Medical Director Antimicrobial Stewardship

MD AMS Program
May 2015
Role overview
The Medical Director, Antimicrobial Stewardship Program (ASP) will be accountable for physician
leadership for antimicrobial stewardship policy, guidelines and initiatives including the audit and
feedback of physician prescribing practices across Fraser Health.
This role reports to the VP Medicine and Regional Programs. The Antimicrobial Stewardship (AMS)
Committee reports to Fraser Health Infection Prevention & Control Committee (FHIPCC).
Key areas of involvement
Programmatic Responsibilities
1. Work in partnership with FH senior staff to develop and to facilitate an antimicrobial stewardship
strategy which embeds a focus on patient-provider partnership, evidence-informed practice, and
a commitment to team-based excellence in the culture of Fraser Health’s sites, programs and
services.
2. Champion the strategic leadership to the Antimicrobial Stewardship Program (ASP) in
collaboration with the ASP pharmacist.
3. Chair the ASP Executive Committee.
4. Lead the study of antimicrobial utilization and its impact on nosocomial antibiotic resistance
across the region, ensure performance measurement forms the basis of the service and involve
physicians and physician leaders in the development of performance measures and reporting
outcomes.
5. Develop and lead the implementation of antibiotic utilization education programs for the Medical
Staff at all 13 acute care sites.
6. Lead the review of all Pre-Printed Orders (PPO) containing antimicrobials for treatment or
prophylaxis to ensure evidence-based practices are being followed with the aim of improving
prescribing and treatment practices.
7. Develop best practice documents, clinical management pathways, and other clinical tools for
frequently encountered infectious diseases.
8. Establish effective communication mechanisms (quality and performance improvement network)
across the program to allow sharing of best practices and strategies for adoption of best
practices.
9. Consult and collaborate with health care providers and stakeholders (e.g., clinical laboratory,
diagnostic imaging, etc.) to improve clinical practices.
10. Work in conjunction with Medical Microbiology (MM) to provide and share relevant data for
clinicians to use for empiric therapy (e.g., antibiograms for hospital-specific locations or projects).
11. Adapt evolving technologies and apply them to enhance clinical care.
12. Consult experts and stakeholders in the field for antimicrobial stewardship projects, including
(but not limited to) ID, MM, Pharmacy, Medical/Surgical services, Nursing, other health care
providers, Professional Practice, and Infection Control.
13. Provide reports through the Fraser health Infection Prevention & Control Committee, the Fraser
Health Quality Committee and the Board Quality Committee as required.
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MD AMS Program
May 2015
Audit and Feedback Services
1. Accountable for the development and implementation of regularly scheduled and continuous
reviews at each of the regional hospitals (ARHCC, SMH, RCH) on selected target
antimicrobials/conditions (based on local epidemiology and antimicrobial usage patterns).
2. In collaboration with the Local (site) Infection Prevention & Control Committees, establish a
strategic ASP clinical leadership structure at each of the regional hospitals (ARHCC, SMH, RCH)
to provide audit and feedback to the Most Responsible Physician (MRP) or Clinical Pharmacist if
interventions are required based on clinical status, indication, allergies, culture and
susceptibility results, and potential drug interactions.
3. Ensure systematic team clinical leadership structure supports timely de-escalation of antibiotics
in regional hospitals and including community hospitals.
4. Ensure site ASP leaders are available to respond to queries from physicians and clinical
pharmacists about optimization of antimicrobials for stewardship purposes (e.g. drug dosing
and duration, narrowing of spectrum, etc.).
5. Ensure site ASP leaders are available to respond to queries from pharmacists regarding the
Therapeutic Interchange Program (TIP), clinical management pathways, and other stewardship
interventions generated by the Fraser Health Antimicrobial Stewardship Program.
6. Ensure ASP site leaders communicate with MRP to recommend ID or MM involvement if more
in-depth consultation is required.
