healthcare-associated infections (hai) program

CDPH HAI Antimicrobial Stewardship Program (ASP) Honor Roll Upgrade Applications

The Honor Roll Upgrade Application is available for facilities that would like to apply for a higher designation after they have received their original designation.

Facilities are eligible to submit an upgrade application within one year of their original designation. For example, if a facility applied at the March 1, 2023 deadline and received their designation in May 2023, they may apply for an upgrade at the September 1, 2023 deadline or the March 1, 2024 deadline.
Because documentation requirements changed for the September 1, 2023 deadline, application documentation requirements for upgrade will be different based on when the initial application was completed.
Please reference the checklists below to ensure you upload the correct documents.
Please also refer to the Application Upgrade and Renewal Timeline.

For more information on the requirements below, please visit the Minimum Documentation, Part III: Demonstration of Outcomes, and Part IV: Community Engagement webpages.

Required Documentation Based on Original Application Submission Period

Please refer to the Minimum Documentation page for corresponding documents/items below.

Original Application Pre-September 2023

Upgrade from Bronze to Silver/Gold Requirements

Within Online Application:

Leadership 2: Attest to facility leadership support for time and personnel
Leadership 3: Attest to facility leadership support for resources

Upload Documentation:

Action 2: Prospective audit and feedback for specific antibiotic agents
Action 3: One additional guideline
Tracking 2: Antibiotic use (e.g. Days of therapy (DOT)/1000 patient days)
Tracking 3: Prospective audit and feedback interventions by types AND acceptance
Tracking 4: Adherence to facility-specific evidence-based treatment guidelines
Education 1: Competency based training
Education 2: Education to prescribers as part of the prospective audit and feedback process

Part III: Demonstration of Outcomes
Part IV: Community Engagement (only if upgrading to Gold)