0920-1282 Form 2-1 - HAI/AR Performance Measures (SHARP Project II

Confidential

HAI/AR Performance Measures (SHARP Project III; Stewardship), 2024
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SHARP PM 3.1 Description of Staff Leading Antibiotic
Stewardship Activities
Recipient

__________________________________

Antibiotic Stewardship (SHARP Project III) Performance Measures - Measure 1 Instructions: Complete the form below.
Once complete, mark as "Complete" and select "Save & Go to Next Form" from the drop down below.
To see a complete list of all questions and answer choices, download the PDF attachment.
[Attachment: "Performance Measures_2024_UPDATED.pdf"]

Measure 1: Description of Staff Leading and Supporting Antibiotic Stewardship Activities
Jurisdiction has identified an antibiotic stewardship
lead or co-lead to develop, implement and evaluate
stewardship activities and provide antibiotic
stewardship expertise to all healthcare settings.
If No, please provide status update or challenges
encountered in identifying or hiring a lead:

Yes
No

__________________________________________

If Yes, answer the following:
1. On average, how many hours per week does the
stewardship lead/co-leads (combined) work on
antibiotic stewardship for the health department?

0-19 hours
20-39 hours
40+ hours

2. Stewardship lead/co-leads are:

Physician
Pharmacist
Other (e.g., nurse/nurse practitioner,
epidemiologist, etc.)

Check all that apply

Physician-specific expertise

Check if applies

Pharmacist-specific expertise

Check if applies

If other, please specify the role: ______
Check if applies

03/03/2025 10:34am

Completed a fellowship in infectious diseases
Completed a certificate program or training course
on antibiotic stewardship
Has experience implementing stewardship in a
clinical setting
None of the above
Completed the PGY2 residency and/or a residency in
infectious diseases
Completed a certificate program or training course
on antibiotic stewardship
Has experience implementing stewardship in a
clinical setting
None of the above
Completed an antibiotic stewardship certificate
program or training course on antibiotic
stewardship
Has experience implementing stewardship in a
clinical or public health setting
None of the above

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Staffing Directory is updated with required
information for all staff leading and supporting
antibiotic stewardship activities:

Yes
No

If No, please update the HAI/AR Program Staffing Directory.

03/03/2025 10:34am

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