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

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.