Purpose: This tool is designed to be completed once per facility by the infection preventionist (or the lead of CDI prevention), allowing for a further assessment of possible areas for improvement in CDI prevention practices. 
Instructions for Use:

1. The infection preventionist should partner with key partners (e.g., frontline staff representation, champion representation, quality personnel) to fill out the assessment. 
       o   Please answer to current practices occurring and not just best practice policies to help identify any opportunities for improvement.
       o  The tool may be filled out anonymously by leaving the optional questions blank.
       o  Only one assessment per facility should be submitted.

2. Provide additional context to further interpret results and potential gaps in open text fields
       o   When answering open-text fields consider exceptions to the rule, variations by role, frequency, and challenges.