitioners, and physician assistants who work in the nursing home setting. An overview of the OPTIMISTIC demonstration project also will be presented, including the design of the nurse-based clinical care model and the implementation of new Centers for Medicare & Medicaid Services payment codes for management of acute illness in the facility. Data from the project, including frequency of infectious conditions treated in the 40 participating nursing facilities, will be shared.
Utilize algorithms to appropriately manage pneumonia, UTIs, and skin and soft tissue infections in the nursing home.
State the principles of antibiotic stewardship that pertain to common infections in the nursing home.
Incorporate goals of care as well as acuity of illness into management of common infections in the nursing home.
Interpret laboratory and imaging studies in combination with patient assessment to identify conditions requiring treatment with antibiotics.