Growing Forward 2 - Final Report Project II | Page 13

PHASE A: CREATING A LIST
OF 16 SUGGESTED ACTIONS
Initially, the Project Team reduced the 111 Suggested Actions
to a list of 16 through analysis and review.
Subsequently, two iterative electronic surveys were designed and administered
to Ontario food-producing animal veterinarians, to identify six Priority Initiatives,
which they felt were the most important for them to champion.
Initially, the Project Team reduced the 111 Suggested Actions to a list of 16 through analysis and review. Subsequently, two iterative
electronic surveys were designed and administered to Ontario food-producing animal veterinarians, to identify six Priority Initiatives,
which they felt were the most important for them to champion.
Creating a List of 16 Suggested Actions
Methods
The CVO Project Team, which comprised the CVO Registrar,
Project Researcher, Project Managers and the Project Advisory
Group, analyzed and reviewed the list of 111 Suggested Actions
established in Project 1.
The process to reduce the number of Suggested Actions began
with an in-depth review of each one. Suggested Actions that
were not directly related to antibiotic usage and resistance,
such as those that referred to residues, were removed. Next,
any Suggested Action that could not be directly influenced or
implemented by Ontario food-producing animal veterinarians
was removed from the list. Such actions included many of the
regulation/legislation references to APIs, OUI and OTC antibiotic
sales. Then, any Suggested Action that did not meet the
following criteria was removed from the list:
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• Actions must be timely (i.e. actions that CVO and
Ontario food-animal veterinarians initiate immediately).
• Actions must be S.M.A.R.T (i.e. specific, measureable,
attainable, results-oriented, and time-bound).
Lastly, similar and related Suggested Actions were grouped
together. For example, the Suggested Actions “include over-
riding principles and specific uses in protocols and SOPs”, “SOPs
for all common conditions and vaccination protocols written
by veterinarians - include decision trees, flow charts to aid in
prevention, diagnosis and treatment”, “monitor protocols are
being followed”, “need investment of resources to develop
SOPs”, “develop farm specific SOPs in consultation with
veterinarians” and “standardize protocol requirements across
the livestock sectors” were included in “Develop and/or update,
in collaboration with individual producers, farm-specific SOPs for
appropriate antibiotic use” and “Promote, across species, the
implementation of farm-specific SOPs for appropriate antibiotic
use.”
Results
As a result of the analysis and review process, the list of
Suggested Actions was reduced to 16. For ease of reading and
clarity in this report, each of the 16 Suggested Actions has been
abbreviated. These abbreviations are utilized, in place of the
full wording of the Suggested Actions, for the remainder of this
report. The 16 Suggested Actions, in alphabetical order, together
with the abbreviation for each one, can be seen in Table 2.
Setting an Action Agenda for Veterinary Stewardship of Antibiotic Use in Food-Producing Animals in Ontario