7. Ensure ASP site leaders communicate with ID or MM (if these services are already consulted for
the patient) and a Fraser Health Antimicrobial Stewardship intervention is recommended.
Leadership
1. Provide leadership through mentoring, coaching, and modeling a collaborative working style and
leading by influence and respect.
2. Foster a learning environment which promotes and supports professional growth of staff in the
Antimicrobial Stewardship portfolio and Fraser Health Programs.
3. Maintain a high degree of visibility by regular visits to each site and community.
4. Represent Fraser Health Authority’s Vision and Strategic Imperatives by developing collaborative
relationships in areas of Antimicrobial Stewardship with the Ministry of Health Services, the
academic community and other key stakeholders.
5. Liaise with EMD Medical Performance.
Strategic and Policy Advice
1. Represent Fraser Health on the Provincial Antimicrobial Stewardship Clinical Expert Group.
2. Identify emerging issues in the local, provincial, federal and international arenas that could
influence antimicrobial stewardship approach and activities within Fraser Health (FH).
3. Identify emerging strategic issues involving antimicrobial stewardship to the VP Medicine &
Regional Programs.
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MD AMS Program
May 2015
Leadership Development
The Medical Director, Antimicrobial Stewardship Program will actively participate in professional
development activities in management and leadership as agreed with the VP Medicine and Regional
Programs.
Performance Evaluation
The Medical Director, Antimicrobial Stewardship Program will establish leadership goals and role
performance objectives consistent with the PerformanceLink process.
The Medical Director, Antimicrobial Stewardship Program’s performance shall be evaluated via
PerformanceLink by the VP Medicine & Regional Programs and may include inter-disciplinary peer input
from, but not be limited to:
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Medical Directors (Sites, Regional, Program, Executive)
VPs
Executive Directors
Medical Staff
Qualifications and Experience
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Eligibility for membership on the FH Medical Staff
FRCPC Infectious Disease or Medical Microbiology
Additional leadership training is preferred
Leadership Competencies
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General
 Possesses excellent interpersonal skills and can work effectively with a diversity of
personalities, being approachable and showing respect for others
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Demonstrated ability to interact with and lead the broader physician community.
Demonstrated leadership in roles to lead and move forward complex organizational change
issues across health service programs to support broad transformational objectives.
Demonstrated ability as an effective consensus builder able to work through influence
rather than formal authority.
Demonstrated leadership abilities to incorporate program/site needs within the broader
context of the health delivery system and multiple program requirements.
Demonstrated ability to work and lead within a matrix reporting structure.
Sound working knowledge of planning concepts related to service delivery, budgetary,
staffing, quality and strategic initiatives.
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MD AMS Program
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May 2015
Proven verbal and written communication and presentations skills within a senior leadership
capacity.
Proven proficiency leading practice of the field of health program leadership.
LEADS Competencies
 Leading People: acting with integrity and trust; building a team environment;
communicating clearly; and fostering the potential of others.
 Leading Change: striving for personal mastery; leading with Vision; inspiring and engaging;
and promoting innovation.
 Partnering: focusing on customers and engaging stakeholders.
 Achieving Results: understanding and demonstrating accountability.
 Business Acumen: managing resources; possessing health environment and political
awareness.
Time commitment
It is expected that the role will require 1.0 FTE (37.5 hours/wk) and a presence in the role over 5 days
per week.
The successful candidate will have the discretion of developing a model where some of the
responsibilities for the role may be delegated to other qualified physicians. (e.g. audits and feedback to
local/site Infection Disease physicians). Accountabilities for delegated responsibilities must remain with
the Medical Director, Antimicrobial Stewardship. (Pre-approval is required by the VP Medicine &
Regional Programs and the VP Patient Experience and approval will be subject to a reduced time
commitment for the Medical Director, Antimicrobial Stewardship role).
Compensation
Salary commensurate with Clinical Service Contract Practice Category for Pathology
Submit your application to: physicianrecruitment@fraserhealth.ca
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