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The Centers for Medicare & Medicaid Services does not currently have regulations in place to require antibiotic stewardship programs in hospitals, but the fact that it expanded that section in the final version of its infection control survey suggests that is only a temporary situation.
“They have added additional questions on antimicrobial stewardship,” says Neal Fishman, MD, chairman of the Centers for Disease Control and Prevention’s Hospital Infection Control Practices Advisory Committee. “They are moving toward having antibiotic stewardship as a condition for participation, which was the recommendation of the PCAST committee.”
In a recently released report, the President’s Council of Advisors on Science and Technology (PCAST), recommended that a regulatory requirement for antibiotic stewardship be in place by the end of 2017.1 The report coincided with an executive order from President Obama calling for regulations requiring antibiotic stewardship programs and other actions to preserve drug efficacy in the face of rising multidrug-resistant pathogens.
The CMS survey “information” requirements on antibiotic stewardship reflect collaboration with the CDC, which has issued similar recommendations and is openly discussing CMS enforcement of the critical issue. The antibiotic stewardship requirements in the final version of the CMS infection control survey include the following: