|
11
|
Perez R, Khanna S, Tillotson GS, Lett JE, Prince MA, Lattimer C. Reducing Recurrence and Complications Related to Clostridioides difficile Infection: A Panel Discussion Summary. Prof Case Manag 2022; 27:277-287. [PMID: 36206121 DOI: 10.1097/ncm.0000000000000585] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
BACKGROUND The Centers for Disease Control and Prevention identifies Clostridioides difficile infection (CDI) as an urgent threat to people and health care systems. CDI leads to high health care utilizations and results in significantly reduced quality of life for patients. The high burden of disease is seen across all health care settings, outside of the hospital, in the community, and in younger people. Individuals with CDI transition from hospitals to long-term care facilities to the community, and management of these transitions can reduce the incidence of recurrence and rehospitalization. PURPOSE The most common cause of diarrhea occurring in a health care setting is Clostridioides difficile and is also the cause of antibiotic-associated colitis (L. C. McDonald, 2021). The infection results from a disruption in the microbial flora of the gastrointestinal tract, mostly after antibiotic use or other medications such as proton pump inhibitors (PPIs). As a result, infected individuals are colonized and shed the spores into the environment, exposing others-goals of treatment focus on reducing the exposure and individual susceptibility. Although the incidence of C. diff is stable, recurrence is increasing significantly, with severe complications also a concern. The increased incidence and potential for life-threatening conditions require reducing initial exposure, supporting prescribed treatment, and preventing recurrence. PRIMARY PRACTICE SETTINGS C. diff infection can be contracted in health care facilities and in the community. Case managers from nearly all practice settings may encounter patients with the infection. FINDINGS/CONCLUSIONS To avert the devastating complications of Clostridioides difficile infection, case managers play an essential role in the prevention of recurrence with education, advocacy of best practices, effective care coordination, and thorough transitions of care. Each recurrence of C. diff infection leaves the patient vulnerable to the potential for surgical intervention, sepsis, and death. IMPLICATIONS FOR CASE MANAGEMENT Mitigating the risk for readmission and recurrence will enhance C. diff infection care, safety, and outcomes to improve a patient's health care journey and quality of life. Case managers need to take a primary role in the transition and care coordination processes, including patient and support system education, coordination of any postdischarge services, connection to providers, adherence support activities, and follow-up for improvement or changes in condition. Supportive adherence activities and prevention education can result in the avoidance of recurrence. Case managers are well-equipped to locate resources to assist those patients challenged with the cost of medications, inability to attend appointments, or access basic needs. Although not directly related to C. diff, these challenges contribute to recurrence and readmission. Mitigating risk for readmission and recurrence results in an improved quality of life.
Collapse
Affiliation(s)
- Rebecca Perez
- Rebecca Perez, MSN, RN, CCM, is an experienced RN with a master's degree in nursing, is a Certified Case Manager, and a member of the Gamma Omega Chapter of Sigma Theta Tau International Nursing Honor Society and Capella University National Society of Leadership and Success. She is the author of numerous professional articles, the primary author for the Case Management Adherence Guide 2020, co-author of CMSA's Integrated Case Management: A manual for case managers by case managers , developer of the Integrated Case Management Training Program, and Master Trainer. She joined Parthenon Management Group in 2020 as the Senior Manager of Education and Strategic Partnerships for the Case Management Society of America
- Sahil Khanna, MBBS, MS , is a gastroenterologist and hepatologist with a special interest in colonic diseases including gastrointestinal infections and the gut microbiome. • Expertise in management of primary and recurrent Clostridioides difficile infection. • Evaluation of patients for microbiome-based therapies such as fecal microbiota transplantation. • Diagnosis and management of patients with undifferentiated gastrointestinal symptoms. • Passionate about educating patients to promote their understanding of their disease
- Dr. Khanna directs the Comprehensive Gastroenterology Interest group, C . difficile Clinic, Fecal Microbiota Transplantation program and C . difficile -related Clinical Trials at Mayo Clinic, Rochester, MN. He is the practice chair for the Inpatient Gastroenterology practice and the residents' rotation director for the Internal Medicine Residency Program at Mayo Clinic, Rochester, MN
