Antimicrobial Stewardship

Avel eCare Pharmacy also offers providers the support they need to create, implement and maintain an antimicrobial stewardship plan. When customers take advantage of our Antimicrobial Stewardship services they’ll have the expert oversight needed to:

• Improve the use of antimicrobial medications
• Enhance patient outcomes
• Reduce resistance to antibiotics

Reduce Antimicrobial Resistance

The Centers for Medicare & Medicaid Services, The Joint Commission and the Centers for Disease Control and Prevention recommend that all health care settings use antimicrobials judiciously to reduce the likelihood of antimicrobial resistance.

Look to our expert pharmacists to:

• Verify that antimicrobials prescribed for common infections (urinary tract infection, pneumonia, skin and soft tissue infection, clostridium difficile, methacillin-resistant staph aureus, etc.) comply with standards, clinical guidelines and protocols in your institution
• Follow culture results to ensure the organism is covered by the antimicrobial regimen and to suggest a more narrow-spectrum treatment, if appropriate
• Ensure appropriate dosing of agents based upon renal and hepatic function
• Provide patient-specific pharmacokinetic dosing, such as aminoglycosides or vancomycin

If a facility does not have an on-site pharmacist, Avel eCare Pharmacy can also complete an antibiotic review within 48 hours to achieve compliance with the antibiotic time out.

Consultative

Enhance your Avel eCare Pharmacy experience with advanced two-way video technology. When you take advantage of our live audiovisual and still image services, you can support pharmacy services with:

• Patient discharge consultations
• Remote supervision of nurse sterile medication preparation
• Remote supervision of nurse automated dispensing cabinet refills
• Verification of medications removed from pharmacy after-hours
• Identification of patient medications brought from home
• Video consultations between Avel eCare Pharmacy staff and your health care professionals

Outpatient

Support medication safety and pharmacy services at your facility through Avel eCare Pharmacy’s remote review and verification of outpatient orders. Our Outpatient Services include:

• Review and verification of medication orders for your hospital outpatients such as dialysis, infusion therapy, chemotherapy, outpatient antibiotic therapy, etc.
• Remote video supervision of nurse sterile medication preparation
• Chemotherapy orders that are checked by two independent pharmacists such as one on-site and one Avel eCare Pharmacy or two independent Avel eCare Pharmacy checks
• Clinical monitoring of outpatient therapies during a course of therapy

Medication Review

Avel’s Medication Review services ensure that customers meet federal regulations with 24/7 pharmacist oversight of any newly ordered medicine before it’s administered. Facilities with Avel eCare Pharmacy support can increase patient safety and regulatory compliance through the prospective review of medication orders, including:

• Allergy history
• Dosage recommendations
• Drug compatibility
• Duplication of therapy
• Lab review
• Patient demographic information
• Potential interactions
• Substitution recommendations

These reviews are available for inpatient, outpatient, emergency room, and other departments as needed with response times averaging 20 minutes or less.

Pharmacists

• Atrium Health Wake Forest Baptist’s bariatrics department first deployed Carium to support patients on their medical weight loss journey. Their comprehensive program integrates remote monitoring, patient self-reporting, and care pathways into a data-assisted and personalized treatment program.
• St. Luke’s, an Idaho-based, clinically integrated network of clinicians started using Carium to enable their health coaching program and within the first six months expanded to care management, employee wellness, lifestyle medicine, and cardiac rehab. St. Luke’s is leveraging Carium’s novel data to enrich their EDW and enable robust insights by combining biometrics, PROMs, clinical data, and claims data.
• Atrium Health’s Perfect Care transforms cardiac care by engaging each patient and their family – in the comfort of their home – with a personalized approach. Carium’s innovative tech connects patients and their care teams to monitor, engage, and proactively collaborate with patients before their cardiac surgery and during their recovery journey.
• A primary care practice based in California, Lifestyle Medical, quickly pivoted during the pandemic to address the care needs of their patients — from the safety of home — with remote patient monitoring (RPM) and virtual patient engagement. With strong patient experience results, their practice recently expanded Carium as their digital front door.
• Health Logx partners with primary care practices to provide fully virtual health and wellness services for patients, on behalf of the practice. They focus on RPM and chronic care management (CCM) programs to track patients in between office visits. Patients are equipped with connected devices to gather biometric data and interact with Health Logx via messaging, video chats, and phone calls.
• The Mecca Gym isn’t a typical gym or weight room. It’s all about fostering personalized experiences, building accountability, and scaling resources to promote health among members. Their personal trainers—with advanced degrees and clinical credentials—regularly track member behavior and progress using Carium.

Patients, Physicians, nurse practitioners, physician assistants, dieticians, behaviorists, and exercise physiologists