CHARM Project

Data can be transferred securely from your IT department via OneDrive for Business. This site is maintained behind a Ferris HIPAA-compliant firewall. After the initial extract, additional data can be transferred on a monthly or quarterly basis to be reflected in the dashboard.

Our team can provide a DUA template. The agreement specifies the extent to which the data is used, and the list of data fields that are extracted from EHR. The CHARM project is reviewed and monitored by the Ferris State University Institutional Review Board (IRB).

CHARM is supported by a grant from the Michigan Department of Health and Human Services Surveillance for Healthcare-Associated & Resistant Pathogens (SHARP) Unit. As a result, participation and basic reporting services are provided at no charge for health systems and clinics located in Michigan. Fees for out-of-state facilities may apply.

Your institution will receive a highly interactive, health system specific dashboard. Within the dashboard, you can apply filters to obtain granular insight into your providers’ antibiotic prescribing practices. You will be able to determine your prescribers’ adherence to published or institutional guidelines and benchmark performance internally among prescribers and externally against other health systems in the state.

Contact the CHARM team to schedule an initial consultation dashboard demonstration.

Tracking and monitoring outpatient antibiotic use is an element of performance (EP) in the Joint Commission’s Antimicrobial Stewardship in Ambulatory Health Care requirements. Participation in CHARM fulfills this EP.

Data from CHARM allows for generation of antibiotic usage reports that can be used to identify antimicrobial stewardship initiatives and measure the impact of stewardship initiatives. 

• Klepser M, Rauch H, Woodwyk A, Altom A, Schauer M, MacCallum C, Klepser D. Benchmarking outpatient antibiotic prescribing patterns and adherence to published guidelines in an academic medical clinic. American College of Clinical Pharmacy 2017 Annual Meeting. Phoenix, Arizona. 
• Woodwyk A, Rauch H, Schauer M, Wan F, Dregansky G, Klepser M. Assessment of Oral Antibiotic Prescribing Practices in WMed Outpatient Clinics. 36th Annual Kalamazoo Community Medical and Health Sciences Research Day. May 2, 2018. Kalamazoo, Michigan. 
• Woodwyk A, Rauch H, Schauer M, Wan F, Dregansky G, Klepser M. Assessment of Oral Antibiotic Prescribing Practices in WMed Outpatient Clinics. 2018 Women in Statistics and Data Science Conference. October 19, 2018. Cincinnati, Ohio. 
• Hammershaimb B, Chung D, Tracey J, Dregansky G, Schauer M, Woodwyk A, Rauch H, Klepser ME. Assessment of Outpatient Antibiotic Prescribing to Guide Antibiotic Stewardship Initiatives at University Affiliated Health Clinics. American College of Clinical Pharmacy 2018 Annual Meeting. October 20, 2018. Seattle, Washington. 
• Bixman L, Tran S, DeShelter M, Bates J, Wolfe A, Woodwyk A, Rauch H, Elder J, Klepser M. Comparison of Outpatient Antimicrobial Usage Among Ambulatory Clinics using Standardized Methods. American College of Clinical Pharmacy 2018 Annual Meeting. October 20, 2018. Seattle, Washington. 
• Hammershaimb B, Winterholler JE, Chung D, Tracey J, Dregansky G, Schauer M, Woodwyk A, Rauch H, Klepser ME. Assessment of Outpatient Antibiotic Prescribing to Guide Antibiotic Stewardship Initiatives at University Affiliated Health Clinics. MSMS Foundation Annual Scientific Meeting. October 26, 2018. Novi, Michigan. 
• Winterholler JE, Hammershaimb B, Leist C, Kucera M, Trombley M, Rauch H, Woodwyk A, VanLoo D, Klesper ME. Assessment of Antimicrobial Prescribing Patterns in an Outpatient Clinic System to Promote Outpatient Antimicrobial Stewardship. MSMS Foundation Annual Scientific Meeting. October 26, 2018. Novi, Michigan. 
• Leist C, Kucera M, Trombley M, Winterholler J, Rauch H, Woodwyk A, VanLoo D, Klesper ME. Retrospective Assessment of Antimicrobial Prescribing Patterns in an Outpatient Clinic System. American Pharmacists Association Annual Meeting and Exposition. March 23, 2019. Seattle, Washington. 
• Stultz-Griffey H, Weaver P, Woodwyk A, Sohn M, Wallington D, Warner A, VanLoo D, Klepser M. Impact of pharmacist-led education and prescriber report cards as outpatient antimicrobial stewardship initiatives in a community health system. American College of Clinical Pharmacy Annual Meeting. October 26-28, 2019. New York, New York. 
• Goldsworthy J, Elliott M, Woodwyk A, Dregansky G, Sohn M, Klepser ME. Impact of prescriber education and report cards on outpatient antibiotic prescribing for UTIs at a Federally Qualified Health Clinic (FQHC). American College of Clinical Pharmacy Annual Meeting. October 26-28, 2019. New York, New York. 
• Grubbs E, Ford J, Ho H, Sohn M, Klepser M. Utilization of the Collaboration to Harmonize Antimicrobial Registry Measures (CHARM) Dashboard To Support Outpatient Antimicrobial Stewardship. American Pharmacists Association Annual Meeting and Exposition. 2021. 
• Sohn M, Dubbert C, Dixon G, Pontefract B, Van Loo D, Klepser M. CHARM Dashboard: A standardized tool for state-wide benchmarking of outpatient antibiotic use. American College of Clinical Pharmacy Annual Meeting. October 2021. 

• Klepser ME, Altom A, MacCallum C, Nordquist E, Klepser DG. Description of the methods for describing and assessing the appropriateness of antibiotic prescribing and adherence to published treatment guidelines in an academic medical clinic.  Innovations in Pharmacy. 2016;7:1-8. 
• Sohn M, Chung D, Winterholler JE, Hammershaimb B, Leist C, Kucera M, Trombley M, Tracey J, Dregansky G, Schauer M, Rauch H, Woodwyk A, VanLoo D, Warner A, Klepser ME. Assessment of antibiotic use and concordance with practice guidelines within three diverse ambulatory clinic systems. JAPhA. 2020;60:930-6.