- Glenn S. Tillotson, PhD, FIDSA, FCCP, is a Partner at GST Micro, and a consultant to the pharmaceutical and diagnostic industries, providing advice on a range of topics covering preparatory and postapproval activities. Glenn has over 30 years' pharmaceutical experience in clinical research, commercialization, and scientific communications including publications planning, strategic drug development, life cycle management, and global launch programs. After training in medical microbiology and infectious diseases in the UK, Glenn spent 13 years at Bayer AG in the UK, the United States, and Germany, where he was instrumental in the development of ciprofloxacin and moxifloxacin as well as other drugs
- James E. Lett, II, MD, CMD-R , is the Medical Director for Avar Consulting in Rockville, MD, and serves as President of the National Board for the National Transitions of Care Coalition (NTOCC) in Washington, DC. Dr Lett earned his medical degree from the University of Kentucky College of Medicine, where he completed residency training. He is board-certified in Family Medicine and Geriatrics
- Dr Lett has been part of the care transitions efforts for the American Medical Association (AMA), the American Medical Directors Association (AMDA), the Society for Hospital Medicine, and the Centers for Medicare & Medicaid Services (CMS). He is a past president of the American Medical Directors Association (AMDA). He served on a CMS workgroup to revise the survey manual for nursing homes. Dr Lett has chaired a joint national effort to develop a long-term care medication toolkit for patient safety. He also chaired a national workgroup that created guidelines for care transitions in the long-term care continuum. Dr Lett participates in a National Quality Forum measures workgroup
- Melanie A. Prince, MSS, MSN, BSN, NE-BC, CCM, FAAN, is the current President of Case Management Society of America (CMSA). She is a retired Active-Duty Military Colonel who was assigned to Headquarters Air Force where she was responsible for developing strategies to eliminate interpersonal violence in the military. Melanie is now the Chief Executive Officer, Care Associates Consulting. Melanie has been a requested speaker, including annual CMSA conferences, and penned case management content, editorials, policy, and training in various publications both military and nonmilitary. A distinguished leader and mentor in her profession, she has won numerous awards including the distinguished CMSA Chapter, 2003, and National Case Manager of the Year, 2004
- Cheri Lattimer, BSN, RN, is the Executive Director for the National Transitions of Care Coalition (NTOCC) and President of Integrity Advocacy & Management. Her leadership in quality improvement, case management, care coordination, and transitions of care is known on the national and international landscape. She was a contributor and reviewer for the Case Management Society of America (CMSA) Core Curriculum for Case Management and The Integrated Case Management Manual Assisting Complex Patients Regain Physical and Mental Health. She is affiliated with many professional organizations and maintains active roles on several national boards and committees including Chair of URAC's Health Standards Committee, CMS Caregiver Workgroup, CMS Advisory Panel on Education and Outreach, the American Board of Quality Assurance and Utilization Review Physicians (ABQAURP) Board of Directors and CME Committee and an Advisory Board Member for BelleCares
| | - Sahill Khanna
- Rebecca Perez, MSN, RN, CCM, is an experienced RN with a master's degree in nursing, is a Certified Case Manager, and a member of the Gamma Omega Chapter of Sigma Theta Tau International Nursing Honor Society and Capella University National Society of Leadership and Success. She is the author of numerous professional articles, the primary author for the Case Management Adherence Guide 2020, co-author of CMSA's Integrated Case Management: A manual for case managers by case managers , developer of the Integrated Case Management Training Program, and Master Trainer. She joined Parthenon Management Group in 2020 as the Senior Manager of Education and Strategic Partnerships for the Case Management Society of America
- Sahil Khanna, MBBS, MS , is a gastroenterologist and hepatologist with a special interest in colonic diseases including gastrointestinal infections and the gut microbiome. • Expertise in management of primary and recurrent Clostridioides difficile infection. • Evaluation of patients for microbiome-based therapies such as fecal microbiota transplantation. • Diagnosis and management of patients with undifferentiated gastrointestinal symptoms. • Passionate about educating patients to promote their understanding of their disease
