Whether ID physicians should help smaller hospitals develop their own program or should run the program for them was debated during discussions. Most likely the right approach will depend on the facility characteristics and their resources. During Question and Answer Session, Dr. Ashraf informed the speakers and the audience that Nebraska ASAP do work with small hospitals and long-term care facilities to help them develop their own program. The approach has its challenges but overall facilities learn over time and so do we. Nebraska ASAP has developed various tools for them to make their job easy and the best part is those tools are then available free of charge on Nebraska ASAP website (asap.nebraskamed.com) which can be used by facilities who are not directly involved in the educational intervention.