Antibiotic Stewardship Tracking- Preparing for AU Module Upload

Question Title

* 1. What is your first name?

Question Title

* 2. What is your last name?

Question Title

* 3. Name of your facility?

Question Title

* 4. Your role at your facility?

Question Title

* 5. Which Electronic Health/Medical Record is used at your facility?

Question Title

* 6. Is your facility currently enrolled and submitting any data to NHSN?

Yes

No

Question Title

* 7. Is your facility currently submitting data to the NHSN AU Module?

Yes

No

Question Title

* 8. Where do you stand as far as submitting data to the AU module?

Data uploaded to AU Module directly from your EHR/EMR

Medici creates the files needed and it is uploaded to the AU Module

Submit data to NHSN AU Module via another method

In the process of preparing to submit data to the AU module

Not ready to begin with the NHSN AU module