- Dr. Khanna directs the Comprehensive Gastroenterology Interest group, C . difficile Clinic, Fecal Microbiota Transplantation program and C . difficile -related Clinical Trials at Mayo Clinic, Rochester, MN. He is the practice chair for the Inpatient Gastroenterology practice and the residents' rotation director for the Internal Medicine Residency Program at Mayo Clinic, Rochester, MN
- Glenn S. Tillotson, PhD, FIDSA, FCCP, is a Partner at GST Micro, and a consultant to the pharmaceutical and diagnostic industries, providing advice on a range of topics covering preparatory and postapproval activities. Glenn has over 30 years' pharmaceutical experience in clinical research, commercialization, and scientific communications including publications planning, strategic drug development, life cycle management, and global launch programs. After training in medical microbiology and infectious diseases in the UK, Glenn spent 13 years at Bayer AG in the UK, the United States, and Germany, where he was instrumental in the development of ciprofloxacin and moxifloxacin as well as other drugs
- James E. Lett, II, MD, CMD-R , is the Medical Director for Avar Consulting in Rockville, MD, and serves as President of the National Board for the National Transitions of Care Coalition (NTOCC) in Washington, DC. Dr Lett earned his medical degree from the University of Kentucky College of Medicine, where he completed residency training. He is board-certified in Family Medicine and Geriatrics
- Dr Lett has been part of the care transitions efforts for the American Medical Association (AMA), the American Medical Directors Association (AMDA), the Society for Hospital Medicine, and the Centers for Medicare & Medicaid Services (CMS). He is a past president of the American Medical Directors Association (AMDA). He served on a CMS workgroup to revise the survey manual for nursing homes. Dr Lett has chaired a joint national effort to develop a long-term care medication toolkit for patient safety. He also chaired a national workgroup that created guidelines for care transitions in the long-term care continuum. Dr Lett participates in a National Quality Forum measures workgroup
- Melanie A. Prince, MSS, MSN, BSN, NE-BC, CCM, FAAN, is the current President of Case Management Society of America (CMSA). She is a retired Active-Duty Military Colonel who was assigned to Headquarters Air Force where she was responsible for developing strategies to eliminate interpersonal violence in the military. Melanie is now the Chief Executive Officer, Care Associates Consulting. Melanie has been a requested speaker, including annual CMSA conferences, and penned case management content, editorials, policy, and training in various publications both military and nonmilitary. A distinguished leader and mentor in her profession, she has won numerous awards including the distinguished CMSA Chapter, 2003, and National Case Manager of the Year, 2004
- Cheri Lattimer, BSN, RN, is the Executive Director for the National Transitions of Care Coalition (NTOCC) and President of Integrity Advocacy & Management. Her leadership in quality improvement, case management, care coordination, and transitions of care is known on the national and international landscape. She was a contributor and reviewer for the Case Management Society of America (CMSA) Core Curriculum for Case Management and The Integrated Case Management Manual Assisting Complex Patients Regain Physical and Mental Health. She is affiliated with many professional organizations and maintains active roles on several national boards and committees including Chair of URAC's Health Standards Committee, CMS Caregiver Workgroup, CMS Advisory Panel on Education and Outreach, the American Board of Quality Assurance and Utilization Review Physicians (ABQAURP) Board of Directors and CME Committee and an Advisory Board Member for BelleCares
| | - Glenn S Tillotson
- Rebecca Perez, MSN, RN, CCM, is an experienced RN with a master's degree in nursing, is a Certified Case Manager, and a member of the Gamma Omega Chapter of Sigma Theta Tau International Nursing Honor Society and Capella University National Society of Leadership and Success. She is the author of numerous professional articles, the primary author for the Case Management Adherence Guide 2020, co-author of CMSA's Integrated Case Management: A manual for case managers by case managers , developer of the Integrated Case Management Training Program, and Master Trainer. She joined Parthenon Management Group in 2020 as the Senior Manager of Education and Strategic Partnerships for the Case Management Society of America
- Sahil Khanna, MBBS, MS , is a gastroenterologist and hepatologist with a special interest in colonic diseases including gastrointestinal infections and the gut microbiome. • Expertise in management of primary and recurrent Clostridioides difficile infection. • Evaluation of patients for microbiome-based therapies such as fecal microbiota transplantation. • Diagnosis and management of patients with undifferentiated gastrointestinal symptoms. • Passionate about educating patients to promote their understanding of their disease
