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Avoidance of Antibiotic Treatment for Acute Bronchitis/Bronchiolitis (AAB)

Based on current NCQA HEDIS recommendations, your TO-DO LIST for members ages 3 months and older should include:

  • A dispensed prescription for an antibiotic medication on or three days after the Episode Date.

Why should you complete your TO-DO LIST?

It is an evidence-based, best practice and these actions are used to measure your quality performance.

HEDIS Avoidance of Antibiotic Treatment for Acute Bronchitis/Bronchiolitis (AAB) Definition:

(NCQA HEDIS guidelines, Measurement Year (MY) 2022)

  • The percentage of episodes for members ages 3 months and older with a diagnosis of acute bronchitis/ bronchiolitis that did not result in an antibiotic dispensing event.
  • Line of Business: Commercial, Medicaid, Medicare

Requirement:

  • Dispensed prescription for an antibiotic medication (AAB Antibiotic Medications List) on or three days after the Episode Date.

* The measure is reported as an inverted rate [1–(numerator/eligible population)]. A higher rate indicates appropriate acute bronchitis/bronchiolitis treatment (i.e., the proportion for episodes that did not result in an antibiotic dispensing event).

AAB Antibiotic Medications

Description: Prescription    
Aminoglycosides
  • Amikacin
  • Gentamicin
  • Streptomycin
  • Tobramycin
 
Aminopenicillins
  • Amoxicillin
  • Ampicillin
 
Beta-lactamase inhibitors
  • Amoxicillin-clavulanate
  • Ampicillin-sulbactam
  • Piperacillin-tazobactam
 
First-generation cephalosporins
  • Cefadroxil
  • Cefazolin
  • Cephalexin
Fourth-generation cephalosporins
  • Cefepime
   
Ketolides
  • Telithromycin
   
Lincomycin derivatives
  • Clindamycin
  • Lincomycin
 
Macrolides
  • Azithromycin
  • Clarithromycin
  • Erythromycin
 
Miscellaneous antibiotics
  • Aztrenonam
  • Chloramphenicol
  • Dalfopristin-quinupristin
  • Daptomycin
  • Linezolid
  • Metronidazole
  • Vancomycin
Natural penicillins
  • Penicillin G benzathine-procaine
  • Penicillin G potassium
  • Penicillin G procaine
  • Penicillin G sodium
  • Penicillin V potassium
  • Penicillin G benzathine
Penicillinase resistant penicillins
  • Dicloxacillin
  • Nafcillin
  • Oxacillin
Quinolones
  • Ciprofloxacin
  • Gemifloxacin
  • Levofloxacin
  • Moxifloxacin
  • Ofloxacin
Rifamycin derivatives
  • Rifampin
   
Second-generation cephalosporin
  • Cefaclor
  • Cefotetan
  • Cefoxitin
  • Cefprozil
  • Cefuroxime
Sulfonamides
  • Sulfadiazine
  • Sulfamethoxazole-trimethoprim
 
Tetracyclines
  • Doxycycline
  • Minocycline
  • Tetracycline
Third-generation cephalosporins
  • Cefdinir
  • Cefditoren
  • Cefixime
  • Cefotaxime
  • Cefpodoxime
  • Ceftazidime
  • Ceftibuten
  • Ceftriaxone
Urinary anti-infectives
  • Fosfomycin
  • Nitrofurantoin
  • Nitrofurantoin macrocrystals
  • Nitrofurantoin macrocrystals-monohydrate
  • Trimethoprim
 

To learn more about your practice’s current HEDIS performance for this or other measures, or for assistance in compliance with the HEDIS guidelines, please contact Horizon Healthy Journey: 1-844-754-2451.

Reference: NCQA HEDIS Measurement Year (MY) 2022 Technical Specs CPT® is a registered trademark of the American Medical Association.