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healthcare-associated infections (hai) program

 Antimicrobial Stewardship Program (ASP) Honor Roll Minimum Documentation

  • Please refer to the online application​  for instructions for answering each question in the application. 
  • Also, refer to “Tips on uploading documentation​” to help simplify the process.
  • Only documentation examples (not a complete list) for each element are described below. 
  • Unless noted, at least one item for each core element is required to be uploaded for all designations.
  • Documentation must be inclusive of the three-year period prior to the deadline date. ​

​Minimum Documentation - Core Elements

  1. Leadership commitment (if renewing or upgrading, see details below)
  2. Accountability documentation (optional)
  3. Pharmacy expertise documentation (optional)​
  4. Antimicrobial Stewardship Policy
  5. Guideline(s)/Algorithm(s)/Clinical pathway(s) for Antimicrobial Use
  6. Antibiogram
  7. Tracking documentation 
  8. Reporting documentation 
  9. Education documentation​
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