1. Review criteria in the table below to determine your institution’s designation for Bronze, Silver, or Gold. Refer to the Centers for Disease Control and Prevention (C​DC) Core Elements. 
2. Collect supporting documentation for each section. Examples of documentation are included in each section below. Please make sure your documents are current (inclusive of the 3 year period prior to the deadline date).
3. Complete the SurveyMonkey application​ by the enrollment deadline. Your answers and document uploads will be saved automatically. If you need to complete your application at a later date, use the same computer and browser to access your saved information. Do not delete cookies on your browser. 
   

Criteria

CDC Core Elements - Part II

​Criteria for Designation, three year period prior deadline	​ Bronze	​ Silver	​ Gold
Complete all minimum documentation requirements* from each of CDC’s 7 Core Elements	​X	​​​X	​​X

Outcomes and Engagement

​Criteria for Designation, three year period prior deadline	​ Bronze	​ Silver	​ Gold
​​​Demonstrate outcomes of interventions/ projects - Part III	​	​X	​X
​​Demonstrate engagement with Community Partners - Part IV	​	​	​​​X​

*HAI Program minimum documentation items were chosen based on how hospitals responded on the National Healthcare Safety Network annual survey regarding their Antimicrobial Stewardship Program (ASP), literature review, current Joint Commission and Centers for Medicare and Medicaid Services standards, and a focus group of ASP pharmacists.​

• Minimum Documentation
  

• Minimum Documentation
  
• Demonstration of Outcomes
  

• Minimum Documentation
  
• Demonstration of Outcomes
• Community Engagement​​
  

• You will receive an email confirmation with a copy of your application for your records.
  Please review the application carefully to confirm you have submitted all documentation as we will NOT be contacting facilities for missing documentation. 
• If you notice that documentation is missing, please contact us right away.
  
• Confirmation emails are sent manually, so if you do not receive an email within 2 weeks after submission, please email us at HAIProgram@cdph.ca.gov​. 
  
• Notification emails of designation results will be sent out within 3 months of each deadline.​​​