Acute Care Antibiotic Stewardship Program Honor Roll Application

Introduction
Thank you for taking the time to apply for the Antibiotic Stewardship Program (ASP) Honor Roll!

Applications are accepted on an annual basis. Applications will be accepted May 1 - June 30, 2024. Please refer to the Honor Roll Toolkit on the DPH Antibiotic Stewardship website for additional information. The Honor Roll application is open to all Georgia hospitals (acute care, critical access, long-term acute care). All hospitals are encouraged to apply. Facilities that 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.

Important Information:
  • If you need to save and return to the survey at a later time, please use the same computer and browser, and do not delete cookies.
  • You will be able to make changes to your application until it is submitted.
  • Once you submit the application it is considered complete.
  • Please email as@dph.ga.gov if you need to make any changes to your application after it has been submitted.
  • This application covers ASP activities for the three-year period prior to the application submission date.

Instructions:
  • Review criteria in the Honor Roll Toolkit to determine which designation, Bronze, Silver, Gold, or Platinum, your institution will apply for.
  • Collect all supporting documentation prior to starting the application. A complete list of supporting documentation can be found on the next page.
  • You must meet all criteria for a specific designation to qualify for that Honor Roll designation.

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