Navigating performance measures for ambulatory antimicrobial stewardship: a review of HEDIS® and other metrics the steward should know
2024

Understanding Antibiotic Stewardship Measures

publication 10 minutes Evidence: moderate

Author Information

Author(s): Arena Christen J. PharmD, MLS, Veve Michael P. PharmD, MPH, Fried Steven T. MD, Ware Felisa MSA, BS, Lee Patricia PharmD, BCACP, Shallal Anita B. MD

Primary Institution: Henry Ford Hospital

Hypothesis

How can HEDIS measures improve outpatient antibiotic prescribing practices?

Conclusion

The review highlights the importance of HEDIS measures in guiding effective antibiotic stewardship in ambulatory settings.

Supporting Evidence

  • Ambulatory settings account for approximately 60% of all US antibiotic expenditures.
  • Up to 50% of outpatient antibiotic prescriptions are considered unnecessary.
  • HEDIS measures help assess the quality of antibiotic prescribing across health plans.

Takeaway

This study looks at how doctors can use specific guidelines to make sure they don't give out too many antibiotics when they're not needed.

Methodology

The review analyzes existing literature on HEDIS measures and their application in outpatient antibiotic stewardship.

Potential Biases

Potential biases may arise from the reliance on existing studies and data that may not be comprehensive.

Limitations

The review may not cover all potential barriers and enablers in antibiotic stewardship due to the vastness of the topic.

Statistical Information

P-Value

<0.001

Confidence Interval

95%CI, 0.44–0.63

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.1017/ash.2024.468

Want to read the original?

Access the complete publication on the publisher's website

View Original Publication