Finding Local Solutions to Emerging Health Challenges

UW CSiM is a collaborative tackling today's stewardship challenges in rural medicine. Join us! 

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Building a Stewardship Workforce

Antibiotic resistance vector graphic

The University of Washington Center for Stewardship in Medicine (UW CSiM) began as the Tele-Antimicrobial Stewardship Program Project ECHO in 2017 serving 12 critical access hospitals in Washington State.


Today, CSiM (see-sim) is a collaborative of over 80 rural hospitals across 10 states working together on stewardship challenges through education, quality and process improvement, and mentoring.

CSiM is comprised of three key parts:

  1. Intensive Quality Improvement Cohort (IQIC)

    • A 12-month sub-cohort of CSiM members working on quality improvement interventions based on local hospital data and goal setting.

    • Current IQICs: Asymptomatic Bacteriuria 101 and 201

  2. Tele-Antimicrobial Stewardship Program (TASP) ECHO

    • A weekly Telehealth meeting with peer facilities for education and case discussion.

  3. CSiM Stewardship Core Elements

    • CSiM faculty led Antimicrobial Stewardship assessment and review

    • Hospital-led Quality Improvement PDSAs tools and portal

    • Toolkits, resources, and guidelines

    • Grand Rounds opportunities with CSiM faculty

    • Antibiotic Pocket Guide

    • Annual Conference

    • Quality Improvement mentoring and support


For more information, or to join our program, contact

Photo of John Lynch John Lynch, MD, MPH
Principal Investigator and Co-Medical Director
Photo of Chloe Bryson=Cahn Chloe Bryson-Cahn, MD
Co-Medical Director
Photo of Zahra Kassamali Zahra Kassamali, PharmD
Co-Medical Director
Photo of Natalia Martinez-Paz Natalia Martinez-Paz, MPA, MA
CSiM Administrator