Application for CoE Designation

The IDSA Antimicrobial Stewardship Centers of Excellence program is intended to recognize health care facilities that implement and maintain highly effective ASPs. IDSA acknowledges that many institutions are part of health systems; however, the CoE Core Criteria was developed to assess the resources and capabilities of a single institution. The CoE designation will not apply to an entity that provides services that support, in whole or in part, the AS program of an institution; therefore, each facility is required to apply on an individual facility basis. If you are applying as a healthcare system/network, please contact CoE staff at ascoe@idscoiety.org before applying. Please be prepared to provide evidence of stewardship activity and practices across each of the facilities seeking designation.

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* 1. Legal Name of Hospital or Long-Term Care Facility:

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* 2. Address

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* 3. Facility website URL:

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* 4. Primary Facility Contact Information:

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* 5. Secondary Facility Contact Information:

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* 6. Is your facility part of a — (select all that apply):

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* 7. Number of FTEs dedicated to antimicrobial stewardship:

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* 8. Ownership:

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* 9. Average Number of Beds:

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* 10. Facility type:

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* 11. EHR/EMR Reporting System:

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* 12. If you answered other, please specify:

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