1. Review criteria in the table below to determine your institution’s designation for Bronze, Silver, or Gold. Refer to the 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. Request the link to your facility specific application using the following link: CDPH HAI ASP Honor Roll Application​. If you do not receive the link after 30 minutes, please check your spam folder and reach out to HAI_AS@cdph.ca.gov.
4. Complete and submit the RedCap 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, please click “Save & Return Later” when exiting the application and follow the prompts. If you have multiple people that will be filling out the application, please share the link to login.  
   

Next steps after submitting your application

Criteria

For more information, please review the Minimum Documentation​, Demonstration of Outcomes​, and Community Engagement pages. ​

​​What to Submit	​New Appilication	​Renewal Application	​Upgrade Applicationaa
CDC's Core Elements Application Questionsb    ​​	​​​​✔	​​​​✔	​​X
​Leadership: Commitment & Support (documentation)	​​​✔	​Xc (resubmit if changed)	​X
AS Policy: AS Policy	​​​✔	​Xc (resubmit if changed)	​X​
​Action: AU Guidleines for Common Infections (documentation)	​​​​✔	​​Xc​​ (resubmit if changed)	​X
​Tracking: Antibiogram (documentation)	​​​​​✔	​​✔	​​X
​Tracking: Antimicrobial Use (documentation)	​​​​✔	​​​✔	​X
​Tracking: Prospective Audit & Feedback (documentation)	​​​✔	​​​✔	​X
​Reporting: Leadership & Prescribers (documentation)	​​​✔	​​​​​✔	​X​
​Education: Compentency-Based AS Education (documentation)	​​​​​✔	​​​✔	​X
​Education: Prospective Audit & Feedback (documentation)	​​✔	​​✔	​X​
​Demonstration of Outcomes: Application Questions & Documentation ​	​​​✔	​​​​​✔	​​​✔
​Community Engagement:  Application Questions  (documentation optional)	​​​​​✔	​​​​✔	​​​​✔

• Part I: Institution Information 
• Part II: CDC’s Core Elements of Antimicrobial Stewardship Questions 
• Part III: Demonstrations of Outcomes (Silver) 
• Part IV: Community Engagement (Gold) 
• Part V: Summary Questions 
• Part VI: Documentation Upload (for Part II, III and IV) 

• Leadership 
• Dedication of time of personnel to manage the program and conduct daily stewardship interventions. 
• Resources, including IT support, to effectively operate the program. 
• Accountability 
• Program leaders or personnel responsible for AS activities within your facility. 
• Collaboration with other departments and groups (e.g. infection prevention and control, quality assurance and performance improvement program, medical staff, etc.) 
• Pharmacy (and/or Drug) Expertise 
• Pharmacy staff education and stewardship training (e.g. ID training, ASP training, PGY1 residency, etc.). 
• Action 
• Prospective audit and feedback process for specific antibiotic agents. 
• Preauthorization for specific antibiotic agents, documentation/procedures to define durations for all antibiotics once a diagnosis has been established, or daily reviews of antibiotic selection until a definitive diagnosis and treatment duration are established (i.e. time-out). 
• Specific interventions to ensure optimal use of antibiotics for the following: sepsis, staphylococcus aureus infection, stopping unnecessary antibiotic(s) in new cases of Clostridioides difficile infection (CDI), or culture-proven invasive infections.  
• Tracking 
• Antibiogram 
• Tracking of: preauthorization interventions, antibiotic use, adherence to a documentation policy, prospective audit and feedback by intervention and acceptance rates, performance of antibiotic timeouts, guideline adherence, routine medication use evaluation, discharge antibiotic use data, antibiotic resistance, and CDI in context of antibiotic use.  
• Reporting 
• Sharing antimicrobial stewardship reports (i.e. facility and/or individual prescriber-specific reports on antibiotic use) with leadership and prescribers. 
• Education 
• Education to providers and other relevant staff on optimal prescribing, adverse reaction from antibiotics, and antibiotic resistance.  
• Education to providers during the prospective audit and feedback process (i.e. handshake stewardship). ​