CDPH HAI Antimicrobial Stewardship Program (ASP) Honor Roll

Next Enrollment Deadline: September 1, 2024

The CDPH HAI Program is pleased to recognize top performing antimicrobial stewardship programs (ASP) in California. The goals of the CDPH HAI ASP Honor Roll are to promote optimal use of antimicrobials, prevent emergence of antimicrobial resistance and C. difficile infections, and to showcase California healthcare facility ASP that not only follow national guidelines, but also demonstrate outcomes and engage their local healthcare community.

The ASP Honor Roll updates and expands our program’s “Spotlight on ASP” project and reflects substantial progress with ASP implementation and the increasingly recognized need for ASP across the healthcare continuum. CDPH HAI ASP Honor Roll members will need to renew their status every three years, providing ASP the opportunity to demonstrate the continued effectiveness and highlight new achievements.

Hospital ASP are designated Bronze, Silver or Gold status based upon the following criteria:

​Benefits of the Honor Roll

• Bronze, Silver, or Gold level ASP designation, with a certificate and an Honor Roll logo that can be displayed on the facility website and other publications
• Recognition on the CDPH HAI Program website and social media
• Demonstration to the public that your facility meets and exceeds national ASP guidelines
• Opportunities to showcase your ASP interventions and provide examples to help other healthcare facilities with their ASP
• Engagement and networking opportunities with the HAI Program ID Pharmacist and other healthcare facilities to improve antimicrobial stewardship in your local community 

Who Should Apply

• Currently, we are accepting applications from hospital ASP ​(acute care, critical access, long-term care);​​​ we will expand the program to include skilled nursing facilities (SNF) in the future. 
• All hospitals are encouraged to apply. 
• Facilities who wish to apply but do not meet Honor Roll criteria may still complete the application and use resources offered through the ASP Honor Roll program.
• Individual institutions within a healthcare system will need to apply separately to obtain designation for each facility.​

How to Apply

​Instructions and Criteria to Apply​

More information on the criteria for each designation and specific instructions can be found on the Instructions and Criteria webpage. ​

Enrollment Process and Notifications ​

Application deadlines are every 6 months: September 1 and March 1. Designations are for Bronze, Silver, and Gold. If a facility is awarded Bronze or Silver, that facility can apply for an upgrade at the next 6 month enrollment period. A facility has the option to continue to apply for an upgrade every 6 months (up to one year post full application submission) until they reach Gold level. Facilities will be notified and awarded (if accepted) approximately 12 weeks after each application deadline.

Designation Period​

Facilities enrolled into the Honor Roll will receive a designation expiring roughly 3 years from the notification date, either May 31st or November 30th. For example, applications placed during enrollment period with September 1, 2022 deadline will be notified and awarded by November 2022. Their designations will expire three years from the award date on November 30th, 2025. Applications for upgrades, will also have a 3 year expiration from the awarded date corresponding to the 6 month enrollment period. For example, a facility applies for an upgrade by the March 1, 2023 deadline and was accepted, will be notified approximately May 2023 with designation expiring on May 31st, 2025. Once the desired designation is reached, facilities can renew their application in three years for the Honor Roll​​​​.

Application Review

The CDPH HAI ASP Honor Roll application r​eview process​ (chart below) is a multistage process that includes three rounds of review. First, applications are reviewed for completeness and documentation requirements. Next, applications are reviewed in depth by the CDPH HAI Infectious Diseases Pharmacist. At this stage, applications with Part III: Demonstrations of Outcomes are also reviewed by blinded ASP experts. Lastly, applications are reviewed one last time as a whole by the AS team with the CDPH HAI Chief for a final designation. ​

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Honor Roll Members and Interactive Map

• Current List of Enrollees
  

• California Interactive Map of Current Enrollees 
  

• Enrollee Demographics​ (PDF)
  

Additional Resources

• CDC Core Elements of Hospital Antibiotic Stewardship Programs: Stewards​hip C​ore Elements for Hospitals
• California Senate Bill 1311 Hospitals: Antimicrobial Stewardship
• Centers for Medicare and Medicaid (CMS) Infec​tion Prevention and Control and Antibiotic Stewardship Program Interpretive Guidance Update ​
• Joint Commission (JC) R3 Report Issue 35: New and Revised Requirements for Antibiotic Stewardship​
• ​CDPH HAI ASP Honor Roll, Joint Commission, and CMS Comparison Chart​ (PDF)​

Contact Information

Contact the HAI Program for more information at HAIProgram@cdph.ca.gov.