- Dr. Khanna directs the Comprehensive Gastroenterology Interest group, C . difficile Clinic, Fecal Microbiota Transplantation program and C . difficile -related Clinical Trials at Mayo Clinic, Rochester, MN. He is the practice chair for the Inpatient Gastroenterology practice and the residents' rotation director for the Internal Medicine Residency Program at Mayo Clinic, Rochester, MN
- Glenn S. Tillotson, PhD, FIDSA, FCCP, is a Partner at GST Micro, and a consultant to the pharmaceutical and diagnostic industries, providing advice on a range of topics covering preparatory and postapproval activities. Glenn has over 30 years' pharmaceutical experience in clinical research, commercialization, and scientific communications including publications planning, strategic drug development, life cycle management, and global launch programs. After training in medical microbiology and infectious diseases in the UK, Glenn spent 13 years at Bayer AG in the UK, the United States, and Germany, where he was instrumental in the development of ciprofloxacin and moxifloxacin as well as other drugs
- James E. Lett, II, MD, CMD-R , is the Medical Director for Avar Consulting in Rockville, MD, and serves as President of the National Board for the National Transitions of Care Coalition (NTOCC) in Washington, DC. Dr Lett earned his medical degree from the University of Kentucky College of Medicine, where he completed residency training. He is board-certified in Family Medicine and Geriatrics
- Dr Lett has been part of the care transitions efforts for the American Medical Association (AMA), the American Medical Directors Association (AMDA), the Society for Hospital Medicine, and the Centers for Medicare & Medicaid Services (CMS). He is a past president of the American Medical Directors Association (AMDA). He served on a CMS workgroup to revise the survey manual for nursing homes. Dr Lett has chaired a joint national effort to develop a long-term care medication toolkit for patient safety. He also chaired a national workgroup that created guidelines for care transitions in the long-term care continuum. Dr Lett participates in a National Quality Forum measures workgroup
- Melanie A. Prince, MSS, MSN, BSN, NE-BC, CCM, FAAN, is the current President of Case Management Society of America (CMSA). She is a retired Active-Duty Military Colonel who was assigned to Headquarters Air Force where she was responsible for developing strategies to eliminate interpersonal violence in the military. Melanie is now the Chief Executive Officer, Care Associates Consulting. Melanie has been a requested speaker, including annual CMSA conferences, and penned case management content, editorials, policy, and training in various publications both military and nonmilitary. A distinguished leader and mentor in her profession, she has won numerous awards including the distinguished CMSA Chapter, 2003, and National Case Manager of the Year, 2004
- Cheri Lattimer, BSN, RN, is the Executive Director for the National Transitions of Care Coalition (NTOCC) and President of Integrity Advocacy & Management. Her leadership in quality improvement, case management, care coordination, and transitions of care is known on the national and international landscape. She was a contributor and reviewer for the Case Management Society of America (CMSA) Core Curriculum for Case Management and The Integrated Case Management Manual Assisting Complex Patients Regain Physical and Mental Health. She is affiliated with many professional organizations and maintains active roles on several national boards and committees including Chair of URAC's Health Standards Committee, CMS Caregiver Workgroup, CMS Advisory Panel on Education and Outreach, the American Board of Quality Assurance and Utilization Review Physicians (ABQAURP) Board of Directors and CME Committee and an Advisory Board Member for BelleCares
| | - James E Lett
- Rebecca Perez, MSN, RN, CCM, is an experienced RN with a master's degree in nursing, is a Certified Case Manager, and a member of the Gamma Omega Chapter of Sigma Theta Tau International Nursing Honor Society and Capella University National Society of Leadership and Success. She is the author of numerous professional articles, the primary author for the Case Management Adherence Guide 2020, co-author of CMSA's Integrated Case Management: A manual for case managers by case managers , developer of the Integrated Case Management Training Program, and Master Trainer. She joined Parthenon Management Group in 2020 as the Senior Manager of Education and Strategic Partnerships for the Case Management Society of America
