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Beta
Platform · PrecisionASP

Stewardship for care facilities, run daily

A Precision Antimicrobial Stewardship Program for care facilities. Compliance intelligence, the way OneChoice is clinical intelligence.

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Modules

What is in the beta

Beta features may change before general release.

PrecisionASP™
Resident 14 · North wing
Ceftriaxone1 g / IV / q24h / $$
Dr. Example·Day 9 of open course
Broad-spectrumNo End Date

Day 9 without an end date. Consider an antibiotic timeout and re-evaluation of antibiotic necessity.

Nitrofurantoin100 mg / PO / BID / $
Dr. Example·Day 2 of 5
Flags on every prescription

Reporting Month · October 2026As of Nov 4, 2026 · 6:00 AM

Needs AttentionAction Queue6 open · 1 critical
  1. Critical

    HarborviewResistant Culture — Prescriber Not Told

    Cephalexin continued after a resistant urine culture; prescriber not notified.

    E. A.Bay Unit · Room 12Cephalexin · Day 6F881 · F757
    Act Now
  2. High

    PinecrestTime-Outs Due Today (4)

    Four antibiotic starts pass 72 hours today with no time-out recorded.

    E. J.Garden Unit · Room 5Doxycycline+3 moreF881
    Due Today
  3. High

    HarborviewOrders Missing a Stop Date (3)

    Active antibiotic orders with no stop date or set duration.

    E. K.Bay Unit · Room 18Amoxicillin · Verbal order+2 moreF881 · F757
    Before the Next Dose
  4. Moderate

    PinecrestHospital Courses to Review (2)

    Residents readmitted on a hospital antibiotic with no decision to continue or stop.

    E. B.Garden Unit · Room 7Piperacillin-tazobactam+1 moreF757
    Overdue on Admission
  5. Moderate

    HarborviewProgram Review Overdue: Stewardship Protocol (14 Months)

    Protocols are reviewed at least once a year. The last review was 14 months ago.

    Program-LevelF881
    Overdue 2 Months
  6. Low

    PinecrestIPCP Annual Review Due in 40 Days

    The infection prevention and control program (IPCP) is reviewed at least once a year.

    Program-LevelF880
    Due Dec 14
Next 60 DaysCompliance Calendar
  1. Now

    Survey Window Open

    Harborviewcloses Dec 9, in 35 daysCMS Guidance

    Last standard survey 13 months ago; the next comes by Dec 9.

  2. Nov 6

    Time-Out Audit · Weekly

    Pinecrestin 2 daysBest Practice

  3. Nov 9

    Monthly ASP Tracking · OctoberBlocked

    Harborviewin 5 daysCMS Guidance

    Census not entered, so the rates cannot be calculated.

  4. Nov 17

    Quarterly QAA Meeting

    Pinecrestin 13 daysRegulation

  5. Nov 25

    Core Elements Self-Assessment · 2026

    Harborviewin 21 daysBest Practice

  6. Dec 1

    State Infection Report · October

    All Facilitiesin 27 daysState

  7. Dec 14

    IPCP Annual Review

    Pinecrestin 40 daysRegulation

Today, in orderFictional residents and illustrative data. Decision support, not medical advice.

Likely Resident Sample

PrecisionASP ranks the residents most likely to be reviewed: IV antibiotics, resistant organisms, C. diff and long courses. These are the 3 most likely at Harborview, worst record first.

Chain Key
  • Documented
  • Gap
  • Late
  • Not Applicable

  1. Bay Unit · Room 12 · Short stay

    CriticalCephalexin PO · day 6

    Cephalexin continued after a resistant result, prescriber not told · The resistant urine culture was not passed to the prescriber, and the same antibiotic continued.

