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healthcare-associated infections (HAI) Program

CDPH HAI Antimicrobial Stewardship Program (ASP) Honor Roll Part IV - Community Engagement

Community Engagement Overview

  1. For designation as Gold, you will need to demonstrate work with community healthcare partners (hospitals, skilled nursing facilities) or community engagement institutions, either locally initiated or as part of a local collaboration. 
  2. Please make sure all answers are complete in the application. Please provide enough detail for us to evaluate the quality of the community engagement. We are looking beyond providing education/presentations or developing guidelines or providing good transfer-of-care instructions upon patient transfer to another facility. We are looking for true engagement with community partners with the overall goal of improving antimicrobial stewardship, prescribing and antimicrobial useā€‹ in the local community.

  3. Please describe a current/ongoing partnership during the three-year period (including the most recent one-yearā€‹ā€‹) prior to the deadline date. ā€‹

Renewal Applications  

  • You will be prompted in the online application whether you are submitting a new community engagement partnership(s) not previously submitted in your CDPH HAI Antimicrobial Stewardship Program (ASP) Honor Roll question, or if you are submitting the same engagement partner(s). 
  • Please answer all questions. 
  • Please make sure to include a statement if it is the same engagement and provide details on the ongoing need or benefit of engagement, any adjustments to partnership, activities and why. Also, provide update(s) on activities especially in the last year of the renewal period. ā€‹

Examples of Community Engagement

  • Regional collaborative within a county consisting of a few acute care facilities (including outside each facilityā€™s sister/network facilities) and a few nursing homes, among whom facilities may share patients. Work includes sharing data with each other and developing shared or common interventions  focused on reducing antimicrobial use or resistance rates in the local community. Other partners can even include the local health department.
  • Mentoring a limited resource facility or facilities such as a critical access hospital or a local SNF. The limited resource facilities may not have an ASP pharmacist and/or Infectious Diseases (ID) provider/group to help them with their antibiotic use, so partnership may be to provide one-on-one ongoing consultations (beyond one-time help or just making presentations), helping with reviewing patient cases, or other type of help depending on what the other facility needs are for stewardship, etc. 
  • Outreach to local outpatient clinics in the area and/or medical groups to impact outpatient prescribing in the local community. Example of work may include having the clinics/prescribers have posters signed by all the physicians in their group and posted in their clinics promising to be good antimicrobial stewards and not prescribe unnecessary antibiotics and/or sharing prescribing data, depending on the common goals and needs of each partner. ā€‹

Examples of Community Engagements: Not Acceptable versus Acceptableā€‹

ā€‹ā€‹Examples of Not acceptableā€‹ā€‹ā€‹
 ā€‹What would be accepted insteadā€‹

ā€‹ā€‹Partnering with a "sister" facility in your health system to consolidate or coordinate your antibiotic stewardship program and/or interventions.

Reason: The goal of community engagement is to provide and improve antimicrobial stewardship to the broader community.ā€‹

 ā€‹Providing mentorship/consultation to a lower resource facility such as a critical access hospital, or long-term acute care facility to provide ongoing stewardship support.
ā€‹Providing a webinar/education one time to another facility with limited resources.

Reason: We are looking for a sustained involvement in community engagement partnerships.
 ā€‹Providing ongoing support to a lower/limited resource facility, including education, regular meetings to discuss interventions/strategies, etc.
ā€‹Developing or improving transition of care communication, such as between your hospital and a skilled nursing facility.

Reason: Transition of care communication should be standard. 
 ā€‹Providing antimicrobial stewardship support (such as mentorship/consultations, regular meetings to assist with interventions, etc.) to the skilled nursing facility that you frequently share patients with.
ā€‹Extending antimicrobial stewardship program interventions to your facilityā€™s emergency department and/or working with your Emergency Department pharmacists to provide ASP support

Reason: working with another department within your facility is not the intent of community engagement
 ā€‹Working with local urgent care centers/clinics/ physician offices in your area to provide antimicrobial stewardship support. 

Note: If these centers/clinics are part of your health system, they should generally not have the same clinical staff as the hospital; these may be evaluated on a case-by-case basis depending on what the partnership entails.ā€‹


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