- Sahil Khanna, MBBS, MS , is a gastroenterologist and hepatologist with a special interest in colonic diseases including gastrointestinal infections and the gut microbiome. • Expertise in management of primary and recurrent Clostridioides difficile infection. • Evaluation of patients for microbiome-based therapies such as fecal microbiota transplantation. • Diagnosis and management of patients with undifferentiated gastrointestinal symptoms. • Passionate about educating patients to promote their understanding of their disease
- Dr. Khanna directs the Comprehensive Gastroenterology Interest group, C . difficile Clinic, Fecal Microbiota Transplantation program and C . difficile -related Clinical Trials at Mayo Clinic, Rochester, MN. He is the practice chair for the Inpatient Gastroenterology practice and the residents' rotation director for the Internal Medicine Residency Program at Mayo Clinic, Rochester, MN
- Glenn S. Tillotson, PhD, FIDSA, FCCP, is a Partner at GST Micro, and a consultant to the pharmaceutical and diagnostic industries, providing advice on a range of topics covering preparatory and postapproval activities. Glenn has over 30 years' pharmaceutical experience in clinical research, commercialization, and scientific communications including publications planning, strategic drug development, life cycle management, and global launch programs. After training in medical microbiology and infectious diseases in the UK, Glenn spent 13 years at Bayer AG in the UK, the United States, and Germany, where he was instrumental in the development of ciprofloxacin and moxifloxacin as well as other drugs
- James E. Lett, II, MD, CMD-R , is the Medical Director for Avar Consulting in Rockville, MD, and serves as President of the National Board for the National Transitions of Care Coalition (NTOCC) in Washington, DC. Dr Lett earned his medical degree from the University of Kentucky College of Medicine, where he completed residency training. He is board-certified in Family Medicine and Geriatrics
- Dr Lett has been part of the care transitions efforts for the American Medical Association (AMA), the American Medical Directors Association (AMDA), the Society for Hospital Medicine, and the Centers for Medicare & Medicaid Services (CMS). He is a past president of the American Medical Directors Association (AMDA). He served on a CMS workgroup to revise the survey manual for nursing homes. Dr Lett has chaired a joint national effort to develop a long-term care medication toolkit for patient safety. He also chaired a national workgroup that created guidelines for care transitions in the long-term care continuum. Dr Lett participates in a National Quality Forum measures workgroup
- Melanie A. Prince, MSS, MSN, BSN, NE-BC, CCM, FAAN, is the current President of Case Management Society of America (CMSA). She is a retired Active-Duty Military Colonel who was assigned to Headquarters Air Force where she was responsible for developing strategies to eliminate interpersonal violence in the military. Melanie is now the Chief Executive Officer, Care Associates Consulting. Melanie has been a requested speaker, including annual CMSA conferences, and penned case management content, editorials, policy, and training in various publications both military and nonmilitary. A distinguished leader and mentor in her profession, she has won numerous awards including the distinguished CMSA Chapter, 2003, and National Case Manager of the Year, 2004
- Cheri Lattimer, BSN, RN, is the Executive Director for the National Transitions of Care Coalition (NTOCC) and President of Integrity Advocacy & Management. Her leadership in quality improvement, case management, care coordination, and transitions of care is known on the national and international landscape. She was a contributor and reviewer for the Case Management Society of America (CMSA) Core Curriculum for Case Management and The Integrated Case Management Manual Assisting Complex Patients Regain Physical and Mental Health. She is affiliated with many professional organizations and maintains active roles on several national boards and committees including Chair of URAC's Health Standards Committee, CMS Caregiver Workgroup, CMS Advisory Panel on Education and Outreach, the American Board of Quality Assurance and Utilization Review Physicians (ABQAURP) Board of Directors and CME Committee and an Advisory Board Member for BelleCares
| | - Melanie A Prince
- Rebecca Perez, MSN, RN, CCM, is an experienced RN with a master's degree in nursing, is a Certified Case Manager, and a member of the Gamma Omega Chapter of Sigma Theta Tau International Nursing Honor Society and Capella University National Society of Leadership and Success. She is the author of numerous professional articles, the primary author for the Case Management Adherence Guide 2020, co-author of CMSA's Integrated Case Management: A manual for case managers by case managers , developer of the Integrated Case Management Training Program, and Master Trainer. She joined Parthenon Management Group in 2020 as the Senior Manager of Education and Strategic Partnerships for the Case Management Society of America
