Purpose: To help identify how specific departments and disciplines will be involved in planning and implementing ASP strategies and to identify actions needed to obtain buy-in and participation.
Source: Adapted from Project Agency. Blank project management templates. Available at: http://www.businessballs.com/project%20management%20templates.pdf.
Instructions: Interview key institutional stakeholders, and identify actions to involve them in the planning and eventualimplementation of an ASP. Modify stakeholder list to meet the needs of yourinstitution.
| Stakeholder/ Discipline | What will be this stakeholder's role in planning and implementing ASP? | What are the anticipated activities this stakeholder can be involved in to plan and implement ASP? | What are some of this stakeholder's general perceptions about planning and implementing ASP? | What actions can be taken to strengthen the buy-in from this key stakeholder to plan for the implementation of ASP? |
|---|---|---|---|---|
| Infectious disease physician | ||||
| Clinical pharmacist | ||||
| Microbiologist | ||||
| Infection prevention representative | ||||
| Information technology representative | ||||
| Senior leadership representative | ||||
| Prescribing provider | ||||
| Other (e.g., hospital epidemiologist) |



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