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healthcare-associated infections (hai) program

CDPH HAI Antimicrobial Stewardship Program (ASP) Honor Roll Instructions and Criteria​

Instructions

  1. Review the tables below for
    • ​​​Bronze, Silver, and Gold Honor Roll criteria. 
    • The appropriate application type.
  2. Collect the minimum documentation.
  3. Request a link to your facility-specific application using the following link: CDPH HAI ASP Honor Roll Application Link​​. If you do not receive the link after 30 minutes, please check your spam folder. If the link is not in your spam folder, contact us at HAI_AS@cdph.ca.gov
    • ​​​​​​If more than one person will complete the application, please share the application link.​
  4. Complete the online RedCap application by the enrollment deadline. Your answers and document uploads are saved automatically. To complete your application later, please click “Save & Return Later” when exiting the application and follow the prompts. 

After Submitting Your Application

  1. You will automatically receive an email confirmation with a copy of your application. Please review the application to ensure you submitted all documentation.  We will NOT contact facilities for missing documentation. 
  2. If you notice documentation is missing, please email it to HAI_AS@cdph.ca.gov
  3. The review process takes about 12 weeks, after which you will receive a notification email. ​​​

Criteria for Bronze, Silver, and Gold 

Refer to the Minimum Documentation​ webpage. Submit all information and documentation within the RedCap application. 

​Designations
Required Activities​
​Bronze
​Leadership
  • Provide time for staff to manage the stewardship program and conduct daily activities.
  • Provide resources to effectively operate the program. 
Accountability
  • Appoint a program leader(s) with stewardship training responsible for stewardship activities.
  • Collaborate with other departments and groups on stewardship activities.
Pharmacy (and/or Drug) Expertise
  • Appoint a pharmacist, ideally as the co-leader of the stewardship program, to help lead efforts.
Action
  • Create stewardship policies to guide activities.  
  • Perform prospective audit and feedback and/or preauthorization. 
  • Develop facility-specific treatment guidelines that include antimicrobial recommendations for common infections.
Tracking
  • Publish an antibiogram.
  • Monitor antimicrobial use (e.g. days of therapy per 1000 patient days).  Track facility-, individual-, unit-, and/or service-specific antimicrobial use (AU) reports.
  • Track prospective audit and feedback outcomes (e.g., recommendations given and acceptance rates). 
  • Monitor adherence to facility-specific treatment guidelines for common infections.
Reporting
  • Share antimicrobial use reports with leadership and prescribers. This may include facility-, unit- and/or prescriber-specific data.
Education
  • Educate providers while doing prospective audit and feedback.
  • Provide competency-based training and education.
​Silver
​Gold

​Application Steps 

The online application includes six sections, listed below. Part III is only applicable for Silver and Gold applicants, and Part IV is only applicable for Gold applicants. 
  • Part I: Institution Information 
  • Part II: Adherence to CDC’s Core Elements of Antimicrobial Stewardship  
  • Part III: Demonstrations of Outcomes (Silver) 
  • Part IV: Community Engagement (Gold) 
  • Part V: Summary Questions 
  • Part VI: Documentation Upload (for Parts II, III and IV)

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