- Sahil Khanna, MBBS, MS , is a gastroenterologist and hepatologist with a special interest in colonic diseases including gastrointestinal infections and the gut microbiome. • Expertise in management of primary and recurrent Clostridioides difficile infection. • Evaluation of patients for microbiome-based therapies such as fecal microbiota transplantation. • Diagnosis and management of patients with undifferentiated gastrointestinal symptoms. • Passionate about educating patients to promote their understanding of their disease
- Dr. Khanna directs the Comprehensive Gastroenterology Interest group, C . difficile Clinic, Fecal Microbiota Transplantation program and C . difficile -related Clinical Trials at Mayo Clinic, Rochester, MN. He is the practice chair for the Inpatient Gastroenterology practice and the residents' rotation director for the Internal Medicine Residency Program at Mayo Clinic, Rochester, MN
- Glenn S. Tillotson, PhD, FIDSA, FCCP, is a Partner at GST Micro, and a consultant to the pharmaceutical and diagnostic industries, providing advice on a range of topics covering preparatory and postapproval activities. Glenn has over 30 years' pharmaceutical experience in clinical research, commercialization, and scientific communications including publications planning, strategic drug development, life cycle management, and global launch programs. After training in medical microbiology and infectious diseases in the UK, Glenn spent 13 years at Bayer AG in the UK, the United States, and Germany, where he was instrumental in the development of ciprofloxacin and moxifloxacin as well as other drugs
- James E. Lett, II, MD, CMD-R , is the Medical Director for Avar Consulting in Rockville, MD, and serves as President of the National Board for the National Transitions of Care Coalition (NTOCC) in Washington, DC. Dr Lett earned his medical degree from the University of Kentucky College of Medicine, where he completed residency training. He is board-certified in Family Medicine and Geriatrics
- Dr Lett has been part of the care transitions efforts for the American Medical Association (AMA), the American Medical Directors Association (AMDA), the Society for Hospital Medicine, and the Centers for Medicare & Medicaid Services (CMS). He is a past president of the American Medical Directors Association (AMDA). He served on a CMS workgroup to revise the survey manual for nursing homes. Dr Lett has chaired a joint national effort to develop a long-term care medication toolkit for patient safety. He also chaired a national workgroup that created guidelines for care transitions in the long-term care continuum. Dr Lett participates in a National Quality Forum measures workgroup
- Melanie A. Prince, MSS, MSN, BSN, NE-BC, CCM, FAAN, is the current President of Case Management Society of America (CMSA). She is a retired Active-Duty Military Colonel who was assigned to Headquarters Air Force where she was responsible for developing strategies to eliminate interpersonal violence in the military. Melanie is now the Chief Executive Officer, Care Associates Consulting. Melanie has been a requested speaker, including annual CMSA conferences, and penned case management content, editorials, policy, and training in various publications both military and nonmilitary. A distinguished leader and mentor in her profession, she has won numerous awards including the distinguished CMSA Chapter, 2003, and National Case Manager of the Year, 2004
- Cheri Lattimer, BSN, RN, is the Executive Director for the National Transitions of Care Coalition (NTOCC) and President of Integrity Advocacy & Management. Her leadership in quality improvement, case management, care coordination, and transitions of care is known on the national and international landscape. She was a contributor and reviewer for the Case Management Society of America (CMSA) Core Curriculum for Case Management and The Integrated Case Management Manual Assisting Complex Patients Regain Physical and Mental Health. She is affiliated with many professional organizations and maintains active roles on several national boards and committees including Chair of URAC's Health Standards Committee, CMS Caregiver Workgroup, CMS Advisory Panel on Education and Outreach, the American Board of Quality Assurance and Utilization Review Physicians (ABQAURP) Board of Directors and CME Committee and an Advisory Board Member for BelleCares
| | - Cheri Lattimer