    Why a Surveyor Would Pick ThemResistant Culture ResultAntibiotic Not Changed

    3 Gaps a Surveyor Would Cite

    • Critical GapNotificationNo prescriber notification of the resistant result.The resistant result never reached the prescriber.Fix: Call the prescriber now, record the response and check the resident for harm.F881
    • GapTime-OutNo time-out recorded by 72 hours.Fix: Hold the time-out today and record continue, change or stop.F881
    • LateStopStop date set three days after the result.Fix: Set a stop date or record the reason to continue.F757
    Open Timeline in Audit Trail

  2. Garden Unit · Room 7 · Long stay

    HighPiperacillin-tazobactam IV · day 8

    Hospital IV course continued without review · Started in hospital and continued on readmission with no time-out or stop date.

    Why a Surveyor Would Pick ThemIV AntibioticBroad SpectrumHospital Start

    3 Gaps a Surveyor Would Cite

    • GapTime-OutNo time-out recorded after readmission.Fix: Review the hospital course with the prescriber and record a decision.F881
    • GapStopNo stop date or set duration on the order.Fix: Add a stop date, or record why the course continues.F757
    • LatePharmacist ReviewPharmacist review recorded on day 7.Fix: Review new IV courses within the facility’s set window.F756
    Open Timeline in Audit Trail

  3. East Unit · Room 3 · Long stay

    ModerateNitrofurantoin PO · day 3

    Order has no indication · A suspected urinary infection was treated, but the order does not say what for.

    Why a Surveyor Would Pick ThemIndication MissingUrinary Infection

    2 Gaps a Surveyor Would Cite

    • GapOrderNo indication recorded on the order.Fix: Add the indication, or ask the prescriber to.F881
    • GapConsentNo record the resident or representative was told about the antibiotic.Fix: Inform them and note it in the record.F552
    Open Timeline in Audit Trail
Ready before they arriveFictional residents and illustrative data. Decision support, not medical advice.

Compliance alert center

Response desk

3 active1 requires immediate review

Potential Outbreak

Begin Response Now

Norovirus Cluster Suspected

Three residents on Bay Unit had vomiting or diarrhea within 48 hours.

Action Required
Facility
Harborview Skilled Nursing
Affected
3 residents
Evidence
1 report
Opened
Nov 4, 7:40 AM

Why this fired

Facility outbreak rule matched: 3 residents with stomach illness on one unit within 48 hours.

Accountable response

Required actions
0 of 4
One response, step by stepFictional residents and illustrative data. Decision support, not medical advice.
Census
Census
EMR feed128 residents
CSV uploadSynced 6:00 am
Manual entry2 changes today
Always current
Metrics
Antibiotic use · 6 months
Antibiotic StartsPer 1,000 resident days · example data
MayJunJulAugSepOct
Trends you can report

As of Nov 4, 2026 · 6:00 AM

ReportsNeeds Attention5 open
  1. High

    HarborviewMonthly ASP Tracking · October 2026

    October census is incomplete (12 of 31 days), so its rates can’t be calculated.

    Waiting on Census
  2. Moderate

    PinecrestAnnual ASP Program Review

    The last review was 14 months ago. The protocols are reviewed at least annually.

    Overdue · 14 Months
  3. Low

    HarborviewQuarterly QAA Packet · Q3 2026

    Waiting on the last of three sign-offs before it goes to the committee.

    Sign-Off 2 of 3
  4. Moderate

    PinecrestPrescriber Profiles · Q3 2026

    Waiting on approval, so no prescriber has had feedback this quarter.

    Not Sent
  5. Low

    All Facilities2 Recipients Awaiting Verification

    Reports are held for them until they confirm their address.

    Awaiting Verification
Ready to submitFictional facilities and illustrative data. Decision support, not medical advice.
Who it is for

PrecisionASP by organization

PrecisionASP for nursing homes and SNFsPrecisionASP runs your antibiotic stewardship program: daily action items, survey readiness and the reports CMS expects.Learn more about PrecisionASP for nursing homes and SNFs
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Join the PrecisionASP beta

We are working with a small group of facilities before general release.

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