CDPH Toolkit for California Hospitals Tracking
Antimicrobial Use and Resistance
This toolkit serves as a one-stop resource for California hospitals interested in implementing the NHSN Antimicrobial Use and Resistance (AUR) Module. The NHSN AUR Module provides a mechanism for hospitals to track, analyze and compare antimicrobial use and resistance data. Hospitals can use the AUR module to inform local or system-wide efforts to reduce antimicrobial resistant infections through antimicrobial stewardship and infection prevention. The target audience for this toolkit includes physicians, pharmacists, infection preventionists, microbiologists, hospital leadership and any other staff seeking guidance, resources, and practical examples for implementing the NHSN AU and/or AR option. Please note this toolkit is not a replacement for CDC guidance.
How to Participate
To participate in either the AU or AR option of the AUR module, hospital personnel responsible for reporting NHSN data must coordinate with their laboratory and/or pharmacy information software providers to configure their system to generate standard formatted file(s) for importation into NHSN. The format for data submission follows the Health Level (HL7) Clinical Document Architecture (CDA). Manual data entry is not available for the AUR Module. Hospitals can participate in one (AU or AR) or both (AU and AR) options, and can implement them in either order.
Where to Start (either AU or AR)
- If your hospital is in the decision-making process, begin with Element 1 for guidance on software solution approaches and investments.
- If your hospital has started the implementation process, jump to Element 5 for guidance on data verification and submission.