- Rebecca Perez, MSN, RN, CCM, is an experienced RN with a master's degree in nursing, is a Certified Case Manager, and a member of the Gamma Omega Chapter of Sigma Theta Tau International Nursing Honor Society and Capella University National Society of Leadership and Success. She is the author of numerous professional articles, the primary author for the Case Management Adherence Guide 2020, co-author of CMSA's Integrated Case Management: A manual for case managers by case managers , developer of the Integrated Case Management Training Program, and Master Trainer. She joined Parthenon Management Group in 2020 as the Senior Manager of Education and Strategic Partnerships for the Case Management Society of America
- Sahil Khanna, MBBS, MS , is a gastroenterologist and hepatologist with a special interest in colonic diseases including gastrointestinal infections and the gut microbiome. • Expertise in management of primary and recurrent Clostridioides difficile infection. • Evaluation of patients for microbiome-based therapies such as fecal microbiota transplantation. • Diagnosis and management of patients with undifferentiated gastrointestinal symptoms. • Passionate about educating patients to promote their understanding of their disease
- Dr. Khanna directs the Comprehensive Gastroenterology Interest group, C . difficile Clinic, Fecal Microbiota Transplantation program and C . difficile -related Clinical Trials at Mayo Clinic, Rochester, MN. He is the practice chair for the Inpatient Gastroenterology practice and the residents' rotation director for the Internal Medicine Residency Program at Mayo Clinic, Rochester, MN
- Glenn S. Tillotson, PhD, FIDSA, FCCP, is a Partner at GST Micro, and a consultant to the pharmaceutical and diagnostic industries, providing advice on a range of topics covering preparatory and postapproval activities. Glenn has over 30 years' pharmaceutical experience in clinical research, commercialization, and scientific communications including publications planning, strategic drug development, life cycle management, and global launch programs. After training in medical microbiology and infectious diseases in the UK, Glenn spent 13 years at Bayer AG in the UK, the United States, and Germany, where he was instrumental in the development of ciprofloxacin and moxifloxacin as well as other drugs
- James E. Lett, II, MD, CMD-R , is the Medical Director for Avar Consulting in Rockville, MD, and serves as President of the National Board for the National Transitions of Care Coalition (NTOCC) in Washington, DC. Dr Lett earned his medical degree from the University of Kentucky College of Medicine, where he completed residency training. He is board-certified in Family Medicine and Geriatrics
- Dr Lett has been part of the care transitions efforts for the American Medical Association (AMA), the American Medical Directors Association (AMDA), the Society for Hospital Medicine, and the Centers for Medicare & Medicaid Services (CMS). He is a past president of the American Medical Directors Association (AMDA). He served on a CMS workgroup to revise the survey manual for nursing homes. Dr Lett has chaired a joint national effort to develop a long-term care medication toolkit for patient safety. He also chaired a national workgroup that created guidelines for care transitions in the long-term care continuum. Dr Lett participates in a National Quality Forum measures workgroup
- Melanie A. Prince, MSS, MSN, BSN, NE-BC, CCM, FAAN, is the current President of Case Management Society of America (CMSA). She is a retired Active-Duty Military Colonel who was assigned to Headquarters Air Force where she was responsible for developing strategies to eliminate interpersonal violence in the military. Melanie is now the Chief Executive Officer, Care Associates Consulting. Melanie has been a requested speaker, including annual CMSA conferences, and penned case management content, editorials, policy, and training in various publications both military and nonmilitary. A distinguished leader and mentor in her profession, she has won numerous awards including the distinguished CMSA Chapter, 2003, and National Case Manager of the Year, 2004
- Cheri Lattimer, BSN, RN, is the Executive Director for the National Transitions of Care Coalition (NTOCC) and President of Integrity Advocacy & Management. Her leadership in quality improvement, case management, care coordination, and transitions of care is known on the national and international landscape. She was a contributor and reviewer for the Case Management Society of America (CMSA) Core Curriculum for Case Management and The Integrated Case Management Manual Assisting Complex Patients Regain Physical and Mental Health. She is affiliated with many professional organizations and maintains active roles on several national boards and committees including Chair of URAC's Health Standards Committee, CMS Caregiver Workgroup, CMS Advisory Panel on Education and Outreach, the American Board of Quality Assurance and Utilization Review Physicians (ABQAURP) Board of Directors and CME Committee and an Advisory Board Member for BelleCares
| |
Collapse
|